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
Fetal movements, known as quickening, are typically felt by the mother between 16 and 25 weeks of pregnancy, not specifically at week 245.
Choice B rationale
The baby’s heartbeat can be detected by 10-12 weeks of pregnancy using a Doppler ultrasound device. This is an important milestone in fetal development and prenatal care
.
Choice C rationale
Lanugo, the fine hair covering the fetus, usually appears around 20 weeks of pregnancy and starts to disappear closer to the end of the third trimester, not specifically by week 355.
Choice D rationale
The sex of the baby is determined at conception, but it can be detected via ultrasound around 18-20 weeks of pregnancy, not by week 85.
Correct Answer is A
Explanation
Choice A rationale
The uterus can indeed increase in size by 20 times its non-pregnant size. This significant expansion is necessary to accommodate the growing fetus and the increased blood supply required during pregnancy.
Choice B rationale
While the weight of the uterus does increase significantly during pregnancy, from about 100 grams to approximately 1,000 grams, this statement does not directly address the client’s concern about the uterus’s ability to stretch.
Choice C rationale
About 25% of the increased capacity of the uterus is related to uteroplacental content, but this does not fully explain the uterus’s ability to stretch to accommodate a full-term baby.
Choice D rationale
The increase in uterus size during pregnancy is not solely related to amniotic fluid volume. The uterus itself grows and stretches significantly to accommodate the developing fetus.