The nurse is planning care for a family expecting their newborn ...

[FButt]

The nurse is planning care for a family expecting their newborn to die. The nurse's interventions should be based on which statement?
 
  a. Tangible remembrances of the newborn (e.g., lock of hair, picture) prolong grief.
  b. Photographs of newborns should not be taken after the death has occurred.
  c. Funerals are not recommended because mother is still recovering from childbirth.
  d. Parents should be encouraged to name their newborn if they have not done so already.

Question 2

A preterm newborn, after spending 8 weeks in the NICU, is being discharged. The parents of the newborn express apprehension and worry that the newborn may still be in danger. The nurse should recognize that this is:
 
  a. normal.
  b. a reason to postpone discharge.
  c. suggestive of maladaptation.
  d. suggestive of inadequate bonding.

[mathjasmine]

Answer to Question 1

ANS: D
Naming the deceased newborn is an important step in the grieving process. It gives the parents a tangible person for whom to grieve, which is a key component of the grieving process. Tangible remembrances and photographs can make the newborn seem more real to the parents. Many NICUs will make bereavement memory packets, which may include a lock of hair, handprint, footprints, bedside name card, and other individualized objects. Families need to be informed of their options. The ritual of a funeral provides an opportunity for the parents to be supported by relatives and friends.

Answer to Question 2

ANS: A
Parents become apprehensive and excited as the time for discharge approaches. They have many concerns and insecurities regarding the care of their newborn. A major concern is that they may be unable to recognize signs of illness or distress in their newborn. Preparation for discharge should begin early and include helping the parent acquire the skills necessary for care. Apprehension and worry are normal adaptive responses. The NICU nurses should facilitate discharge by involving parents in care as soon as possible.

[FButt]

Thank you

[mathjasmine]

Happy to help you