A nurse is caring for a client who is 2 weeks postpartum.
The client tells the nurse, "I feel really down and sad lately.
I have no energy and I feel like I'm going to cry.”. Which of the following actions should the nurse take first?
Arrange for counseling to help the client cope with the stress of being a parent.
Request a prescription for an antidepressant medication.
Reinforce teaching about ways to increase rest and sleep.
Use a postpartum depression-screening tool with the client.
The Correct Answer is D
The correct answer is choice d. Use a postpartum depression-screening tool with the client.
Choice A rationale:
Arranging for counseling is important for long-term support, but the first step is to accurately assess the client’s condition using a screening tool.
Choice B rationale:
Requesting a prescription for an antidepressant may be necessary, but it should follow a proper assessment and diagnosis.
Choice C rationale:
Reinforcing teaching about rest and sleep is beneficial, but it does not address the immediate need to assess the severity of the client’s symptoms.
Choice D rationale:
Using a postpartum depression-screening tool is the first step to identify the severity of the client’s symptoms and determine the appropriate course of action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale:
Blotting the perineal area dry after voiding is an important part of perineal care. Moisture can contribute to perineal infection, so it is essential to keep the area dry. This practice helps prevent the growth of bacteria and reduces the risk of infection.
Choice D rationale:
Cleaning the perineal area from front to back is crucial in reducing the risk of perineal infection. This method helps prevent the transfer of bacteria from the anal area to the perineum and vaginal area, reducing the risk of infection.
Choice E rationale:
Performing hand hygiene before and after voiding is an important aspect of perineal care and infection prevention. Proper hand hygiene helps prevent the transfer of bacteria from the hands to the perineal area and vice versa, reducing the risk of infection.
Choice B rationale:
Applying ice packs to the perineal area several times daily is not a recommended practice for reducing the risk of perineal infection. While ice packs can provide pain relief and reduce swelling, they should not be applied excessively, as prolonged exposure to cold can compromise blood flow and potentially increase the risk of tissue damage or infection.
Choice C rationale:
Sitting on an inflatable donut to protect the perineum is not a recommended practice for reducing the risk of perineal infection. Inflatable donuts can increase pressure on the perineal area, potentially causing discomfort and impairing blood flow. Proper hygiene and keeping the area clean and dry are more effective strategies for infection prevention. .
Correct Answer is C
Explanation
Answer and explanation
A nurse is reinforcing teaching with a newly licensed nurse about the complications associated with maternal gestational diabetes. Which of the following complications should the nurse include? The correct answer is choice C: Newborn hypoglycemia.
Choice A rationale:
Small for gestational age (SGA) newborns are not typically associated with maternal gestational diabetes. Instead, maternal diabetes (both pre-gestational and gestational) is more commonly linked to larger-than-average babies, known as macrosomia or LGA (large for gestational age).
Choice B rationale:
Oligohydramnios is a condition characterized by a decreased volume of amniotic fluid, which can have various causes. While maternal diabetes can contribute to certain complications, it is not a direct cause of oligohydramnios.
Choice C rationale:
Newborn hypoglycemia is a significant complication associated with maternal gestational diabetes. When a pregnant woman has diabetes, her baby may experience high blood sugar levels in the womb, leading to increased insulin production. After birth, the baby's insulin production continues, causing a drop in blood sugar levels, which can result in hypoglycemia. Therefore, this is a complication that should be emphasized in teaching.
Choice D rationale:
Placenta previa is not directly related to maternal gestational diabetes. It is a condition in which the placenta partially or completely covers the cervix, leading to bleeding during pregnancy. It is a separate complication from gestational diabetes and should not be included in teaching about the complications of maternal diabetes.
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