1.
What is the estimated incidence of perinatal loss each year in the U.S?
Correct Answer
B. 20-25%
Explanation
The estimated incidence of perinatal loss each year in the U.S is 20-25%. This means that approximately 20-25% of pregnancies result in the loss of the fetus or newborn during the perinatal period, which includes both stillbirths and early neonatal deaths. This percentage represents a significant number of families who experience the devastating loss of a baby, highlighting the need for support and resources for those affected.
2.
The greatest incidence of perinatal loss is found among which group?
Correct Answer
A. Miscarriage (spontaneous & therapeutic)
Explanation
The greatest incidence of perinatal loss is found among the group of women who experience miscarriage, both spontaneous and therapeutic. Perinatal loss refers to the death of a baby before or shortly after birth. Miscarriage is the most common form of perinatal loss, occurring spontaneously or through medical intervention. Stillbirth refers to the loss of a baby after 20 weeks of gestation, and neonatal death refers to the death of a baby within the first 28 days of life. However, the question specifically asks about the group with the greatest incidence, which is miscarriage.
3.
Of the top five causes of stillbirth and neonatal death which of the causes is most common?
Correct Answer
D. Disorders related to low birth weight and short gestation
Explanation
Disorders related to low birth weight and short gestation are the most common cause of stillbirth and neonatal death. This is because babies who are born with low birth weight or are born prematurely are more vulnerable to various health complications and are at a higher risk of not surviving. These disorders can include conditions such as intrauterine growth restriction and preterm birth, which can lead to serious health issues and increase the chances of stillbirth or neonatal death.
4.
Which of the following is NOT one of the top five causes of spontaneous abortion?
Correct Answer
C. Substance abuse
Explanation
Substance abuse is not one of the top five causes of spontaneous abortion. Spontaneous abortion, also known as miscarriage, is primarily caused by chromosomal abnormalities, infections, immunologic factors, and genetic factors. Substance abuse, although it can have negative effects on pregnancy, is not listed as one of the top causes for spontaneous abortion.
5.
Which of these pregnant women is at greatest risk for perinatal loss?
Correct Answer
A. 42 year old women with a history of previous perinatal loss
Explanation
Advanced maternal age and previous history of perinatal loss would place this woman at increased risk of perinatal loss.
6.
Which of the following is not one of the stages of grief found in the Kubler-Ross Grief Cycle Model?
Correct Answer
C. Awareness
Explanation
The Kubler-Ross Grief Cycle Model, also known as the five stages of grief, includes denial, anger, bargaining, depression, and acceptance. "Awareness" is not one of the stages mentioned in this model.
7.
Which of the following examples of nursing care is NOT appropriate for the care of a family dealing with perinatal grief?
Correct Answer
C. Spend limited time caring for the grieving family; insensitive responses to families feelings or questions regarding their loss
Explanation
Avoiding the grieving family as well as the use of insensitive remarks to the patient/families feelings does not show appropriate nursing care.
8.
According to the literature, which of these women dealing with a perinatal loss experience a more difficult and extensive grieving time?
Correct Answer
B. 38 year old women with no live children who underwent IVF for this pregnancy and delivers a stillbirth at 35 weeks with a history of miscarriage.
Explanation
Literature suggests that factors such as a loss later on in the pregnancy, a loss at a later maternal age when the pregnancy was IVF and a history of perinatal losses may cause a woman to have a longer and more difficult grieving process.
9.
Caregivers of families dealing with perinatal grief also need support as it is common for care providers to deal with guilt, sadness, and emotional stress due to their involvement with the perinatal loss?
Correct Answer
A. True
Explanation
Caregivers of families dealing with perinatal grief often experience guilt, sadness, and emotional stress due to their involvement with the loss. This is a common phenomenon because caregivers invest their time, effort, and emotions into providing care and support to these families. Witnessing the pain and suffering of others can take a toll on caregivers' mental and emotional well-being. Therefore, it is crucial to provide support and resources to caregivers to help them cope with their own grief and emotional stress.
10.
Which of the following can help to offer support for the caregiver in a situation of perinatal loss?
Correct Answer
D. All of the above
Explanation
In order to offer support for the caregiver in a situation of perinatal loss, all of the options mentioned can be helpful. In-services regarding perinatal loss and counseling tips can provide the caregiver with knowledge and skills to effectively support grieving families. An attitude of teamwork and support among staff members can create a supportive environment for the caregiver, allowing them to share the burden and seek guidance when needed. Proper staffing of nursing units ensures that the caregiver has enough time and resources to provide the necessary care and attention to families dealing with perinatal loss.