The nurse is caring for a 38-year-old client who just had amniocentesis and was told that the fetus has Down's syndrome. Which of the following is an appropriate outcome goal for this client?
1. Begin the process of grieving the loss
2. Complete the work of grieving during the hospital stay
3. Accept the upcoming birth
4. Consider the possibility of a therapeutic abortion
1. Begin the process of grieving the loss
Rationale:
When it is known that the fetus is not as expected, the mother and family will grieve the loss of the perfect baby that they imagined in order to come to accept what is the reality. The work of grief for the loss of the normal infant encompasses the same process as grieving for a death and cannot be accomplished in a few days. The family, hopefully, will accept the upcoming child upon completion of the grieving process. The mother could opt for a therapeutic abortion, but the priority goal is beginning the work of grief.
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