Which options for saying goodbye would the nurse want to discuss ...

[Charlie]

Which options for saying goodbye would the nurse want to discuss with a woman who is diagnosed with having a stillborn girl?
 
  a. The nurse shouldn't discuss any options at this time; there is plenty of time after the baby is born.
  b. Would you like a picture taken of your baby after birth?
  c. When your baby is born, would you like to see and hold her?
  d. What funeral home do you want notified after the baby is born?

Question 2

A woman experienced a miscarriage at 10 weeks of gestation and had a dilation and curettage (D&C).
 
  She states that she is just fine and wants to go home as soon as possible. While you are assessing her responses to her loss, she tells you that she had purchased some baby things and had picked out a name. On the basis of your assessment of her responses, what nursing intervention would you use first?
  a. Ready her for discharge.
  b. Notify pastoral care to offer her a blessing.
  c. Ask her whether she would like to see what was obtained from her D&C.
  d. Ask her what name she had picked out for her baby.

[billybob123]

Answer to Question 1

ANS: C
Mothers and fathers may find it helpful to see the infant after delivery. The parents' wishes should be respected. Interventions and support from the nursing and medical staff after a prenatal loss are extremely important in the healing of the parents. Although this may be an intervention, the initial intervention should be related directly to the parents' wishes with regard to seeing or holding their dead infant. Although information about funeral home notification may be relevant, it is not the most appropriate option at this time. Burial arrangements can be discussed after the infant is born.

Answer to Question 2

ANS: D
One way of actualizing the loss is to allow parents to name the infant. The nurse should follow this client's cues and inquire about naming the infant. The client is looking for an opportunity to express her feelings of loss. The nurse should take this opportunity to offer support by allowing the woman to talk about her feelings. Furthermore, one way of actualizing the loss is to allow parents to name the infant. The nurse should follow this client's cues and inquire about naming the infant. Although it may be therapeutic to offer religious support, the nurse should take this opportunity to offer support by allowing the woman to talk about her feelings. Furthermore, one way of actualizing the loss is to allow parents to name the infant. Asking the woman whether she would like to see what was obtained from her D&C is completely inappropriate.