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A nurse is caring for a client who just delivered a stillborn infant at 36 weeks gestation.Which of the following responses should the nurse make?

A.

I understand your grief.I lost a baby also.

B.

I have called for the chaplain to come and stay with you.

C.

You may hold your baby as long as you want.

D.

This is for the best.Your baby was very ill.

Answer and Explanation

The Correct Answer is C

Choice A rationale

 

While sharing personal experiences can sometimes be comforting, it may not always be appropriate or helpful in a professional setting. The focus should be on the patient’s needs and feelings.

 

Choice B rationale

 

Calling for a chaplain can be supportive, but it is important to first offer the parents the opportunity to hold their baby and spend time with them, which can be an important part of the grieving process.

 

Choice C rationale

 

Allowing the parents to hold their baby for as long as they want provides them with the opportunity to say goodbye and can be a crucial part of the grieving process. It helps them to acknowledge their loss and begin to process their emotions.

 

Choice D rationale

 

Telling the parents that the loss is for the best is not supportive and can be hurtful. It is important to validate their feelings and provide compassionate care during this difficult time.


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View Related questions

Correct Answer is D

Explanation

Choice A rationale

Staying home until one week after delivery is not a specific intervention for postpartum depression. Social support and monitoring are more effective strategies.

Choice B rationale

While adequate rest is important, advising to sleep as much as possible is not a targeted intervention for postpartum depression. Structured support and counseling are more beneficial.

Choice C rationale

Returning to work two weeks after delivery is not advisable for someone with a history of postpartum depression. Early return to work can increase stress and exacerbate symptoms.

Choice D rationale

Contacting a crisis counselor once a week provides structured support and monitoring, which is crucial for managing postpartum depression. Regular counseling helps in early identification and management of symptoms.

Correct Answer is A

Explanation

Choice A rationale

Ambulation is crucial in preventing thrombophlebitis as it promotes blood circulation and prevents blood stasis, which can lead to clot formation.

Choice B rationale

Warm, moist soaks can provide comfort but do not significantly contribute to preventing thrombophlebitis.

Choice C rationale

Bed rest increases the risk of thrombophlebitis due to decreased circulation and blood stasis.

Choice D rationale

Placing pillows under the knees can impede blood flow and increase the risk of clot formation.

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