Author Question: The nurse is caring for parents who have lost their baby at 16 weeks' gestation. Which of the ... (Read 80 times)

tnt_battle · **on:** Jul 22, 2018

The nurse is caring for parents who have lost their baby at 16 weeks' gestation. Which of the following interventions will the nurse plan for this family?

1. Obtaining an order for counseling for the parents
2. Calling Social Services to help with burial plans
3. Explaining the causative factor of the fetal loss
4. Telling the parents they can have another baby

Question 2

The nurse working in an emergency department admits a woman whose last menstrual period was 7 weeks ago with acute severe lower right-sided abdominal pain with heavy menstrual bleeding resulting in a miscarriage.

Which of the following nursing diagnoses is appropriate for this mother? 1. Anxiety
2. Ineffective Coping
3. Interrupted Family Processes
4. Grieving

zenzy · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. Explaining the causative factor of the fetal loss

Rationale:
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

4. Grieving

Rationale:
A pregnant mother, no matter how early, sees the fetus as a baby and can be expected to grieve the loss. Since the mother has already lost the fetus, anxiety is not the primary diagnosis. Until the nurse is able to assess the mother's grief process, ineffective coping and interrupted family processes are not the priority diagnoses.