A new nurse is struggling to care for a woman whose baby was ...

[futuristic]

A new nurse is struggling to care for a woman whose baby was stillborn. What advice should the nurse preceptor give the novice?
 
  A.
  Don't say anything; that's better than upsetting her.
  B.
  Encourage the mother to think of her other children.
  C.
  Why don't you let me take care of this patient?
  D.
  You can simply say 'I am so sorry for your loss.'

Question 2

A woman is G2P1 TPAL1001and pregnant with her second child. Her first child was born via emergent cesarean delivery. She asks the nurse if a vaginal birth is possible. What response by the nurse is most appropriate?
 
  A.
  No, after cesarean birth you cannot delivery vaginally.
  B.
  Not if your cesarean delivery was the classic-style operation.
  C.
  Yes, you can always at least have a trial of labor.
  D.
  Yes, vaginal birth is usually successful after cesarean deliveries.

[akpaschal]

Answer to Question 1

ANS: D
A simple I'm sorry and a touch of the hand are kind and caring interactions. The novice nurse should not be instructed to avoid saying anything because the woman will want her loss (and baby) recognized. The nurse should not just encourage the woman to think of her other children, as this is dismissive of her loss. Taking over care of the patient will not allow the novice nurse to grow as a professional.

Answer to Question 2

ANS: B
There are two types of cesarean delivery: classic (vertical incision) and the lower segment transverse incision. Classic-style incisions are reserved for some cases of shoulder dystocia, placental previa, and when birth must take place emergently. The nurse needs to determine if the woman had a classic cesarean delivery when her first child was delivered emergently. If so, the woman cannot attempt a vaginal delivery. Women with a low transverse incision can safely attempt a trial of labor.

[futuristic]

Excellent

[rachel]

Gracias!