ATI RN
Perinatal Loss Nursing Care Questions
Question 1 of 5
The nurse manager is planning a debriefing for several of the nurses after an IPFD. What should the manager expect?
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.
Question 2 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 3 of 5
How can the nurse caring for a patient with a neonatal loss practice self-care?
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.
Question 4 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 5 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.