AWHONN POEP Module 14 Perinatal Loss Rated A+

AWHONN POEP Module 14 Perinatal Loss Rated A+ The MOST common causes of neonatal death include congenital anomalies and preterm birth. When teaching parents about grief after perinatal loss, which of the following statements is TRUE? Grief after perinatal loss may be significant and traumatic and may last for months to years. Which of the following parents is MOST likely to experience complicated grief after a perinatal loss? Shontelle experienced a stillbirth at term, and is alone in her room. Her family lives far away, and she and her husband are in the process of divorcing. Joe and Sarah have arrived for a prenatal visit and an ultrasound. When the ultrasound showed the fetus did not have a heartbeat, the father yelled at the physician to look again or to have someone else read the ultrasound. He then storms out of the room. What phase of grief is the father experiencing? searching and yearning Ricardo and Maria have just been told that their 12-week fetus does not have a heartbeat. Maria stares blankly at the window and does not respond. What phase of grief is she experiencing? Shock and numbness Which of the following statements regarding baptism is TRUE? Regardless of what religion or culture, ask the couple about all of their preferences. Romelia's labor was induced at 32 weeks gestation after a third-trimester fetal loss. Her blood pressure has remained high after birth. Her Muslim culture supports wrapping the deceased newborn in a seamless white sheet and having a burial within 24 hours. Romelia is requesting an early discharge to be at the burial. You should discuss concerns with the physician and family and individualize her discharge plan to include appropriate outpatient monitoring and follow-up. Marlene, a new nurse working on the unit, asks you to explain perinatal palliative care. What is your BEST response? Perinatal palliative care is a family centered approach that enhances maternity care with emotional, sociocultural, and spiritual support for parents who are continuing a pregnancy affected by a life-limiting fetal condition. The term used to describe differences in how perinatal loss is experienced by each parent is incongruent grief Rhonda, a 25-year-old Native American woman, gave birth a stillborn infant at term after a cord accident. She has been stoic since the birth and refuses to see the baby. You should ascertain Rhonda's wishes regarding the family seeing the baby and if she agrees, provide a separate room for the family to see the baby. Karen gave birth to a 22-week gestation stillborn baby boy. She has had many visitors and her significant other has been very supportive. Despite this, Karen has not been responsive and appears to be numb. One of the best ways to help Karen is to notify the provider of your findings and provide Karen with a list of community resources and support groups. When working with a family who had a term stillbirth the nurse should ascertain the parents' wishes regarding any culture or religious beliefs and support their wishes. You are caring for Lauren who gave birth to a 36-week stillborn baby girl. Terri, a new nurse that you are orienting, asks you what tips you have regarding mementos and photography. Your best response is It is important to ascertain the parents' wishes regarding photography and cutting a lock of hair as some cultures or religious traditions do not embrace this practice. Lori has a history of congenital cardiac disease. She is being moved to a telemetry unit for cardiac monitoring after the birth of her 24-week stillborn infant. The nurse caring for Lori asks you what education she needs to provide Lori regarding normal postpartum assessment findings. Your BEST response should be Which of the following statements are true regarding the subsequent pregnancy after a perinatal loss? (Select all that apply.) The sense of threat mothers experience is based on the mother's appraisal of the pregnancy, not necessarily on actual medical risk. A subsequent pregnancy is usually experienced with a greater sense of threat, guarded emotions, and feelings of stress that remain elevated throughout the subsequent pregnancy. The parents' responses to the subsequent pregnancy may depend on the degree of attachment to the unborn child that they experienced in the previous pregnancy. You are walking past Elizabeth's room when you overhear the nurse, Margaret, say "I am very concerned for you Elizabeth." After Margaret leaves the room, you ask her to speak privately to provide her feedback regarding what you overheard. Your feedback should include I overheard what you said to Elizabeth about being concerned for her. I would like to suggest a more empathetic approach by saying "I can see how upset you are. I will provide you with a list of support groups that may be helpful after you leave the hospital."