ATI RN
Perinatal Loss Nursing Care Questions
Question 1 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 2 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.
Question 3 of 5
Supporting siblings through grief after a neonatal loss is difficult. What suggestions should the nurse give parents?
Correct Answer: C
Rationale: The correct answer is C: Give them permission to cry and grieve. This option encourages healthy emotional expression, validating their feelings and helping them process their grief. It fosters open communication within the family, promoting healing. Incorrect choices: A: Discouraging discussion can lead to emotional suppression and hinder the grieving process. B: Delaying honesty may cause confusion and distrust when the truth is eventually revealed. D: Avoiding pictures can create a sense of secrecy and prevent siblings from understanding and honoring the lost newborn.
Question 4 of 5
The nurse is caring for a patient who is in labor with her first child. The patient's mother is present for support and notes that things have changed in the delivery room since she last gave birth in the early 1980s. Which current trend or intervention may the patient's mother find most different?
Correct Answer: D
Rationale: The correct answer is D) Hospital support for breastfeeding. This is the most likely trend or intervention that the patient's mother would find different from her experience in the 1980s. Hospital support for breastfeeding has significantly evolved over the years with the implementation of lactation consultants, breastfeeding education programs, and policies supporting skin-to-skin contact immediately after birth to promote successful breastfeeding initiation. Option A, fetal monitoring throughout labor, has been a standard practice for several decades now and would not be a major change for the patient's mother. Option B, postpartum stay of 10 days, is not a common practice in most healthcare settings as current trends focus on early discharge and providing postpartum support in the community. Option C, having expectant partners and family in the operating room for cesarean birth, is a practice that has also evolved over time to include more family-centered care approaches but may not be the most significant change for the patient's mother to note. In an educational context, it is important for nurses to stay updated on current trends and interventions in perinatal care to provide the best possible support and information to patients and their families. Understanding the historical context of childbirth practices can also help healthcare professionals navigate conversations with patients and address any concerns or misconceptions they may have about modern perinatal care practices.
Question 5 of 5
The nurse is caring for a 15-year-old female who is pregnant with her first child. In her previous prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV. Based on the information provided, which condition is the patient's baby at higher risk for?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Intestinal problems. The patient tested negative for sexually transmitted infections (STIs) like chlamydia, syphilis, gonorrhea, and HIV, which significantly reduces the risk of these infections being transmitted to the baby during pregnancy or birth. However, other factors can still pose a risk to the baby's health, such as the mother's age and nutritional status. Intestinal problems in newborns can arise due to various factors such as prematurity, low birth weight, or inadequate prenatal care. In this case, the patient being only 15 years old indicates potential risk factors like inadequate prenatal nutrition, limited access to healthcare, or a lack of prenatal education. These factors can contribute to the baby being at higher risk for intestinal problems. The other options (B) Neonatal conjunctivitis, (C) Blindness, and (D) Pneumonia are less likely in this scenario because the patient tested negative for common infections that could lead to these conditions. Neonatal conjunctivitis is often caused by exposure to STIs like chlamydia or gonorrhea during childbirth. Blindness could be related to untreated congenital infections like syphilis. Pneumonia risk is higher in babies born to mothers with untreated HIV. Educationally, this question highlights the importance of considering multiple factors beyond STIs in assessing the risks to a newborn's health and emphasizes the need for comprehensive prenatal care and support for young mothers to promote the best possible outcomes for both the mother and the baby.