Author Question: A multipara, 26 weeks' gestation and accompanied by her husband, has just delivered a fetal demise. ... (Read 45 times)

vicotolentino · **on:** Jun 28, 2018

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.

Question 2

The following four babies are in the neonatal nursery. Which of the babies should be seen by the neonatologist as soon as possible?

a. 1-day-old, HR 170 bpm, crying
b. 2-day-old, T 98.9F, slightly jaundice
c. 3-day-old, breastfeeding q 2 h, rooting
d. 4-day-old, RR 70 rpm, dusky coloring

Loise Hard · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: c
Feedback
a. It is inappropriate for the nurse to advise prayer. The parents must decide for themselves how they wish to express their spirituality.
b. This is an inappropriate suggestion.
c. This is an appropriate suggestion. Encouraging parents to spend time with their baby and hold their baby is an action that supports the parents during the grieving process.
d. This is an inappropriate suggestion. It is very important for the parents to clearly communicate the baby's death with their other children.

Answer to Question 2

ANS: d
Feedback
a. A slight tachycardia170 bpmis normal when a baby is crying.
b. Slight jaundice on day 2 is within normal limits.
c. It is normal for a breastfed baby to feed every 2 hours.
d. A dusky skin color is abnormal in any neonate, whether or not the respiration rate is normal, although this baby is also slightly tachypneic.