The nurse finds a woman who has recently suffered her third complete abortion crying and saying "Why me? What did I do to deserve being punished like this?" Which response by the nurse is best?
A.
Ask the woman if she uses illicit drugs or drinks alcohol during pregnancy.
B.
Explain that most miscarriages are related to genetic abnormalities.
C.
Offer to call a clergy member or social worker to visit with the woman.
D.
Reassure the woman that she is not being punished.
ANS: C
Women (and their partners) frequently need support with any perinatal loss. The best option here would be for the nurse to offer to call a clergy member or social worker to visit and offer assistance. Asking if the woman uses illicit drugs or drinks alcohol sounds as if the nurse is trying to blame the woman for the miscarriages. Simply explaining that most spontaneous abortions involve a fetus with chromosomal abnormalities does nothing to address the woman's feelings, although it should be part of a comprehensive plan of action. Simply reassuring the woman that she is not being punished sounds paternalistic.
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