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CE Test

Parents' Experiences About Support Following Stillbirth and Neonatal Death

doi: 10.1097/ANC.0000000000000716
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Registration Deadline: March 4, 2022

Disclosure Statement: The authors and planners have disclosed that they have no financial relationships related to this article.

Provider Accreditation:

Lippincott Professional Development will award 1.5 contact hours for this continuing nursing education activity.

Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP11749 for 1.5 contact hours. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, Florida, West Virginia, New Mexico, and South Carolina CE Broker #50-1223. Your certificate is valid in all states.

This article has been approved by the National Association for Neonatal Nurses Certification Board for Category B credit toward recertification as an NNP.


The registration fee for this test is $11.95 for NANN members and $17.95 for nonmembers.


GENERAL PURPOSE: To present a study exploring the experiences of parents in relation to professional and social support following stillbirth and neonatal death.

LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to:

  1. Identify issues related to perinatal loss.
  2. Summarize the results and implications of the study.

  1. Perinatal loss refers to stillbirth, neonatal death, and
    1. infant death within three months after birth.
    2. miscarriage.
    3. intentional termination of pregnancy.
  2. One of the maternal risk factors listed in the article for perinatal loss is
    1. low weight gain during pregnancy.
    2. paternal advanced age.
    3. previous perinatal loss.
  3. As described in the article, following perinatal loss, affective grief reactions typically decline in intensity within
    1. 3 months.
    2. 6 months.
    3. 12 months.
  4. The authors described several factors that contribute to complicated grief in perinatal loss, including the
    1. lack of time to prepare for the unexpected loss.
    2. presence of other children.
    3. social stigma.
  5. A protective factor for complicated grief in perinatal loss is
    1. immediate and follow-up professional supportive care.
    2. not having other children in the household.
    3. recognition and support from a religious community.
  6. Worden's grief model includes “tasks” that must be completed by a person who suffers a loss, one of which is
    1. accepting the reality of the loss.
    2. terminating connections with the deceased child.
    3. talking to others about the pain of the loss.
  7. One of the subthemes that emerged and was grouped under the general theme of “professional care in dealing with parents' grief” was
    1. continuing of pathways of care.
    2. perinatal loss support groups.
    3. the silence that surrounds grieving parents.
  8. The study found that parents who experienced stillbirth or neonatal death felt more stressed and powerless when health professionals focused on which part of the death?
    1. clinical
    2. emotional
    3. spiritual
  9. Results of the study indicated that parents perceived they had greater control of the situation when they received adequate
    1. emotional care.
    2. information.
    3. spiritual/religious guidance.
  10. Rituals associated with grief were recognized by parents as being
    1. disturbing.
    2. negative.
    3. positive.
  11. What factor was found to be important for parents receiving psychological assistance?
    1. choice of provider
    2. inclusion of family members
    3. shorter waiting times
  12. Both mothers and fathers reported that the primary element in overcoming the loss was support provided by their
    1. extended family.
    2. healthcare provider.
    3. partner.
  13. Which group experienced greater feelings of stress and loneliness following stillbirth and neonatal death?
    1. men with other children
    2. women with other children
    3. women without children
  14. What did parents identify as helping them feel more understood?
    1. mental health counseling
    2. perinatal loss support groups
    3. spiritual/religious support
  15. The findings of the current study suggest that practices such as seeing, holding the infant, and keeping memories such as photographs, footprints, or other objects
    1. are painful for parents and not appreciated.
    2. help parents in the process of mourning.
    3. help in the short-term but create traumatic memories.
  16. Meyer et al. found that parents who did not have the chance to say goodbye to their infant and who did not keep objects related to him or her
    1. expressed more anger about the death event.
    2. had more complicated grief.
    3. experienced denial of the death.
  17. Which of the following is the best action nurses can take now to support parents who have experienced stillbirth or neonatal death?
    1. Remind a young patient that he/she may have another child.
    2. Encourage parents to share physical space with other parents and infants.
    3. Identify social barriers that make supporting parental grief difficult.
© 2020 by the National Association of Neonatal Nurses.