Question

A nurse is caring for a client who gave birth to a stillborn baby which of the following statements should the nurse make

a.""You probably want to hold your baby.""This response demonstrates the nontherapeutic communication technique of making an assumption about the client's needs and desires. The nurse should ask the client if she wants to hold the baby.
b.""I'll stay with you just in case you want to talk.""MY ANSWERThis response demonstrates the therapeutic communication techniques of offering self and indicates the nurse's interest in the client and a desire to understand the client's feelings.
c.""I know how you must be feeling.""This response demonstrates the nontherapeutic communication techniques of minimizing the client's feelings and making an assumption about those feelings.
d.""It hurts now, but things will be better soon.""This response demonstrates the nontherapeutic communication techniques of minimizing the client's feelings and offering false reassurance.

Answer 1

Janine receives an IV infusion of pitocin to enhance her protracted labor by inducing stronger contractions, leading to cervical dilation. The transition from fetal to neonatal circulation occurs when the newborn takes their first breath, redirecting blood flow to the lungs.

Step-by-step explanation:

When a patient, such as Janine who is 41 weeks pregnant, presents with prolonged labor and minimal cervical dilation, medical intervention may be necessary. Janine is likely experiencing protracted labor, and the administration of an IV infusion of pitocin is initiated to enhance uterine contractions and facilitate labor progress. Pitocin is a synthetic form of oxytocin, a naturally occurring hormone that induces and strengthens labor contractions, which is essential for cervical dilation and advancing labor.

Neonatal circulation changes significantly with the newborn's first breath. Before birth, the baby's circulation bypasses the lungs through fetal shunts, as the lungs are not in use. When the newborn takes their first breath, these shunts begin to close, and blood is directed to the lungs for oxygen exchange, effectively altering the circulatory pattern to resemble that of an adult.