A nurse is caring for a client immediately following the delivery of a stillborn fetus. Which of the following actions should the nurse take?
- A. Limit the amount of time the fetus is in the client’s room.
- B. Provide the client with photos of the fetus.
- C. Instruct the client that an autopsy should be performed within 24 hr.
- D. Inform the client that the law requires them to name the fetus.
Correct Answer: B
Rationale: The correct answer is B: Provide the client with photos of the fetus. This action allows the client to have tangible memories of their stillborn baby, aiding in the grieving process and facilitating closure. It is important for the client to have something to remember their child by, as it validates the existence of the baby and acknowledges the client's loss. It also promotes a sense of connection and remembrance. Providing photos can be a compassionate gesture that supports the client emotionally during this difficult time.
Choice A is incorrect because limiting the time the fetus is in the room may not consider the client's emotional needs. Choice C is incorrect as it may add unnecessary stress to the client. Choice D is incorrect as there is no legal requirement to name a stillborn fetus.
You may also like to solve these questions
Which of the following is a potential barrier to patient-centered care in maternal and newborn healthcare?
- A. Lack of cultural competence
- B. Provider bias
- C. Limited resources
- D. All of the above
Correct Answer: D
Rationale: Barriers to patient-centered care include lack of cultural competence, provider bias, and limited resources.
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?
- A. Blood pressure 105/64 mm Hg.
- B. Heart rate 98/min.
- C. Urine output of 280 mL within 8 hr.
- D. Urine negative for ketones.
Correct Answer: C
Rationale: A urine output of 280 mL within 8 hours is low and may indicate dehydration, which is a concern in a client with hyperemesis gravidarum.
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?
- A. Does that lessen your suprapubic pain?
- B. Are you feeling relief from your pelvic pressure?
- C. Do your contractions feel further apart?
- D. Has your back labor improved?
Correct Answer: D
Rationale: The correct answer is D: "Has your back labor improved?" This question is appropriate because the occipitoposterior position often leads to back labor due to the baby's position pressing on the mother's spine. By asking if the back labor has improved, the nurse can assess the effectiveness of the hands-and-knees position in helping relieve pressure on the mother's back.
Choice A: "Does that lessen your suprapubic pain?" is incorrect because the hands-and-knees position is more effective for back pain relief, not suprapubic pain.
Choice B: "Are you feeling relief from your pelvic pressure?" is incorrect because the hands-and-knees position is more effective for addressing back pain, not pelvic pressure.
Choice C: "Do your contractions feel further apart?" is incorrect as the position change is unlikely to affect the timing of contractions significantly.
In summary, the correct question (Choice D) directly addresses the main issue associated with occipitoposterior
Which of the following is a potential barrier to effective communication with patients and families in maternal and newborn healthcare?
- A. Language barriers
- B. Cultural differences
- C. Limited access to technology
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Language barriers can hinder understanding between healthcare providers and patients/families. Cultural differences can impact communication styles and beliefs. Limited access to technology can restrict communication channels. Choosing D is correct as it encompasses the potential barriers in effective communication. Options A, B, and C are incorrect as they represent individual barriers, whereas D covers all possible barriers in maternal and newborn healthcare communication.
Which of the following is a potential complication of maternal hyperemesis gravidarum?
- A. Preterm labor
- B. Fetal growth restriction
- C. Maternal dehydration
- D. All of the above
Correct Answer: D
Rationale: Hyperemesis gravidarum can lead to preterm labor, fetal growth restriction, and maternal dehydration.