An infant has undergone surgical repair of her myelomeningocele and is returned to the pediatric unit. Her mother tearfully says to the nurse, "I wish I could hold my baby.”. Which nursing action would be most appropriate?

Choice A rationale:

This response acknowledges the client's feelings, addresses the immediate situation, and offers an alternative without judgment.

Choice B rationale:

Asking "What's wrong? Haven't you ever lost a game before?”. might come across as dismissive and insensitive to the client's emotions.

Choice C rationale:

Simply saying "I am sure you'll win the next game”. minimizes the client's feelings and does not address the current situation.

Choice D rationale:

Telling the client that "other children will not want to play with you if you act like that”. is a negative and shaming response, which is counterproductive to building a therapeutic relationship.

Choice A:
Hypoplastic left heart syndrome - Decreased pulmonary blood flow.
Choice B:
Tetralogy of Fallot - Obstruction to blood flow.
Choice C rationale:
Atrial Septal Defect is incorrectly matched with its hemodynamic classification. ASD results in increased pulmonary blood flow due to the shunting of oxygenated blood from the left atrium to the right atrium.
Choice D rationale:
Aortic Stenosis is again not accurately matched. Aortic stenosis causes obstruction to blood flow from the left ventricle to the aorta, impacting systemic circulation.