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 D
Explanation
Choice A rationale
Infection of the uterus typically presents with fever, foul-smelling lochia, and uterine tenderness, not bright red vaginal bleeding with a firm fundus. Firm fundus decreases the likelihood of retained products causing infection.
Choice B rationale
Uterine atony causes excessive vaginal bleeding due to the uterus's inability to contract effectively, but it doesn't apply here since the fundus is firm, indicating adequate uterine tone.
Choice C rationale
Perineal hematoma results from blood vessel damage during delivery. It causes a tense, painful mass and vaginal or perineal swelling, not steady, bright red bleeding with a firm fundus.
Choice D rationale
Lacerations of the genital tract result in bright red bleeding despite a firm fundus, as the bleeding originates from tears in the vaginal or perineal tissues rather than uterine atony.
Correct Answer is B
Explanation
Choice A rationale
Maternal mortality in the United States is among the highest in industrialized nations, with rates significantly exceeding those of comparable countries due to systemic healthcare disparities and limited access to care.
Choice B rationale
The United States has a maternal mortality rate of approximately 18.6 deaths per 100,000 live births, which is higher than other industrialized nations, where rates are often below 10 deaths per 100,000 live births.
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