Author Question: The nurse is caring for a client who delivered a 38 weeks' gestation stillborn fetus. What should ... (Read 63 times)

laurencescou · **on:** Jun 27, 2018

The nurse is caring for a client who delivered a 38 weeks' gestation stillborn fetus. What should the nurse do to support the client at this time? Select all that apply.

1. Remove the fetus from the room.
2. Clean the fetus and wrap in a blanket.
3. Ask the client if she would like to hold the baby.
4. Instruct on postdelivery care to be completed in the home.
5. Ask if other family members would like to spend time with the baby.

Question 2

The nurse is assisting in the preparation of a pregnant client in labor for intrauterine resuscitation. For which fetal finding is this intervention indicated? Select all that apply.

1. Prolonged decelerations
2. Persistent late decelerations
3. Last fetal movement 5 minutes ago
4. Fetal heart rate 140 beats per minute
5. Persistent and severe variable decelerations

chreslie · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2, 3, 4
Explanation:
1. The fetus should not be removed from the room unless the client asks that the fetus be removed.
2. The fetus should be bathed/cleansed and wrapped in a blanket in preparation for viewing.
3. The client should be asked her preference for viewing and holding the baby.
4. It is inappropriate for the nurse to instruct the client on home care needed after delivery at this time. The client and family are having a highly emotional experience which should not be ignored.
5. Oftentimes other family members will be present and they should be asked of their desire to spend time with the baby.

Answer to Question 2

1, 2, 5
Explanation:
1. The presence of prolonged decelerations is a sign of nonreassuring fetal status. Intrauterine resuscitation should be started without delay.
2. The presence of persistent late decelerations is a sign of nonreassuring fetal status. Intrauterine resuscitation should be started without delay.
3. Fetal activity is not used as an indication for intrauterine resuscitation.
4. A fetal heart rate of 140 bpm is within normal limits.
5. The presence of persistent and severe variable decelerations is a sign of monreassuring fetal status. Intrauterine resuscitation should be started without delay.