Which options for saying "good-bye" would the nurse want to discuss with a woman who is diagnosed with having a stillborn girl?

"Would you like a picture taken of your baby after birth?"

The nurse should not discuss any options at this time: plenty of time will be available after the baby is born.

"When your baby is born, would you like to see and hold her?"

"What funeral home do you want notified after the baby is born?"

Answer and Explanation

The Correct Answer is C

A. "Would you like a picture taken of your baby after birth?" While photographs can be a deeply meaningful keepsake for grieving parents, this is not the most immediate or sensitive first option to discuss. It should be offered later, after establishing emotional readiness and providing space for the parents to process the loss.

B. The nurse should not discuss any options at this time: plenty of time will be available after the baby is born. Delaying these conversations may deny the mother the chance to prepare emotionally and make informed decisions. Nurses must provide timely, compassionate guidance to help the family begin their grieving process in a supportive environment.

C. "When your baby is born, would you like to see and hold her?" This is the most appropriate and compassionate option. Offering the mother the chance to hold and say goodbye to her baby helps in the grieving process and fosters emotional closure. It recognizes the baby as a real person and the loss as significant, while allowing the parents control over their experience.

D. "What funeral home do you want notified after the baby is born?" Although necessary eventually, discussing funeral arrangements too soon may feel abrupt or insensitive. These logistics are best addressed after more emotionally supportive interactions have occurred and when the parents feel more prepared to make such decisions.

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Correct Answer is D

Explanation

A. 7 to 10 days after childbirth: This time frame is too delayed for the first follow-up of a breastfeeding infant. Early post-discharge visits are essential to assess feeding adequacy, hydration, and weight changes, all of which are critical within the first few days of life.

B. 2 weeks of age: Waiting until 2 weeks may miss early signs of complications such as dehydration, excessive weight loss, or jaundice. While a 2-week visit is often part of routine pediatric care, it is not soon enough for initial post-discharge evaluation.

C. 4 to 5 days after hospital discharge: Although closer to the recommended window, this range still allows for too much variability and may delay necessary interventions. Earlier evaluation is especially important for breastfeeding infants who may have feeding difficulties or poor weight gain.

D. 48 to 72 hours after hospital discharge: The AAP recommends that all breastfed infants be seen by a healthcare provider within this window to evaluate feeding effectiveness, monitor for jaundice, and assess overall well-being. This timing allows for prompt identification of early neonatal issues while supporting successful breastfeeding.

A. Perform a sharp hand clap near the infant. B. Hold the newborn vertically allowing one foot to touch the table surface. C. Place a finger at the base of the newborn's toes. D. Turn the newborn's head quickly to one side.

Correct Answer is A

Explanation

A. Perform a sharp hand clap near the infant: The Moro reflex, also known as the startle reflex, is elicited by producing a sudden loud noise or a slight jarring motion. A sharp hand clap near the infant mimics a startling event, causing the newborn to respond by abducting and extending the arms, opening the hands, and then adducting the arms in an embracing motion. This reflex is a sign of normal neurologic development in neonates.

B. Hold the newborn vertically allowing one foot to touch the table surface: This action is used to elicit the stepping reflex, where the newborn appears to take steps or dance when the soles of the feet touch a flat surface. It does not relate to the Moro reflex.

C. Place a finger at the base of the newborn's toes: This technique elicits the plantar grasp reflex, where the toes curl around the examiner’s finger. It evaluates neurologic function, but is unrelated to the Moro reflex.

D. Turn the newborn's head quickly to one side: This maneuver is used to assess the tonic neck reflex (also known as the "fencing" reflex), in which the arm on the side the head is turned extends, while the opposite arm flexes. It is not used to elicit the Moro reflex

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Which options for saying "good-bye" would the nurse want to discuss with a woman who is diagnosed with having a stillborn girl?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Parents who have not already done so need to make time for newborn follow-up of the discharge. According to the American Academy of Pediatrics (AAP), when should a breastfeeding infant first need to be seen for a follow-up examination?

Correct Answer is D

Explanation

A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse should take which of the following actions?

Correct Answer is A

Explanation

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