A newborn in the neonatal intensive care unit (NICU) is dying as a result of a massive infection

A newborn in the neonatal intensive care unit (NICU) is dying as a result of a massive infection. The parents speak to the neonatologist, who informs them of their son’s prognosis. When the father sees his son, he says, “He looks just fine to me. I can’t understand what all this is about.” What is the most appropriate response by the nurse? “Didn’t the doctor tell you about your son’s problems?”
“This must be a difficult time for you. Tell me how you’re doing.”
To stand beside him quietly
“You’ll have to face up to the fact that he is going to die sooner or later.”

When helping the mother, father, and other family members actualize the loss of the infant, nurses shoulduse the words lost or gone rather than dead or died
make sure the family understands that it is important to name the baby
if the parents choose to visit with the baby, apply powder and lotion to the baby and wrap the infant in a pretty blanket
set a firm time for ending the visit with the baby so that the parents know when to let go

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A pregnant woman at term is transported to the emergency department (ED) after a severe vehicular accident. The obstetric nurse responds and rushes to the ED with a fetal monitor. Cardiopulmonary arrest occurs as the obstetric nurse arrives. The first thing for the ED and obstetric team to do is to

• obtain IV access and start aggressive fluid resuscitation
• quickly apply the fetal monitor to determine whether the fetus is alive
• start cardiopulmonary resuscitation (CPR)
• transfer the woman to the operating room for an emergency cesarean delivery in case the fetus is still alive