A nurse is caring for a postpartum client who reports feeling anxious, irritable, and unable to sleep despite extreme fatigue. The client also expresses feelings of inadequacy as a mother. Which of the following nursing interventions is the most appropriate?

Advise the client to seek help from family members to reduce stress and manage the baby's care

Assess the client for further signs of postpartum mood disorders

Reassure the client that these feelings are normal and will subside in a few days

Encourage the client to rest whenever the baby is sleeping to alleviate fatigue

Answer and Explanation

The Correct Answer is B

A. Advise the client to seek help from family members to reduce stress and manage the baby's care – While social support is helpful, it does not directly address potential postpartum mood disorders, which require further evaluation.

B. Assess the client for further signs of postpartum mood disorders – These symptoms may indicate postpartum depression, which requires further assessment and potential intervention. Early identification is crucial to ensuring the client's safety and well-being.

C. Reassure the client that these feelings are normal and will subside in a few days – While some mood changes are common postpartum ("baby blues"), the intensity of these symptoms may indicate postpartum depression, which requires assessment.

D. Encourage the client to rest whenever the baby is sleeping to alleviate fatigue – While rest is important, it does not address the client's concerns about anxiety, irritability, and feelings of inadequacy, which may signal a mood disorder.

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Correct Answer is D

Explanation

A. Feeling anxious about the baby's health and well-being, but still able to care for the baby effectively
Mild anxiety about the baby’s health is a common experience for new mothers and does not necessarily indicate PPD. It becomes concerning if anxiety becomes overwhelming or interferes with daily functioning.

B. Experiencing occasional mood swings and irritability while adjusting to the new role of motherhood
Mood swings and irritability are normal postpartum adjustments, often due to hormonal changes, sleep deprivation, and new responsibilities. These symptoms typically resolve within a few weeks.

C. Feeling overwhelmed and having difficulty sleeping due to the demands of a newborn
Feeling overwhelmed and sleep disturbances are common in the postpartum period due to frequent infant care needs. However, severe or persistent sleep disturbances, especially with loss of interest in daily activities, may indicate PPD.

D. Persistent feelings of sadness, severe fatigue, and loss of interest in activities, including caring for the baby
Postpartum depression is characterized by prolonged sadness, extreme fatigue, withdrawal, and difficulty bonding with the baby. These symptoms extend beyond normal postpartum blues (which typically resolve within two weeks) and require medical intervention, including therapy and possibly medication.

A. Swelling and redness in one breast, accompanied by flu-like symptoms B. A white patch on a nipple C. Symmetrical breast swelling with a sudden increase in milk production D. Bilateral breast tenderness and engorgement with no fever

Correct Answer is A

Explanation

A. "Swelling and redness in one breast, accompanied by flu-like symptoms."
Mastitis is a bacterial infection in breastfeeding mothers, typically caused by Staphylococcus aureus. It presents with unilateral breast pain, erythema, swelling, fever, and flu-like symptoms.

B. "A white patch on a nipple."
A white patch on the nipple may indicate a blocked milk duct or thrush (Candida infection), not mastitis.

C. "Symmetrical breast swelling with a sudden increase in milk production."
Engorgement occurs when the breasts overfill with milk, leading to bilateral swelling, tenderness, and firmness, but no systemic signs of infection like fever or flu-like symptoms.

D. "Bilateral breast tenderness and engorgement with no fever."
Normal breast engorgement can cause discomfort, but mastitis typically affects one breast and causes fever and systemic symptoms.

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A nurse is caring for a postpartum client who reports feeling anxious, irritable, and unable to sleep despite extreme fatigue. The client also expresses feelings of inadequacy as a mother. Which of the following nursing interventions is the most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a postpartum client for signs of postpartum depression. Which of the following symptoms is most indicative of postpartum depression rather than normal postpartum adjustment?

Correct Answer is D

Explanation

A nurse is caring for a client who is 3 days postpartum and is attempting to breastfeed. Which of the following findings indicate mastitis?

Correct Answer is A

Explanation

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