What should a preceptor say to a newly graduated nurse feeling guilty after a shoulder dystocia delivery?

The rationale for selecting the second option revolves around the importance of providing reassurance and focusing on the well-being of the newborn following a shoulder dystocia incident. By stating that the pediatrician will evaluate the arm and that the infant appears healthy otherwise, the preceptor acknowledges the nurse's feelings of guilt while highlighting that the immediate health of the baby is being assessed. This approach fosters a sense of support and encourages the new nurse to shift focus from personal blame to the ongoing care and evaluation of the patient, which is crucial in such high-stress situations.

This kind of supportive dialogue is essential in a healthcare environment, as it reinforces teamwork and emphasizes that assessments and interventions will help to determine the best course of action for the infant. It also reminds the nurse that while shoulder dystocia can be a stressful and complex situation, the focus should remain on patient care and outcomes rather than on self-blame.

In contrast, other options do not adequately support the emotional needs of the nurse or contribute positively to her learning experience. Option A places blame and redirects focus to documentation, which may increase feelings of inadequacy. Option C, while somewhat reassurative, may minimize the seriousness and skills required in managing shoulder dystocia. Option D further emphasizes a sense of failure,