The nurse is caring for a client who just had amniocentesis and ...

[asd123]

The nurse is caring for a client who just had amniocentesis and was told that the fetus has Down syndrome. What is an appropriate outcome goal for this client?
 
  A) To complete the work of grieving during the hospital stay
  B) To begin the process of grieving the loss of a normal baby
  C) To accept the upcoming birth of a baby with special needs
  D) To consider the possibility of a therapeutic abortion

Question 2

The home care nurse determines that a client being treated for postpartum depression is improving. Which assessment data supports the nurse's conclusion?
 
  A) Client in casual wear, holding baby while rocking in a chair
  B) Spouse making dinner, client in bed asleep, baby in rocker in the kitchen
  C) Dirty dishes in the sink, beds unmade, and client wearing clothing for sleep
  D) Client watching television in the living room while the baby is in the crib crying

[apple]

Answer to Question 1

Answer: B

When it is known that the fetus is not as expected, the mother and family will grieve the loss of the perfect baby that they imagined in order to come to accept what is the reality. The work of grief for the loss of the normal infant encompasses the same process as grieving for a death and cannot be accomplished in a few days. The family, hopefully, will accept the upcoming child upon completion of the grieving process. The mother could opt for a therapeutic abortion, but the priority goal is beginning the work of grief.

Answer to Question 2

Answer: A

The nurse who observes the client in casual wear, holding the baby while rocking in a chair, should determine that treatment for postpartum depression has been effective because these are signs the client is improving. The other choices would indicate disinterest in child care and care of the home. The client who is sleeping while the spouse is making dinner and watching the baby would indicate treatment has not been effective at all.

[asd123]

Thank you

[apple]

No problemo