Exam 38: Perinatal Loss and Grief

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Many women and their partners,whether infertile or not,will experience perinatal loss.The nurse who cares for these families should understand that those experiencing a "silent" or "hidden" loss will also grieve and require the support of caregivers,family,and friends.A(n)_________________ is not an example of a silent loss.

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B

The term _________________________ refers to the grief response that occurs with reminders of loss.This typically happens on special anniversary dates of the loss.

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Bittersweet grief
Parents have shared that they will never forget the baby who has died,and they are not the same people as before the loss.Grief feelings also can be triggered during subsequent pregnancies and after birth as well as on anniversaries.

In helping bereaved parents cope and move on,nurses should keep in mind that:

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A

A nurse caring for a family during a loss might notice that survivor guilt is sometimes experienced by the infant's:

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A newborn in the neonatal intensive care unit (NICU)is dying as a result of a massive infection.The parents speak to the neonatologist,who informs them of their son's prognosis.When the father sees his son,he says,"He looks just fine to me.I can't understand what all this is about." The most appropriate response by the nurse is:

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A nurse concludes that grieving parents have progressed to the reorganization/recovery phase during a follow-up visit a year later if:

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During the initial acute distress phase of grieving,parents still must make unexpected and unwanted decisions about funeral arrangements and even naming the baby.The nurse's role should be to:

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A family is visiting two surviving triplets.The third triplet died 2 days ago.What action indicates that the family has begun to grieve for the dead infant?

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What is appropriate for a nurse to say to bereaved parents?

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With regard to organ donation after an infant's death,nurses should be aware that:

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Nurses who want to help parents with their decision making about an autopsy or who may be required to be involved in seeking consent for autopsies should be aware that:

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When helping the mother,father,and other family members actualize the loss of the infant,nurses should:

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A woman experienced a miscarriage at 10 weeks of gestation and had a dilation and curettage (D&C).She states that she is just fine and wants to go home as soon as possible.While you are assessing her responses to her loss,she tells you that she had purchased some baby things and had picked out a name.Based on your assessment of her responses,what nursing intervention would you do for her first?

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Society tends to minimize perinatal loss because of the prevailing belief that there are no barriers to getting pregnant and the expectation that once a woman is pregnant,a healthy,live infant will result.Is this statement true or false?

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