A baby is born with trisomy 18. What action by the nurse is most appropriate?
A.
Allow the family members to express their grief and anger.
B.
Call the hospital chaplain to counsel the parents.
C.
Make a referral to a home health agency for home visits.
D.
Prepare the parents for the baby's imminent death.
ANS: A
Trisomy 18 (Edward syndrome) is a rare genetic disorder with a poor prognosis; approximately 70% of infants die within the first 3 months of life. The nurse should allow the family to grieve. The parents may or may not welcome a visit from a religious person and the nurse should ask them before calling a chaplain. A home health-care agency may or may not be needed; further assessment is needed. The baby may not die immediately, so preparing the parents for an imminent death is unwarranted.
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