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.

Answer and Explanation

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.

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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

A. Close the newborn’s eyes before applying eyepatches. B. Turn the newborn every 4 hours. C. Apply hydrating lotion to the newborn’s skin prior to treatment. D. Provide the newborn with 15 mL glucose water after each feeding.

Correct Answer is A

Explanation

Choice A rationale
The nurse should close the newborn’s eyes before applying eyepatches. This is because the intense light used in phototherapy can harm the newborn’s eyes. Therefore, protective eye patches are used to shield the newborn’s eyes from the light while allowing the rest of the body to be exposed to the light. This helps to convert the bilirubin in the skin into a form that can be easily eliminated from the body.
Choice B rationale
Turning the newborn every 4 hours is not specifically related to phototherapy. While turning is important for preventing pressure ulcers, it does not directly impact the effectiveness of phototherapy. The primary goal of phototherapy is to expose as much of the newborn’s skin as possible to the light, which helps to reduce the level of bilirubin.
Choice C rationale
Applying hydrating lotion to the newborn’s skin prior to treatment is not recommended. The use of lotions or creams can block the light and reduce the effectiveness of phototherapy. The skin should be clean and free of any barriers to light penetration.
Choice D rationale
Providing the newborn with 15 mL glucose water after each feeding is not directly related to phototherapy. While maintaining hydration is important for all newborns, it does not specifically enhance the effectiveness of phototherapy for jaundice.

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A nurse is caring for a patient immediately following the delivery of a stillborn fetus. What action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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