RNSG 1538 UNIT #2 CONGENITAL DEFECT
EXAM QUESTIONS AND ANSWERS
Prenatal Diagnosis of Congenital Defect - Answer-Loss of "the perfect child", "a normal
birthing experience"
Actual loss
Perceived loss
Degrees of loss
Potential for correction of defect
Risk factors for grief-Prenatal Diagnosis of Congenital Defect - Answer-Contributing
factors
Difficulty with conception
Family or personal history of congenital defect
Poor support systems
Exposure to negative elements
Contrast to mental picture of baby
Nursing Process - Assessment - Answer-Knowledge
Cognitive and emotional ability
Developmental stage
Coping style
Support and resources
Nursing Process - Diagnosis - Answer-Ineffective coping related to situational crisis
Interrupted family processes
Nursing Process - Planning - Answer-Tailored to the loss/ defect and the client's status/
abilities
Patient accepts the child as their own and interacts appropriately
Patient participates in health-care learning
Patient participates in child's therapies
Patient demonstrates adjustment to the loss
Patient participates with support groups
Nursing Process - Interventions/Evaluation - Answer-Listen attentively and be present
Use effective therapeutic communication
Facilitate positive parent- infant relationships
Emphasize the child's abilities
Identify hospital and community resources
Evaluation
-- Advancement through the stages of grief
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