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.

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.

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.