ATI RN
Perinatal Loss Nursing Care Questions
Question 1 of 5
After reviewing a patient’s history, what does nurse recognize as a risk factor for IPFD?
Correct Answer: A
Rationale: The correct answer is A: chronic hypertension. Chronic hypertension is a risk factor for IPFD (Interstitial Pulmonary Fibrosis Disease) due to the increased pressure in the blood vessels of the lungs, leading to lung damage. Hypothyroidism, depression, and asthma are not directly linked to IPFD and do not contribute to the development of this condition. It is important for the nurse to recognize chronic hypertension as a significant risk factor for IPFD in order to provide appropriate care and monitoring for the patient.
Question 2 of 5
Postpartum depression and anxiety are prevalent among parents experiencing an IPFD. What is an example of a statement by the parent that would alert the nurse to signs of depression?
Correct Answer: C
Rationale: The correct answer is C because the parent expresses a lack of joy, feeling of sadness, and isolation, which are key indicators of depression. This statement suggests a significant change in mood and behavior post-birth, reflecting potential postpartum depression. Choice A doesn't indicate depression but rather a normal feeling of nostalgia. Choice B focuses on the need for couple time rather than depressive symptoms. Choice D mentions sadness regarding not becoming a parent, which is not indicative of postpartum depression.
Question 3 of 5
How can the nurse explain the complications of preterm birth?
Correct Answer: C
Rationale: Rationale: C is correct as respiratory distress is a common and serious complication of preterm birth, often leading to death. Intraventricular hemorrhage (A) is serious. Necrotizing enterocolitis (B) causes bowel issues, not constipation. Surfactant (D) actually helps prevent respiratory distress by keeping the lungs open.
Question 4 of 5
How can the nurse caring for a patient with a neonatal loss practice self-care?
Correct Answer: D
Rationale: The correct answer is D because debriefing with the manager and colleagues can provide emotional support, validation, and coping strategies for the nurse. It helps process and normalize feelings, reducing the risk of burnout or compassion fatigue. Refraining from discussing feelings (A) can lead to isolation and emotional suppression. Understanding depression after a loss (B) is important, but it is not a proactive self-care strategy. Taking off work (C) may provide temporary relief but doesn't address the emotional needs or provide long-term coping mechanisms.
Question 5 of 5
How can the nurse be culturally sensitive after a neonatal death?
Correct Answer: B
Rationale: The correct answer is B because recognizing that most religions have traditions surrounding death shows an understanding of cultural diversity and sensitivity. By acknowledging and respecting these traditions, the nurse can provide appropriate support to families from different cultural backgrounds. Calling a priest for all families (option A) may not be suitable for non-religious families. Encouraging an open casket (option C) may go against some cultural or religious beliefs. Discussing cremation (option D) may not align with the preferences of all families. Overall, option B demonstrates a thoughtful and inclusive approach to supporting families after a neonatal death.