A nurse is caring for a patient in the obstetric clinic that has made the difficult decision to terminate the pregnancy due to a confirmed genetic abnormality that is incompatible with life.Which of the following would be an appropriate nursing action?
Do not provide resources right now, as it may be too overwhelming.
Discuss the stages of grief they may experience.
Encourage them to rethink their decision.
Encourage the couple to not share their individual emotions with each other.
The Correct Answer is B
Choice A rationale
Not providing resources immediately may leave the patient feeling unsupported and isolated. It is important to offer resources and support to help the patient cope with the emotional and psychological impact of terminating a pregnancy due to a genetic abnormality.
Choice B rationale
Discussing the stages of grief is an appropriate nursing action. It helps the patient understand that their feelings are normal and provides a framework for processing their emotions. This support can be crucial in helping the patient navigate their grief and begin the healing process.
Choice C rationale
Encouraging the patient to rethink their decision is not appropriate. The decision to terminate a pregnancy due to a genetic abnormality is often difficult and deeply personal. It is important to respect the patient’s decision and provide support rather than questioning their choice.
Choice D rationale
Encouraging the couple not to share their emotions with each other can be harmful. Open communication between partners is essential for mutual support and understanding during such a challenging time. Encouraging them to share their feelings can strengthen their relationship and help them cope with the loss together.
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Correct Answer is C
Explanation
Choice A rationale
The recommended limit for caffeine intake during pregnancy is generally 200 mg or less per day. Consuming 400 mg of caffeine daily exceeds this recommendation and may increase the risk of adverse pregnancy outcomes.
Choice B rationale
It is recommended to avoid alcohol entirely during pregnancy, as even small amounts can increase the risk of fetal alcohol spectrum disorders and other complications. Therefore, having one alcoholic beverage a week is not considered safe.
Choice C rationale
Drinking at least 8-10 cups of fluid each day is a good practice during pregnancy to maintain adequate hydration, support increased blood volume, and promote overall health. This statement indicates that the client understood the education provided.
Choice D rationale
Pregnant individuals should not decrease their intake of essential nutrients like calcium, magnesium, iron, and vitamin D. These nutrients are important for fetal development and maternal health. Instead, they should ensure they are getting adequate amounts through diet and supplements as recommended by their healthcare provider.
Correct Answer is B
Explanation
Choice A rationale
Adrenocorticotropic hormone (ACTH) is produced by the pituitary gland and stimulates the adrenal glands to release cortisol. It is not involved in the maturation of ovarian follicles.
Choice B rationale
Follicle-stimulating hormone (FSH) is produced by the pituitary gland and stimulates the growth and maturation of ovarian follicles. It is the correct hormone involved in the follicular phase of the ovarian cycle.
Choice C rationale
Oxytocin is a hormone involved in childbirth and lactation. It stimulates uterine contractions and milk ejection but is not involved in the maturation of ovarian follicles.
Choice D rationale
Luteinizing hormone (LH) is produced by the pituitary gland and triggers ovulation and the formation of the corpus luteum. It is not involved in the maturation of ovarian follicles during the follicular phase.
Choice E rationale
Prolactin is a hormone that stimulates milk production in the mammary glands. It is not involved in the maturation of ovarian follicles.
Choice F rationale
Progesterone is a hormone produced by the corpus luteum and the placenta during pregnancy. It prepares the endometrium for implantation and maintains pregnancy but is not involved in the maturation of ovarian follicles.