Author Question: The antepartum nurse is caring for parents who have lost their baby at 20 weeks' gestation. Which ... (Read 101 times)

sjones · **on:** Jun 25, 2018

The antepartum nurse is caring for parents who have lost their baby at 20 weeks' gestation. Which intervention is most appropriate for the nurse to implement with this family?

A) Calling social services to help with burial plans
B) Explaining the causative factor of the fetal loss
C) Telling the parents they can have another baby
D) Obtaining an order for counseling for the parents

Question 2

The home care nurse is planning care for a client with a history of postpartum depression after the births of all her children. Based on this data, which will the nurse include in the client's plan of care?

Select all that apply.
A) Encouraging the client to take advantage of those who want to help and maintain outside interests
B) Contacting the healthcare provider to ensure the client is prescribed medication for postpartum depression
C) Encouraging as much sleep as possible
D) Focusing on the care the other children need
E) Instructing the client to eat a healthful diet with limited alcohol intake

jaaaaaaa · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B

Explaining the causative factor for the fetal loss assists families in progressing through the grieving process. Counseling would be appropriate if the parents are in complicated grieving. Offering to help with burial plans is not the immediate need, but will be appreciated at a later time. Telling the parents they can have another baby is demonstrating that the nurse does not understand the nature of the loss.

Answer to Question 2

Answer: A, E

Because the client has a history of postpartum depression with other children, the nurse needs to plan prevention strategies for the client. By taking advantage of those who want to help and maintaining outside interests, the client may prevent the onset of postpartum depression. Instructing to eat a healthful diet with limited alcohol intake is another strategy to prevent postpartum depression. The other interventions would not help prevent postpartum depression.