Developing a Plan of Care for Labor Induction Due to Fetal Demise
What actions should a nurse include in a plan of care for a client scheduled to have an induction of labor due to fetal demise?
1) Limit the amount of time the client spends with the newborn after birth.
2) Discourage the client from having other family members see the newborn.
3) Inform the client that an autopsy of the newborn is required by federal law.
4) Bathe, diaper, and dress the child before bringing the newborn to the client.
Answer:
The nurse should include allowing the client time with the newborn, encouraging family involvement, and providing the option for an autopsy in the plan of care for a client having an induction of labor due to fetal demise.
When developing a plan of care for a client who is scheduled to have an induction of labor due to a fetal demise, it is important for the nurse to prioritize the emotional and physical well-being of the client and their family.
Firstly, it is essential to allow the client as much time as they need to spend with the newborn after birth. This allows the client to grieve, bond with their baby, and begin the healing process.
Secondly, the nurse should encourage the client to have other family members see the newborn if they wish. The support and presence of loved ones can provide comfort and strength during this difficult time.
Thirdly, while it is important to inform the client about the option to have an autopsy performed on the newborn, it is crucial to respect their decision if they choose not to have one. A federal law does not mandate an autopsy in this situation, and the client's autonomy and emotions should be respected.
Lastly, a meaningful and healing experience can be created by allowing the client to bathe, diaper, and dress the newborn before bringing them to the client. This can be a special moment of connection and closure for the parents.