What is an appropriate nursing intervention after the birth of a newborn with anencephaly?

Question

Quizplus · Accepted Answer

11ecbb05_cc0a_c11a_b433_f7a20f7c60c8_MD0009_00 Anencephaly is a severe neural tube defect (NTD) resulting in little to no brain tissue or skull formation in utero. Many newborns with anencephaly are stillborn, and those born alive are not compatible with life. Comfort care for the newborn and emotional support for the family is priority at the time of birth. Drying, bundling, and placing the newborn skin-to-skin provides warmth, and administering oxygen may decrease discomfort to the newborn. Allowing the family to hold the newborn will assist with the grieving process. (Option A) The nurse should ensure the family's privacy but should also consider the parents' preferences, as they may benefit from the support of friends and family, a religious leader, or a hospital chaplain. (Option B) Information about future genetic and preconception counseling is important discharge teaching as NTDs may be related to both genetic and environmental (eg, folic acid deficiency) factors. However, this intervention is not appropriate at this time. (Option C) The parents may benefit from a perinatal loss support group, and this referral should be made prior to discharge. However, immediately after birth is probably not the most appropriate time to provide information about this resource. Educational objective: Anencephaly is a severe neural tube defect resulting in little to no brain tissue or skull formation in utero. The newborn may be stillborn or born alive, although death occurs shortly thereafter. Nurses should facilitate a therapeutic environment for grieving parents and provide newborn comfort care such as warmth and oxygen.

What Is an Appropriate Nursing Intervention After the Birth of a Newborn