Author Question: The multiparous patient at 33 weeks has experienced an intrauterine fetal demise. What finding ... (Read 43 times)

cookcarl · **on:** Jun 27, 2018

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 · **Reply #1 on:** Jun 27, 2018

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.