A 27-year-old primipara presents to the ED with vaginal bleeding and suspected contractions. The woman relates that she is 14 weeks pregnant and she thinks she is losing her baby
Diagnostic testing confirms a spontaneous abortion. What nursing action would be a priority at this time?
A) Leave the patient alone so she can grieve in private.
B) Teach the patient that this will not affect her future chance of conception.
C) Take the patient off the obstetric floor so she will not hear a baby cry.
D) Provide opportunities for the patient to talk and express her emotions.
Ans: D
Feedback:
Providing opportunities for the patient to talk and express her emotions is helpful and also provides clues for the nurse in planning more specific care. The patient may or may not want to be alone, but the nurse should first determine her wishes. It would be inappropriate to refer to future pregnancies during this acute time of loss. It would not be necessary or practical to remove the patient from the unit.
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