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.

Correct Answer: B

Rationale: The correct answer is B because after an incident like an IPFD (Injury, Poisoning, Fall, or Death), nurses may experience physical and emotional stress, leading to symptoms like tension, headache, and insomnia. This is a common response to traumatic events. The debriefing allows nurses to express their feelings and receive support. Choice A is incorrect because discussions in the debriefing should focus on support and learning, not assigning blame or fault. Choice C is incorrect as defending oneself to a health-care provider is not the purpose of a debriefing and could be addressed separately if needed. Choice D is incorrect as the charge nurse discussing documentation to prevent a lawsuit is not the primary goal of a debriefing session, which is focused on emotional support and learning from the event.

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: 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.

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.