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.

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.

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.