The nurse is caring for a couple who are in the labor and delivery unit immediately after the birth of a stillborn baby who exhibited severe birth defects. Which of the following actions by the nurse is appropriate?
Advise the parents that their baby had birth defects.
Discourage the parents from naming the baby.
Give the parents a lock of the baby’s hair and a copy of the footprint sheet, and let them hold the baby.
Transport the baby to the morgue as soon as possible to avoid further emotional distress.
The Correct Answer is C
Choice A rationale
Advising about birth defects without offering compassionate support can intensify parental grief and fails to acknowledge the significance of their emotional trauma, worsening their psychological response after a stillbirth.
Choice B rationale
Discouraging naming deters parental acknowledgment of their baby's existence, which disrupts grieving processes. Recognizing their loss helps families process grief healthily and facilitates emotional closure.
Choice C rationale
Giving mementos and allowing holding the baby fosters parental bonding and validates their loss. These actions are supported by bereavement care guidelines promoting emotional processing, acceptance, and closure after stillbirth.
Choice D rationale
Immediate morgue transport disregards the psychological needs of grieving parents and deprives them of opportunities to spend time with their baby, essential for acknowledging their loss and beginning grief processing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Projectile vomiting is not a typical symptom of diaphragmatic hernia. This condition primarily affects respiratory function due to lung compression by abdominal organs in the chest cavity.
Choice B rationale
High-pitched crying is not a hallmark symptom of diaphragmatic hernia. The condition primarily presents with respiratory distress due to lung underdevelopment and organ displacement.
Choice C rationale
Respiratory distress occurs due to lung compression and underdevelopment caused by abdominal organs herniating into the chest cavity. This is a primary symptom observed in diaphragmatic hernia cases.
Choice D rationale
Fecal incontinence is unrelated to diaphragmatic hernia. The condition primarily impacts respiratory function due to the displacement of abdominal organs into the thoracic cavity.
Correct Answer is D
Explanation
Choice A rationale
A soft fundus indicates uterine atony, an abnormal finding requiring immediate intervention. This teaching would lead to improper patient monitoring of complications such as hemorrhage.
Choice B rationale
Clots as large as a golf ball are not considered normal and may signal uterine atony or retained placental fragments, which necessitate medical intervention for hemorrhage risk.
Choice C rationale
Decreased brownish-red lochia may reflect normal postpartum changes as it progresses to serosa and alba but is not typically an indicator of complications.
Choice D rationale
Increased lochia or a return to bright red bleeding signals potential complications like subinvolution or late postpartum hemorrhage, which demand prompt medical attention.
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