A nurse is caring for a postpartum client who has been diagnosed with postpartum depression (PPD).
Which of the following interventions should be included in her plan of care?
Encourage her to sleep as much as possible
Encourage her to avoid talking about her feelings
Encourage her to spend time alone as much as possible
Encourage her to participate in support groups
The Correct Answer is D
Encourage her to participate in support groups. This is because support groups can help the postpartum client to share her feelings, learn coping skills, and receive emotional and social support from other mothers who have experienced postpartum depression. Support groups can also reduce the sense of isolation and stigma that some women with postpartum depression may feel.
Encourage her to sleep as much as possible is wrong because sleeping too much can be a sign of depression and can interfere with the mother’s ability to bond with her baby and perform daily activities. Sleeping too little can also worsen symptoms or increase the likelihood of postpartum depression due to sleep deprivation. Therefore, the mother should be encouraged to follow a healthy sleep routine and get help from others if needed.
Encourage her to avoid talking about her feelings is wrong because talking about feelings is an important part of psychotherapy, which is a recommended treatment for postpartum depression.Talking about feelings can help the mother to express her emotions, identify negative thoughts, and receive feedback and guidance from a mental health professional. Avoiding talking about feelings can lead to further isolation and distress.
Encourage her to spend time alone as much as possible is wrong because spending time alone can also increase the sense of isolation and loneliness that some women with postpartum depression may experience. Spending time alone can also prevent the mother from receiving help and support from others, such as her partner, family, friends, or healthcare providers. The mother should be encouraged to seek social support and engage in enjoyable activities with others.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
The correct answer is choice C. Ask the patient to void.This is because a full bladder can displace the uterus and interfere with its contraction, which can lead to postpartum hemorrhageThe nurse should assess the patient’s uterus after ensuring that the bladder is empty.
Choice A is wrong because placing the patient on the left side does not affect the uterus assessment.It may help with blood circulation and oxygenation, but it is not necessary before checking the uterus.
Choice B is wrong because assessing the passage of lochia is part of the uterus assessment, not a prerequisite.Lochia is the vaginal discharge after giving birth, containing blood, mucus, and uterine tissueIt has three stages: lochia rubra (red), lochia serosa (pinkish brown), and lochia alba (yellowish white)
Choice D is wrong because administering a dose of oxytocin is not required before assessing the uterus.
Oxytocin is a hormone that stimulates uterine contractions and reduces bleeding.It may be given during or after labor to prevent or treat postpartum hemorrhage, but it is not a routine procedure.
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