A 15-year-old patient has delivered a 22-week stillborn fetus. ...

[piesebel]

A 15-year-old patient has delivered a 22-week stillborn fetus. The nurse understands that:
 
  1. Grieving a fetal loss manifests with very similar behaviors regardless of the age of the patient.
  2. Teens tend to withhold emotions, and need older adults with the same type of loss to help process the experience.
  3. Most teens have had a great deal of contact with death and loss and have an established method of coping.
  4. Assisting the patient might be difficult because of her mistrust of authority figures.

Question 2

The nurse working in the delivery room is aware that factors relating to blood volume, hemoglobin, and hematocrit of the newborn include: Note: Credit will be given only if all correct choices and no incorrect choices are selected.
 
  Select all that apply. 1. Delayed cord blood clamping.
  2. Prenatal hemorrhage.
  3. Temperature of the newborn.
  4. Gestational age.
  5. Site of blood sample.

[amanda_14]

Answer to Question 1

4
Rationale 1: Grieving behaviors are very different in adolescents than in older patients. Teens rely more on their peers than on adults for emotional support.
Rationale 2: Teens rely more on their peers than on adults for emotional support.
Rationale 3: Most teens have had little experience with death, and the fetal loss is often the first time a teen is personally impacted by loss and grief.
Rationale 4: Adolescents tend to mistrust authority figures and might resist their help.

Answer to Question 2

1,2,4,5
Rationale 1: Blood volume increases by 61 with delayed cord clamping.
Rationale 2: Significant prenatal or perinatal bleeding decreases the hematocrit level and causes hypovolemia.
Rationale 3: This does not affect the blood volume, hematocrit, or hemoglobin.
Rationale 4: There is a positive association between gestational age, hematocrit, and hemoglobin concentration.
Rationale 5: Blood samples taken from venous blood sites are more accurate than those from capillary sites.

[piesebel]

TYSM

[bblaney]

Gracias!