Grief and Loss

Question 1

what is a death of a fetus or infant from conception through 28 days following birth?

Answer 1

perinatal loss

Question 2

what is an intrauterine fetal death?

Answer 2

baby not born yet

Question 3

what is a stillbirth/fetal demise?

Answer 3

after 20 weeks, no HR or resp attempt

Question 4

what is a neonatal death?

Answer 4

born alive, dies prior to 28 days

Question 5

what is a fetal death?

Answer 5

death after 20 weeks gestation

Question 6

what are some causes of fetal death?

Answer 6

• unknown
• asphyxia
• congenital malformation
• placental abruption/previa
• cord accidents
• growth restriction
• alloimmunization
• preeclampsia
• diabetes
• lupus
• thyrpid probs
• renal probs

Question 7

what are risk factors of fetal death?

Answer 7

• nullipara
• multiple gestation
• obesity
• infection
• clotting disorder

Question 8

what is when thromboplastin is released from fetal tissues, activating the clotting system?

Answer 8

DIC (disseminated intravascular coagulation)

Question 9

how is DIC managed?

Answer 9

transfusions

Question 10

what kind of things can be done after a stillbirth/fetal demise?

Answer 10

• autopsy
• chromosomal studies
• cultures
• visual exam
• blood test
• xray/MRI

Question 11

what is the term to suffer a loss

Answer 11

bereavement

Question 12

what is the reaction of loss called?

Answer 12

grief

Question 13

what is the process of incorporating a loss called?

Answer 13

mourning

Question 14

what does the dual process model do?

Answer 14

shows loss and restoration
* need to adress loss
* regain balance in light of loss

Question 15

what is the attachment theory?

Answer 15

the intensity of grief can be assessed by considering attachment to the anticipated baby

Question 16

what are the steps of the attachment theory before the birth?

Answer 16

• planning pregnancy
• confirming pregnancy
• accepting pregnancy
• fetal movement
• accepting fetus as an individual

Question 17

what are the steps of the attachment theory after birth?

Answer 17

• giving birth
• seeing baby
• touching baby
• caring for baby

Question 18

what is meaning reconstruction?

Answer 18

• redefining life after a loss
• search for meaning

Question 19

what are the steps of the caring theory?

Answer 19

• knowing
• being with
• doing for
• enabling
• maintaining

Question 20

what step of the caring theory is understanding the loss as it pertains to the parents

Answer 20

knowing

Question 21

what step of the caring theory is the ability to give yourself to the family

Answer 21

being with

Question 22

what step of the caring theory is to do for the family as you would want others to do for you

Answer 22

doing for

Question 23

what step of the caring theory is helping the family through events surrounding loss

Answer 23

enabling

Question 24

what step of the caring theory is believing that the parents can get through this loss

Answer 24

maintaining belief

Question 25

what is the acronym for caring for a grieving family

Answer 25

responding

Question 26

what does the responding acronym mean?

Answer 26

• R = recognition and validation of loss
• E = emotional availability
• S = spiritual and cultural accomodation
• P = physical presence
• O = open communication
• N = normalization of grief reactions
• D = decision making assistance
• I = interdisciplinary involvement
• N = nonjudgemental attitude
• G = genuine caring