A nurse is caring for a client immediately following the delivery of a stillborn fetus. Which of the following actions should the nurse take?
Instruct the client that an autopsy should be performed within 24 hr.
Inform the client that the law requires them to name the fetus.
Provide the client with photos of the fetus.
Limit the amount of time the fetus is in the client's room.
The Correct Answer is C
A. While an autopsy can be an option for determining the cause of stillbirth, it is not a requirement, and the decision should be made by the parents. This statement may add undue pressure on the client.
B. There is no legal requirement for parents to name a stillborn fetus. This can be a sensitive topic, and it is essential to respect the parents' wishes and feelings in this regard.
C. Providing the client with photos of the fetus can help the parents in their grieving process, allowing them to create memories and acknowledge their loss. This action can offer emotional support and validation of their experience.
D. Limiting the time the fetus is in the client's room may not consider the parents' need for closure and the opportunity to say goodbye. Encouraging the family to spend time with their stillborn child can be an important aspect of the grieving process.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. "You should use an oil-based vaginal lubricant when inserting your diaphragm." Incorrect.
Oil-based lubricants can weaken latex diaphragms, increasing the risk of breakage. Water-based lubricants are recommended instead.
B. "You should keep the diaphragm in place for at least 4 hours after intercourse." Incorrect.
Diaphragms should be left in place for at least 6 hours after intercourse but not longer than 24 hours.
C. "You should have your provider refit you for a new diaphragm."
Correct answer. After childbirth, the size and shape of the cervix may change, affecting the fit of the diaphragm. Therefore, it's important to have the diaphragm refitted by a healthcare provider.
D. "You should store your diaphragm in sterile water after each use." Incorrect. Diaphragms should be cleaned and dried thoroughly after each use and stored in a cool, dry place, not in sterile water.
Correct Answer is A
Explanation
A. "The car seat should be positioned in the car at a 45-degree angle." This statement is correct and indicates an understanding of car seat safety. Positioning the car seat at a 45-degree angle helps prevent the newborn's head from flopping forward, which could obstruct the airway. Proper positioning ensures both safety and comfort during travel.
B. "My baby will need a car seat challenge test before discharge." This statement is incorrect for a newborn delivered at 38 weeks of gestation. A car seat challenge test is typically required for premature infants (less than 37 weeks gestation) or those with specific health conditions to ensure they can tolerate sitting in a car seat without respiratory or cardiac issues.
C. "When my baby is 1 year old, I can turn their car seat facing forward." Incorrect. It is recommended to keep infants in a rear-facing car seat until they reach the maximum height or weight limit recommended by the car seat manufacturer, typically well beyond the first year of life.
D. “I can use a sleep sack to keep my baby warm in the car seat." While using a sleep sack can keep a baby warm, it's important not to use any additional padding or blankets in the car seat as they can interfere with the proper harness fit and increase the risk of injury in the event of a crash.
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