A woman has experienced a stillbirth and is now nearing term in ...

[Bob-Dole]

A woman has experienced a stillbirth and is now nearing term in her current pregnancy. The husband confides to the nurse: My wife is driving me crazy. She is totally obsessed with this pregnancy. What response by the nurse is best?
 
  A.
  Do you think your wife could benefit from some counseling?
  B.
  Recent research has shown that this is a common behavior.
  C.
  This is a totally normal response and will be over soon.
  D.
  You can always go out fishing or bowling when it is too much.

Question 2

The nurse manager of the perinatal services unit wants to improve outcomes associated with perinatal loss. What action by the manager would best help meet this goal?
 
  A.
  Develop a unit specifically for this population.
  B.
  Establish a multidisciplinary perinatal loss team.
  C.
  Identify key nurses to care for these patients.
  D.
  Provide debriefing services for the nursing staff.

[hollysheppard095]

Answer to Question 1

ANS: B
Recent research by Nowak and Stevens (2010) demonstrates that watchful vigilance is a common and important behavior in couples at risk for adverse perinatal outcomes. The nurse should share this information with the husband. Telling him that the behavior is common and will go away does not really give him information about this issue. The woman does not need counseling unless there are other, more alarming, behaviors occurring. Telling the husband to go fishing or bowling is dismissive.

Answer to Question 2

ANS: B
A team approach to perinatal loss and bereavement is best to provide a therapeutic and caring experience for families suffering perinatal loss. The families are best cared for by expert perinatal nurses. Because perinatal loss is not common, developing a unit for this population would not be cost effective. Instead of identifying key nurses to care for these patients and families, the support of an entire team trained to deal with this situation is better. Outcomes should be patient/family oriented, not staff oriented.

[Bob-Dole]

Excellent

[chjcharjto14]

TYSM