The antepartum nurse is caring for parents who have lost their baby at 20 weeks' gestation. Which intervention is most appropriate for the nurse to implement with this family?

A) Calling social services to help with burial plans
B) Explaining the causative factor of the fetal loss
C) Telling the parents they can have another baby
D) Obtaining an order for counseling for the parents


Answer: B

Explaining the causative factor for the fetal loss assists families in progressing through the grieving process. Counseling would be appropriate if the parents are in complicated grieving. Offering to help with burial plans is not the immediate need, but will be appreciated at a later time. Telling the parents they can have another baby is demonstrating that the nurse does not understand the nature of the loss.

Nursing

You might also like to view...

A patient who sustained a head injury in a motor vehicle accident has damage to the temporal lobe. This injury places the patient at risk for which type of hearing loss?

a. Otosclerosis b. Conduction deafness c. Presbycusis d. Central deafness

Nursing

A gravida 5 postpartum client is complaining of intermittent uterine cramping while breastfeeding. The nurse knows that these symptoms are most likely due to

a. endometritis c. uterine involution b. uterine atony d. retained placental fragments

Nursing

What cause of black stools most likely describes his symptoms and signs?

A 46-year-old former salesman presents to the ER, complaining of black stools for the past few weeks. His past medical history is significant for cirrhosis. He has gained weight recently, especially around his abdomen. He has smoked two packs of cigarettes a day for 30 years and has drunk approximately 10 alcoholic beverages a day for 25 years. He has used IV heroin and smoked crack in the past. He denies any recent use. He is currently unemployed and has never been married. On examination you find a man appearing older than his stated age. His skin has a yellowish tint and he is thin, with a prominent abdomen. You note multiple “spider angiomas” at the base of his neck. Otherwise, his heart and lung examinations are normal. On inspection he has dilated veins around his umbilicus. Increased bowel sounds are heard during auscultation. Palpation reveals diffuse tenderness that is more severe in the epigastric area. His liver is small and hard to palpation and he has a positive fluid wave. He is positive for occult blood on his rectal examination. A) Infectious diarrhea B) Mallory-Weiss tear C) Esophageal varices

Nursing

The nurse is teaching the parents of a child who has head lice (pediculosis capitis). Which information will the nurse include in the teaching session?

a. Treatment is use of regular shampoo. b. Products containing lindane are most effective. c. Head lice may spread to furniture and other people. d. Manual removal is not a realistic option as treatment.

Nursing