The nurse is caring for a patient who finally conceived after several unsuccessful attempts at in vitro fertilization. The patient has just been diagnosed with a perinatal loss
The nurse's plan of care should include: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Giving accurate and honest information.
2. Encouraging the couple to try right away to get pregnant again.
3. Validating the many losses the patient has experienced.
4. Providing possible explanations for the fetal demise.
5. Assessing where the patient is in the grieving process, and communicating with compassion.
1,3,5
Rationale 1: In supporting the patient dealing with infertility and fetal loss, the nurse should assess where the patient is in the process and respond accordingly, with accuracy and honesty.
Rationale 2: Encouraging the couple to try again does not recognize the pain they are currently enduring as a result of the loss.
Rationale 3: The patient is likely to feel she has suffered many losses, and the nurse should validate that feeling.
Rationale 4: There is no explanation adequate for the family, and none should be offered.
Rationale 5: The nurse needs to assess where the patient is in the process, and provide compassionate support.
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