A nurse is educating a group of pregnant women about postpartum depression.

Which of the following statements by one of the participants indicates a need for further teaching?

“Postpartum depression can affect my ability to bond with my baby.”

Postpartum depression can occur anytime within the first year after giving birth.”

. “Postpartum depression can be treated with medication, therapy, or both.”

“Postpartum depression is caused by poor parenting skills.”.

Answer and Explanation

The Correct Answer is D

The correct answer is D. “Postpartum depression is caused by poor parenting skills.” This statement indicates a need for further teaching because it is false and stigmatizing. Postpartum depression is not caused by poor parenting skills, but by a combination of hormonal, physical, emotional, financial and social changes that happen after having a baby.

Postpartum depression can affect anyone regardless of their parenting skills or experience.

The other statements are correct and show an understanding of postpartum depression:

• A. “Postpartum depression can affect my ability to bond with my baby.” This statement is true because postpartum depression can cause feelings of guilt, anxiety and inability to care for the baby or oneself.

These feelings can interfere with the attachment and bonding process between the parent and the baby.

• B. “Postpartum depression can occur anytime within the first year after giving birth.” This statement is true because postpartum depression can appear within a week of delivery or gradually, even up to a year later.

The onset and duration of postpartum depression can vary depending on the individual and their circumstances.

• C. “Postpartum depression can be treated with medication, therapy, or both.” This statement is true because postpartum depression is a treatable condition that can be managed with medication and counseling.

Depending on the type and severity of the symptoms, different treatment options may be recommended by the healthcare provider.

The most important thing is to seek help and support if one is experiencing postpartum depression.

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Correct Answer is B

Explanation

The correct answer is choice B.The client should take sertraline at bedtime to prevent insomnia, which is a common adverse effect of this medication.

Sertraline is an antidepressant that belongs to the selective serotonin reuptake inhibitor (SSRI) class of drugs.

Choice A is wrong because sertraline is compatible with breastfeeding and does not pose a significant risk to the infant.

Choice C is wrong because sertraline may take several weeks to show improvement in the client’s mood.The nurse should advise the client to continue taking the medication as prescribed and report any adverse effects or suicidal thoughts.

Choice D is wrong because weight gain is a possible adverse effect of sertraline, but it is not a reason to stop taking the medication abruptly.

The nurse should instruct the client to monitor their weight and report any significant changes to the provider.Abrupt discontinuation of sertraline can cause withdrawal symptoms such as nausea, dizziness, headache, and irritability.

A. “I will take this medication with food to prevent nausea.” B. “I will drink plenty of fluids to avoid constipation.” C. “I will avoid grapefruit juice while taking this medication.” D. “I will taper off this medication gradually when I feel better.”

Correct Answer is D

Explanation

The correct answer is choice D. Paroxetine is an antidepressant that belongs to the class of selective serotonin reuptake inhibitors (SSRIs).

It can cause withdrawal symptoms if stopped abruptly, such as nausea, dizziness, headache, and anxiety.Therefore, it is recommended to taper off this medication gradually when feeling better, under the guidance of a doctor.

Choice A is wrong because paroxetine does not usually cause nausea and does not need to be taken with food.Choice B is wrong because paroxetine does not cause constipation, but rather diarrhea as a common side effect.Choice C is wrong because paroxetine does not interact with grapefruit juice, unlike some other medications that are metabolized by the same enzyme.Grapefruit juice can increase or decrease the blood levels of some drugs, causing adverse effects or reduced efficacy.

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A nurse is educating a group of pregnant women about postpartum depression. Which of the following statements by one of the participants indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a postpartum client who is exhibiting tearfulness, insomnia, lack of appetite and a feeling of let down. Which of the following conditions are associated with these manifestations?

Correct Answer is B

Explanation

A nurse is conducting a home visit for a client who has postpartum depression and is taking paroxetine. Which of the following statements by the client indicates an understanding of the medication?

Correct Answer is D

Explanation

A nurse is evaluating a client who has postpartum depression after 4 weeks of treatment with cognitive behavioral therapy (CBT). Which of the following outcomes indicates that CBT is effective?

A nurse is planning care for a client who has postpartum depression with suicidal ideation. Which of the following interventions should be included in the plan of care?

A nurse is assessing a postpartum client who is exhibiting tearfulness, insomnia, lack of appetite and a feeling of let down. Which of the following conditions are associated with these manifestations?

A nurse is monitoring medication adherence and potential side effects for a woman with postpartum depression who is taking sertraline (Zoloft). Which of the following side effects should the nurse report to the healthcare provider immediately?

A nurse is referring a woman with postpartum depression to specialized services as needed, such as social workers, psychologists, or psychiatrists. Which of the following factors should the nurse consider when making referrals?

A nurse is caring for a postpartum client who delivered their third infant two days ago. Which of the following manifestations could indicate postpartum depression? (Select all that apply.)

A nurse is planning care for a postpartum client who has postpartum depression. Which of the following interventions should the nurse include in the plan? (Select all that apply.)

A nurse is assessing a postpartum client who is exhibiting tearfulness, insomnia, lack of appetite, and a feeling of letdown. The nurse knows these findings are characteristics of.

A nurse is educating a group of pregnant women about postpartum depression.

Which of the following statements by one of the participants indicates a need for further teaching?