ATI RN
Perinatal Loss Nursing Care Questions
Question 1 of 5
A postpartum woman has been diagnosed with postpartum psychosis. Which of the following signs/symptoms would the client exhibit?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
The nurse is caring for a patient with a spontaneous abortion at 8 weeks’ gestation. What is the most common cause of first trimester loss?
Correct Answer: B
Rationale: The correct answer is B, spontaneous abortion. At 8 weeks' gestation, the most common cause of first-trimester loss is spontaneous abortion. This is due to genetic abnormalities in the fetus, making it non-viable. Ectopic pregnancy (choice A) occurs when the fertilized egg implants outside the uterus. Cervical insufficiency (choice C) is more common in the second trimester. Stillbirth (choice D) refers to fetal death after 20 weeks' gestation, not in the first trimester.
Question 3 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 4 of 5
What type of testing should be offered to a patient who has had a stillbirth?
Correct Answer: C
Rationale: The correct answer is C: placental pathology. Placental pathology testing can provide valuable insights into the cause of stillbirth, such as placental abruption or infection. This information can help guide future pregnancies and management. NIPTs (A) are used for prenatal screening, not for investigating stillbirth. Ultrasound (B) may not provide definitive answers about the cause of stillbirth. Blood crossmatch (D) is not relevant in the context of investigating a stillbirth.
Question 5 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.