A multipara, 26 weeks gestation and accompanied by her husband, has just delivered a fetal demise. Which of the following nursing actions is appropriate at this time?
A) Encourage the parents to pray for the baby's soul.
B) Advise the parents that it is better for the baby to have died than to have had to live with a defect.
C) Encourage the parents to hold the baby.
D) Advise the parents to refrain from discussing the baby's death with their other children.
C
Encourage the parents to hold the baby.
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A patient who has undergone liver transplantation is ready to be discharged home. The nurse is providing discharge teaching. Which topic will the nurse emphasize most related to discharge teaching?
A) The patient will obtain measurement of drainage from the T-tube. B) The patient will exercise three times a week. C) The patient will take immunosuppressive agents as required. D) The patient will monitor for signs of liver dysfunction.
During the acute CVA phase, there is a risk for falls related to paralysis. The intervention that best protects the patient from injury is:
1. keep the bed in a high position for ease of nursing care. 2. keep the side rails up, according to agency policy. 3. assess vision deficit related to ptosis. 4. monitor the condition every 2 hours.
When discussing contraceptive options, which method would the nurse recommend as being the most reliable?
A) Coitus interruptus B) Lactational amenorrheal method (LAM) C) Natural family planning D) Intrauterine system
The laboring patient requests pain medication. Her contractions are lasting 20–30 seconds and are occurring every 8–20 minutes. The nurse would explain that analgesics given at this time would likely cause:
1. Fetal respiratory depression. 2. Decreased analgesic effectiveness at the end of labor. 3. Maternal hypotension. 4. Prolonged labor.