ATI RN
Perinatal Loss Nursing Care Questions
Question 1 of 5
A 29-year-old Chinese American patient is admitted for IUFD. Her blood pressure (BP) is 90/60, body mass index (BMI) is 41, and the medical and surgical history is noncontributory. She does not smoke or have substance use disorder. What part of her history places her at risk for IUFD?
Correct Answer: B
Rationale: The correct answer is B: obesity. Obesity is a significant risk factor for IUFD (Intrauterine Fetal Demise) due to various complications such as gestational diabetes, preeclampsia, and placental insufficiency. In this case, the patient's BMI of 41 indicates severe obesity, putting her at higher risk for IUFD. Age (choice A) is not a significant risk factor in this scenario. Hypotension (choice C) may indicate potential complications but is not a direct risk factor for IUFD. Ethnicity (choice D) alone does not directly contribute to IUFD risk.
Question 2 of 5
The nurse is providing bereavement care to a family after a stillbirth. What is an example of communication with a patient that demonstrates effective bereavement care?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy, respect for the family's beliefs, and offers support in a culturally sensitive manner. By asking about religious ceremonies, the nurse acknowledges the family's need for spiritual support and honors their cultural practices. It shows the nurse's willingness to accommodate the family's wishes during a difficult time. A is incorrect because it focuses on the negative aspect of not becoming a parent, which may worsen the family's grief. B is incorrect as it refers to the fetus instead of recognizing the family's loss. D is incorrect as it may come across as dismissive of the family's autonomy and emotions by taking over decision-making.
Question 3 of 5
The nurse provides education on care after a first trimester loss. What is an example of communication with a patient that demonstrates effective aftercare education?
Correct Answer: A
Rationale: Rationale for correct answer (A): Option A demonstrates effective aftercare education as it emphasizes the importance of follow-up care to ensure the patient's well-being post first trimester loss. It shows empathy, support, and a proactive approach to monitoring the patient's recovery. Summary of why other choices are incorrect: B: This option focuses on a specific symptom (bleeding) rather than holistic care and follow-up. C: Providing a specific timeline for the return of the period may not apply to every individual and can cause unnecessary worry. D: This option lacks sensitivity and does not address the emotional and physical aspects of aftercare education.
Question 4 of 5
The nurse provides education on care after a second trimester loss. What is an example of a topic of effective discharge education?
Correct Answer: A
Rationale: The correct answer is A: providing a list of local perinatal support groups is an example of effective discharge education after a second trimester loss. This is crucial for emotional support and coping. Choice B is incorrect as consent for manual removal of placenta is not typically part of discharge education for second trimester loss. Choice C, signs and symptoms of chorioamnionitis, is more relevant for postpartum education. Choice D, how to donate breast milk, is not directly related to care after a second trimester loss.
Question 5 of 5
The nurse is caring for a patient who has been diagnosed as having a fetal death. The nurse is aware of the possible causes of intrapartum fetal death. How can the nurse explain the potential causes of IPFD to the patient?
Correct Answer: C
Rationale: The correct answer is C: Umbilical cord entanglement can cause fetal death. Umbilical cord entanglement can lead to decreased blood flow and oxygen delivery to the fetus, resulting in fetal demise. This explanation is accurate and relevant to the causes of intrapartum fetal death. A: We will always find the cause of fetal death with an autopsy. This statement is not always true, as not all cases of fetal death can be determined conclusively by autopsy. B: Infection is never a cause of fetal death. This statement is incorrect as infections can indeed be a cause of fetal death, such as maternal infections transmitted to the fetus. D: Congenital anomalies cause growth restriction, not fetal death. While congenital anomalies can lead to growth restriction, they can also directly result in fetal death, making this statement incorrect.