A nurse is caring for a patient immediately following the delivery of a stillborn fetus. What action should the nurse take?
Provide the patient with photos of the fetus.
Instruct the patient that an autopsy should be performed within 24 hours.
Limit the amount of time the fetus is in the patient’s room.
Inform the patient that the law requires them to name the fetus.
The Correct Answer is A
Choice A rationale
Providing the patient with photos of the fetus can be a part of memory-making and is often a key component of care after a stillbirth. It allows parents to remember their baby and can aid in the grieving process.
Choice B rationale
While an autopsy can provide information about why a stillbirth occurred, it is not mandatory and should be discussed with the parents. The decision to perform an autopsy should be based on the parents’ wishes.
Choice C rationale
Limiting the amount of time the fetus is in the patient’s room is not necessarily beneficial. Some parents may want to spend time with their baby to say goodbye, which can be therapeutic.
Choice D rationale
Informing the patient that the law requires them to name the fetus is not accurate. The decision to name the fetus is a personal one and varies among individuals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice d. Transmission can occur via the saliva and urine of the newborn.
Choice A rationale:
Lesions are not typically visible on the mother’s genitalia with cytomegalovirus (CMV) infection. CMV is often asymptomatic or presents with nonspecific symptoms, and visible lesions are not a characteristic feature.
Choice B rationale:
CMV does not require airborne precautions. It is primarily transmitted through direct contact with bodily fluids such as saliva, urine, blood, and breast milk.
Choice C rationale:
Prophylactic treatment with acyclovir is not standard for CMV. Acyclovir is used for herpes simplex virus infections, not CMV.
Choice D rationale:
CMV can indeed be transmitted via the saliva and urine of the newborn. This is a common mode of transmission, especially in settings like daycare centers where young children are in close contact.
Correct Answer is B
Explanation
Choice A rationale
While it’s important to monitor blood pressure in a client with peripartum cardiomyopathy, assessing it twice daily is not a specific intervention for this condition.
Choice B rationale
Restricting daily oral fluid intake is a key intervention in managing peripartum cardiomyopathy. This condition can lead to fluid overload, so limiting fluid intake can help prevent worsening of symptoms.
Choice C rationale
Misoprostol is a medication used to prevent stomach ulcers or to induce labor. It is not used in the management of peripartum cardiomyopathy.
Choice D rationale
Administering an IV bolus of lactated Ringer’s can increase the client’s fluid volume, which is not recommended in peripartum cardiomyopathy as it can exacerbate heart failure symptoms. Explore
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today