The nurse is caring for a patient who finally conceived after ...

[nenivikky]

The nurse is caring for a patient who finally conceived after several unsuccessful attempts at in vitro fertilization. The patient has just been diagnosed with a perinatal loss.
 
  The nurse's plan of care should include: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Giving accurate and honest information.
  2. Encouraging the couple to try right away to get pregnant again.
  3. Validating the many losses the patient has experienced.
  4. Providing possible explanations for the fetal demise.
  5. Assessing where the patient is in the grieving process, and communicating with compassion.

Question 2

The nurse in the emergency department is caring for a pregnant woman who presents with bruised breasts and abdomen. When asked how this happened, she states she fell down the stairs.
 
  The husband stays very close to his wife and does most of the talking. Of what is the nurse aware? 1. The client likely did fall down the stairs.
  2. The husband is being attentive and trying to help her feel better.
  3. The husband could have battered her and possibly caused her to fall down the stairs.
  4. This client is safe to return home after her wrist is fixed.

[meow1234]

Answer to Question 1

1,3,5
Rationale 1: In supporting the patient dealing with infertility and fetal loss, the nurse should assess where the patient is in the process and respond accordingly, with accuracy and honesty.
Rationale 2: Encouraging the couple to try again does not recognize the pain they are currently enduring as a result of the loss.
Rationale 3: The patient is likely to feel she has suffered many losses, and the nurse should validate that feeling.
Rationale 4: There is no explanation adequate for the family, and none should be offered.
Rationale 5: The nurse needs to assess where the patient is in the process, and provide compassionate support.

Answer to Question 2

3
Explanation: 3. Battering may occur for the first time during pregnancy or may escalate in intensity if the woman is already being abused. The injury is frequently aimed at the breasts, abdomen, or vagina.