A nurse working in a hospital setting has experienced the death of a newborn despite giving the client excellent antepartal care. Which of the following is a recommended guideline for care of a client and family who experienced this type of loss?
A) Allow the client/family time to grieve before approaching them.
B) Provide the client/family with support and allow them to express their feelings.
C) Call a chaplain or family worker and set up a visit for the client/family.
D) Collect mementoes of the baby and send them to the client/family in the mail.
B
Feedback:
Occasionally, despite excellent antepartal care, a fetus or newborn dies. Obviously, such an event is very difficult for family members. The nurse should provide them with as much support as possible and give them a chance to express their feelings. They may appreciate a visit from a chaplain or social worker, but the nurse should ask if the family wishes to have someone special called. Some facilities prepare a small package of mementos from the baby, such as the tee shirt worn in the nursery, a lock of hair, some photos, an identification bracelet, and the birth certificate. Such articles are given to the mother for her to open or to keep sealed as she chooses. In this way, the baby's existence is acknowledged, along with the loss.
You might also like to view...
The nurse is caring for a 78-year-old woman who is brought to the emergency department from home. The client has a diagnosis of dementia and is being treated for abdominal pain
During the assessment, the nurse identifies multiple bruises on the extremities that appear to be 1 to 2 weeks old. The nurse also has resistance from the client during the insertion of a urinary catheter. The client's son is the caregiver and tells you the bruises are from the patient falling. The assessment of the physical injuries and the client's behavior indicate what intervention by the nurse? A) obtain an order for disturbance in blood clotting B) investigate for potential elder abuse C) provide physical restraint to prevent the client from pulling out the catheter D) sedate the patient to increase cooperation
A client having a myocardial infarction is receiving alteplase (Activase) therapy. Which of the following actions should be carried out by the nurse to monitor for the most frequent adverse effect?
1. Monitor for bleeding. 2. Assess for allergic reaction. 3. Evaluate the client for muscle weakness. 4. Monitor for signs and symptoms of infection.
Hormones may be used in cancer therapy, especially for advanced disease. Which of the following are hormones used as antineoplastic drugs? Select all that apply
A) Testolactone (Teslac) B) Leuprolide (Lupron) C) Megestrol (Megace) D) Bicalutamide (Casodex) E) Goserelin (Zoladex)
The client receives amitriptyline (Elavil). What is a priority teaching point at discharge?
1. Do not rapidly stand up or change positions. 2. Begin a low-carbohydrate diet. 3. Avoid green, leafy vegetables. 4. Do not take aspirin with this drug.