A client preparing for discharge after a stillbirth says, "I do not know how I can go home without my baby." Which response by the nurse is most therapeutic?
1You can try again when your health care provider says another pregnancy is safe
2I am here with you; tell me what feels hardest about going home today✓ Correct answer
3It may help to focus on the family members who still need you at home
4Most parents begin to feel better after returning to their usual routine
Explanation
The nurse acknowledges the loss, offers presence, and invites the client to describe an immediate concern without directing the grief. Bereavement care should recognize parenthood and individual grief rather than minimize the loss or shift attention to replacement.
Quick answer Acknowledge the loss, remain present, and invite the client to share what feels hardest about discharge.
Why this is correct Stillbirth bereavement care should recognize the client's parenthood and individual grief. An open invitation allows the client to identify emotional or practical needs and gives the nurse a basis for tailored support and referrals.
Easy analogy or mental picture The nurse holds a lantern beside the client rather than choosing the path through grief. Presence and questions help the client see the next concern, but the analogy does not imply a predictable grief sequence or replace follow-up support.
Memory hook After perinatal loss, acknowledge the baby, stay present, and follow the parent's lead.
NCLEX decision rule For grief after stillbirth, use clear acknowledgment, compassionate presence, and open-ended questions. Individualize bereavement support and avoid reassurance that minimizes the baby, the parenthood, or the client's current experience.
Why the other choices are wrong Suggesting another pregnancy frames the baby as replaceable. Redirecting attention to other relatives or predicting quick improvement minimizes the loss and closes communication rather than exploring the client's needs.
References
[1]
NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing
[2]
ACOG: Management of StillbirthAmerican College of Obstetricians and Gynecologists
[3]
ACOG: Supporting Patients Through Stillbirth CareAmerican College of Obstetricians and Gynecologists