An obstetric ultrasound reveals the fetus has spina bifida. The mother becomes tearful and anxious. Which nursing response best supports her?

• A. Provide factual information about spina bifida.
• B. Sit at her bedside and allow the client to express her feelings.
• C. Encourage her to stay hopeful and minimize concerns.
• D. Refer her to social worker for counseling.

Answer: (B)

When a pregnant patient faces a fetal anomaly like spina bifida, the first priority is providing emotional support through therapeutic communication. The nurse should be present in a calm, nonjudgmental way and invite the patient to share her thoughts and feelings. Sitting at her bedside and giving her space to express sadness, fear, or questions communicates empathy, validates her emotions, and helps her start processing the news. This active listening builds trust, reduces anxiety, and prepares the patient to receive information and make decisions.

Providing factual information is important, but it’s best delivered after her immediate emotional needs are acknowledged. Encouraging her to stay hopeful and minimize concerns can feel dismissive and may shut down honest emotional processing. Referring to a social worker is valuable for ongoing support, but the most supportive initial action is to be emotionally present and allow expression, with follow-up information and referrals as needed.