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 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.
Correct Answer is D
Explanation
Choice A rationale
Having a child with blue eyes is not an indication for genetic testing. Eye color is a polygenic trait and does not typically warrant genetic testing.
Choice B rationale
Reactive airway disease in preterm children is not a direct indication for genetic testing. This condition is more related to the complications of prematurity rather than genetic factors.
Choice C rationale
Neonatal jaundice is common and usually resolves without long-term issues. It is not typically an indication for genetic testing unless there is a suspicion of an underlying genetic disorder.
Choice D rationale
Tay-Sachs Disease is a genetic disorder, and having a child with this condition is a strong indication for genetic testing. This would help determine the risk of recurrence in future pregnancies and provide valuable information for family planning. .