Olds Maternal-Newborn Nursing ch 36 Questions with Answers
The nurse is planning an in-service presentation about perinatal loss. Which statements should the nurse
include in this presentation?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. "Perinatal loss refers to third-trimester fetal death in utero."
2. "Perinatal loss occurs more frequently in assisted reproduction."
3. "Perinatal loss rates have declined in the United States over the past few years."
4. "Perinatal loss includes 25% of stillbirths occurring before the onset of labor."
5. "Perinatal loss rarely causes an emotional problem for the family." - correct answers>>Answer: 2, 3
Explanation: 2. Pregnancies conceived by in vitro fertilization have higher rates of pregnancy loss and
pregnancy complications.
3. Perinatal loss in industrialized countries has declined in recent years as early diagnosis of congenital
anomalies and advances in genetic testing techniques have increased the use of elective termination.
The nurse has returned from working as a maternal-child nurse volunteer for a nongovernmental
organization. After completing a community presentation about this experience, the nurse knows that
learning has occurred when a participant states which of the following?
1. "Malaria is a chronic disease, and rarely causes fetal loss."
2. "Escherichia coli bacteria can cause diarrhea but not stillbirth."
3. "Group B streptococci can cause infection and the death of the fetus."
4. "Viral infections don't cause fetal death in developing nations." - correct answers>>Answer: 3
Explanation: 3. Group B streptococci can cause ascending infections prior to or after rupture of
membranes.
The community nurse has identified that the mother who gave birth to a stillborn baby last week is an
intuitive griever. Which behavior has the nurse encountered that would lead to this assessment?
1. The mother verbalized that her problem-solving skills have been helpful during this process.
2. The mother repeatedly talks about her thoughts, feelings, and emotions about losing her child.
3. The mother talks little about her experience, and appears detached and unaffected by the loss of her
child.
, 4. The mother has asked close friends, co-workers, and relatives not to call or visit. - correct
answers>>Answer: 2
Explanation: 2. Intuitive grievers tend to feel their way through the loss and seek emotional and
psychosocial support.
The nurse is anticipating the arrival of a couple in the labor unit. It has been determined that the 37-
week fetus has died in utero from unknown causes. What should the nurse include in the plan of care for
this couple?
1. Allow the couple to adjust to the labor unit in the waiting area.
2. Place the couple in a labor room at the end of the hall with an empty room next door.
3. Encourage the father to go home and rest for a few hours.
4. Contact the mother's emergency contact person and explain the situation. - correct
answers>>Answer: 2
Explanation: 2. Upon arrival to the facility, the couple with a known or suspected fetal demise should
immediately be placed in a private room. When possible, the woman should be in a room that is farthest
away from other laboring women.
The client in the first trimester of pregnancy questions the nurse about the causes of fetal death. The
nurse explains that factors associated with perinatal loss include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Maternal diabetes
2. Paternal hypertension
3. Fetal chromosomal disorders
4. Maternal infections
5. Placental abnormalities - correct answers>>Answer: 1, 3, 4, 5
Explanation: 1. Fetal loss can be a result of a number of physiologic maladaptations, including maternal
diabetes.
3. Chromosomal abnormalities can be associated with fetal loss.
4. Infections such as human parvovirus B19, syphilis, streptococcal infection, and Listeria can lead to fetal
loss.
5. Placental abnormalities such as abruptio placentae and placenta previa can result in fetal death.
The nurse is planning an in-service presentation about perinatal loss. Which statements should the nurse
include in this presentation?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. "Perinatal loss refers to third-trimester fetal death in utero."
2. "Perinatal loss occurs more frequently in assisted reproduction."
3. "Perinatal loss rates have declined in the United States over the past few years."
4. "Perinatal loss includes 25% of stillbirths occurring before the onset of labor."
5. "Perinatal loss rarely causes an emotional problem for the family." - correct answers>>Answer: 2, 3
Explanation: 2. Pregnancies conceived by in vitro fertilization have higher rates of pregnancy loss and
pregnancy complications.
3. Perinatal loss in industrialized countries has declined in recent years as early diagnosis of congenital
anomalies and advances in genetic testing techniques have increased the use of elective termination.
The nurse has returned from working as a maternal-child nurse volunteer for a nongovernmental
organization. After completing a community presentation about this experience, the nurse knows that
learning has occurred when a participant states which of the following?
1. "Malaria is a chronic disease, and rarely causes fetal loss."
2. "Escherichia coli bacteria can cause diarrhea but not stillbirth."
3. "Group B streptococci can cause infection and the death of the fetus."
4. "Viral infections don't cause fetal death in developing nations." - correct answers>>Answer: 3
Explanation: 3. Group B streptococci can cause ascending infections prior to or after rupture of
membranes.
The community nurse has identified that the mother who gave birth to a stillborn baby last week is an
intuitive griever. Which behavior has the nurse encountered that would lead to this assessment?
1. The mother verbalized that her problem-solving skills have been helpful during this process.
2. The mother repeatedly talks about her thoughts, feelings, and emotions about losing her child.
3. The mother talks little about her experience, and appears detached and unaffected by the loss of her
child.
, 4. The mother has asked close friends, co-workers, and relatives not to call or visit. - correct
answers>>Answer: 2
Explanation: 2. Intuitive grievers tend to feel their way through the loss and seek emotional and
psychosocial support.
The nurse is anticipating the arrival of a couple in the labor unit. It has been determined that the 37-
week fetus has died in utero from unknown causes. What should the nurse include in the plan of care for
this couple?
1. Allow the couple to adjust to the labor unit in the waiting area.
2. Place the couple in a labor room at the end of the hall with an empty room next door.
3. Encourage the father to go home and rest for a few hours.
4. Contact the mother's emergency contact person and explain the situation. - correct
answers>>Answer: 2
Explanation: 2. Upon arrival to the facility, the couple with a known or suspected fetal demise should
immediately be placed in a private room. When possible, the woman should be in a room that is farthest
away from other laboring women.
The client in the first trimester of pregnancy questions the nurse about the causes of fetal death. The
nurse explains that factors associated with perinatal loss include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Maternal diabetes
2. Paternal hypertension
3. Fetal chromosomal disorders
4. Maternal infections
5. Placental abnormalities - correct answers>>Answer: 1, 3, 4, 5
Explanation: 1. Fetal loss can be a result of a number of physiologic maladaptations, including maternal
diabetes.
3. Chromosomal abnormalities can be associated with fetal loss.
4. Infections such as human parvovirus B19, syphilis, streptococcal infection, and Listeria can lead to fetal
loss.
5. Placental abnormalities such as abruptio placentae and placenta previa can result in fetal death.
