ATI RN
Perinatal Loss Nursing Care Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The nurse is caring for a patient who has been diagnosed as having a fetal death. The nurse is aware of the possible causes of intrapartum fetal death. How can the nurse explain the potential causes of IPFD to the patient?
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.
Question 5 of 5
After reviewing a patient’s history, what does nurse recognize as a risk factor for IPFD?
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.