_______________________________________ _______________________________________ _______________________________________ _______________________________________ 2. Generally, parents are considered to be the best surrogate decision makers for their own newborns. (True/False) 3. The parents of a baby about to be born at 23 weeks gestation have requested that, if there is any possibility of brain damage, they do not want any attempt made to resuscitate their baby. Which of the following is most appropriate? A. Support their wishes and promise to give comfort care only to the baby after birth. B. Tell them that you will try to support their decision, but must wait until you examine the baby after birth to determine what you will do. C. Tell them that all medical decisions regarding resuscitation are made by the medical team and the physician-in-charge. D. Try to convince them to change their mind.
4. You have been asked to be present for the impending birth of a
baby known from prenatal ultrasound and laboratory assessments to have major congenital malformations. List 4 issues that should be covered when you meet the parents. _______________________________________ _______________________________________ _______________________________________ _______________________________________
5. A mother enters the delivery suite in active labor at 34 weeks
gestation after having had no prenatal care. She proceeds to deliver a live-born baby with major malformations that appear to be consistent with trisomy 18 syndrome. An attempt to resuscitate the baby in an adjacent room is unsuccessful. Which of the following is the most appropriate action? A. Explain the situation to the parents and ask them if they would like to hold the baby. B. Take the baby away from the area, tell the parents that she was stillborn, and tell them that it would be best if they did not see her. C. Tell the parents that she had a major malformation and it was for the best that she died because she would have been disabled anyway.
6. Which of the following is (are) appropriate to say to parents whose
baby just died after an unsuccessful resuscitation? (Select all that apply): A. Im sorry, we tried to resuscitate your baby, but the resuscitation was unsuccessful and your baby died. B. This is a terrible tragedy, but, in view of the malformations, it was meant to be. C. Im so sorry that your baby died. She is a beautiful baby. D. Fortunately, you are both young and can have another baby.