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.

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.

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.

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.

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.