ATI RN
Perinatal Loss Nursing Care Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The nurse provides education on care after a first trimester loss. What is an example of communication with a patient that demonstrates effective aftercare education?
Correct Answer: A
Rationale: Rationale for correct answer (A): Option A demonstrates effective aftercare education as it emphasizes the importance of follow-up care to ensure the patient's well-being post first trimester loss. It shows empathy, support, and a proactive approach to monitoring the patient's recovery. Summary of why other choices are incorrect: B: This option focuses on a specific symptom (bleeding) rather than holistic care and follow-up. C: Providing a specific timeline for the return of the period may not apply to every individual and can cause unnecessary worry. D: This option lacks sensitivity and does not address the emotional and physical aspects of aftercare education.
Question 5 of 5
The nurse provides education on care after a second trimester loss. What is an example of a topic of effective discharge education?
Correct Answer: A
Rationale: The correct answer is A: providing a list of local perinatal support groups is an example of effective discharge education after a second trimester loss. This is crucial for emotional support and coping. Choice B is incorrect as consent for manual removal of placenta is not typically part of discharge education for second trimester loss. Choice C, signs and symptoms of chorioamnionitis, is more relevant for postpartum education. Choice D, how to donate breast milk, is not directly related to care after a second trimester loss.