The multiparous patient at 33 weeks has experienced an ...

[cookcarl]

The multiparous patient at 33 weeks has experienced an intrauterine fetal demise. What finding requires immediate intervention?
 
  1. Temperature 99.0F
  2. Platelet count 210,000
  3. Fibrinogen level 50 mg/dl
  4. Family refusing fetal autopsy

Question 2

A couple request to see their stillborn infant. The nurse should prepare the infant by: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
 
  1. Wrapping the infant in a blanket.
  2. Removing all blankets from the infant.
  3. Placing a hat on the infant.
  4. Removing any identification from the infant.
  5. Placing a diaper on the infant.

[Mholman93]

Answer to Question 1

3
Rationale 1: Women with intrauterine fetal demise can become infected, but this temperature is not high enough to indicate infection.
Rationale 2: Intrauterine fetal demise can lead to disseminated intravascular coagulation (DIC), but this is a normal platelet count.
Rationale 3: The normal fibrinogen level is 200400 mg/dl. This is a very low fibrinogen level, and indicates that the patient is in disseminated intravascular coagulation (DIC) caused by intrauterine fetal demise.
Rationale 4: Some religious traditions prohibit autopsy. There is a higher priority.

Answer to Question 2

1,3
Rationale 1: Wrapping the infant in a blanket will allow the parents an opportunity to view the infant before seeing any defects or extensive bruising.
Rationale 2: Removing blankets from the infant would not be appropriate.
Rationale 3: Applying a hat will allow the parents an opportunity to view the infant before seeing any defects or extensive bruising.
Rationale 4: Removing any identification from the infant would not be appropriate.
Rationale 5: Placing a diaper on the infant is not necessary.

[cookcarl]

Excellent

[T4T]

TYSM