Author Question: After giving birth to a stillborn infant, the woman turns to the nurse and says, I just finished ... (Read 78 times)

Melani1276 · **on:** Jun 27, 2018

After giving birth to a stillborn infant, the woman turns to the nurse and says, I just finished painting the baby's room. Do you think that caused my baby to die? The nurse's best re-sponse to this woman is:

1. That's an old wives' tale; lots of women are around paint during pregnancy, and this doesn't happen to them..
2. That's not likely. Paint is associated with elevated pediatric lead levels..
3. Silence
4. I can understand your need to find an answer to what caused this. What else are you thinking about?

Question 2

Decreased variability of fetal heart rate is considered benign if caused by:

1. a periodic fetal sleep state.
2. uterine palpation.
3. uterine contractions.
4. maternal activity.

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

Answer to Question 1

4
1. Incorrect. The nurse should resist the temptation to give advice or to use clichs in offer-ing support to the bereaved. Additionally, trying to give bereaved parents answers when there are no clear answers or trying to squelch their guilt feeling does not help the process of grief.
2. Incorrect. Trying to give bereaved parents answers when there are no clear answers does not help the grief process. Additionally, it is likely that this response would elicit more guilty feelings by the mother.
3. Incorrect. One of the most important goals of the nurse is to validate the experience and feelings of the parents by encouraging them to tell their stories and listening with care. The nurse should encourage the mother to express her ideas.
4. Correct. This statement is very appropriate for the nurse. It demonstrates caring and compassion and allows the mother to vent her thoughts and feelings, which is therapeutic in the process of grieving.

Answer to Question 2

1
1. Correct. Periodic fetal sleep states usually last 20 to 30 minutes.
2, 3, 4. Incorrect. Uterine palpations and contractions as well as maternal activity might be (probably) benign signs of increased variability.