A nurse is assessing a woman who gave birth four days ago. The nurse notes that the woman has a positive mood, expresses confidence in her ability to care for her infant, and reports adequate support from her partner and family. The nurse identifies these findings as indicators of:
Postpartum blues
Postpartum depression
Postpartum psychosis
Postpartum adaptation
The Correct Answer is D
The correct answer is choice D. Postpartum adaptation.
This is the process of adjusting to the physical, emotional, and social changes that occur after childbirth. The woman in the question shows signs of positive mood, confidence, and adequate support, which are indicators of successful postpartum adaptation.
Choice A is wrong because postpartum blues are characterized by mild depressive symptoms, such as mood swings, crying spells, irritability, and anxiety, that usually occur within the first few days after delivery and resolve within two weeks.
Choice B is wrong because postpartum depression is a more severe and persistent form of depression that affects 10-15% of women after childbirth.
It can cause symptoms such as sadness, hopelessness, guilt, loss of interest, insomnia, appetite changes, and suicidal thoughts. It usually requires treatment with psychotherapy and/or medication.
Choice C is wrong because postpartum psychosis is a rare but serious psychiatric emergency that affects 1-2 in every 1000 women after childbirth.
It can cause symptoms such as delusions, hallucinations, paranoia, confusion, agitation, and attempts to harm oneself or the baby. It usually requires hospitalization and treatment with mood stabilizers and antipsychotics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C. “I am starting to feel like I can handle being a mother.” This statement indicates that the client is in the informal stage of maternal role attainment, which is characterized by a sense of confidence and competence in the maternal role.
The client develops her own style of mothering and integrates feedback from others.
Choice A is wrong because it reflects the initial stage of maternal role attainment, which is marked by a strong emotional attachment to the newborn.
Choice B is wrong because it suggests that the client is in the formal stage of maternal role attainment, which involves learning the skills and behaviors of mothering from external sources such as healthcare providers and family members.
Choice D is wrong because it implies that the client is in the anticipatory stage of maternal role attainment, which occurs during
Correct Answer is A
Explanation
The correct answer is choice A.Retained placental fragments are the most common cause of subinvolution.Subinvolution is a condition where the uterus does not return to its normal size after childbirth.Retained placental fragments prevent the uterus from contracting properly and cause prolonged bleeding and infection.
Choice B is wrong because infection is not the most common cause of subinvolution, but it can be an aggravating factor.Infection can cause inflammation and interfere with the healing of the uterine lining.
Choice C is wrong because uterine fibroids are not the most common cause of subinvolution, but they can be a predisposing factor.Uterine fibroids are benign tumors that can distort the shape of the uterus and impair its contraction.
Choice D is wrong because multiparity is not the most common cause of subinvolution, but it can be a predisposing factor.Multiparity means having given birth more than once, which can weaken the uterine muscles and reduce their ability to contract.
Normal ranges for uterine involution are as follows:
• Uterus weight: decreases from about 1000 g at delivery to about 60 g at six weeks postpartum.
• Uterus height: decreases from about 20 cm above the pubic bone at delivery to about 12 cm at one week postpartum, and then descends into the pelvis by six weeks postpartum.
• Uterus size: decreases from about 20 times its normal size at delivery to about its normal size at six weeks postpartum.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.