The nurse is providing care to a patient who just learned her baby has died in utero at 26 weeks' gestation. What is the nurse's next action?
a. Contact the patient's clergy member.
b. Enroll the patient in a grief and loss class.
c. Determine if the patient is a victim of violence.
d. Ask the patient when she last felt the baby move.
ANS: D
Determining fetal movement will give the nurse a basis for how long the fetus has been expired. This patient is at risk for developing DIC, and the longer the fetus has been expired, the greater the risk. All the interventions listed are worth considering for this patient; however, the nurse must meet the patient's immediate physical needs first.
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