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.

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.

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: 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.

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.