A nurse is planning care for a client who has postpartum psychosis and is experiencing hallucinations.
Which of the following interventions should the nurse include in the plan?
Encourage the client to verbalize their feelings and fears
Provide a quiet and calm environment for the client
. Validate the client’s perception of reality and offer reassurance
Avoid confronting or challenging the client’s hallucinations.
The Correct Answer is A
Normal ranges for postpartum psychosis are not applicable, as it is a rare and severe psychiatric disorder that affects 1-2 per 1,000 women. It usually occurs within the first 2 weeks after delivery, but can occur up to 12 months postpartum.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is C. Spraying warm water over the perineum after each voiding or bowel movement.This action would help prevent infection of the perineal area by keeping it clean and reducing the risk of bacterial contamination.
A is wrong because ice packs can only help reduce swelling and pain, but not prevent infection.
B is wrong because changing the pad from back to front can introduce bacteria from the rectum to the vagina and perineum, increasing the risk of infection. The correct way is to change the pad from front to back.
D is wrong because an inflatable ring or pillow can increase blood flow to the perineal area and delay healing, which can increase the risk of infection.
A firm surface is better for sitting after delivery.
Some other preventive measures for postpartum infections include washing hands before touching the perineal area, using only maxi pads and not tampons for postpartum bleeding, taking preventive antibiotics if prescribed, and contacting a doctor if symptoms of infection appear.
Correct Answer is A
Explanation
The correct answer is choice A. Increased self-confidence levels.
This outcome would indicate that the expectant mothers have gained knowledge and skills to cope with the challenges of pregnancy and childbirth, and feel more confident in their abilities to perform the maternal role.
Antenatal education aims to prepare women for pregnancy, labor, delivery, and postnatal care, and to enhance their self-confidence and satisfaction.
Choice B is wrong because decreased childbirth attitudes would indicate that the expectant mothers have developed negative or fearful perceptions of childbirth, which could affect their coping and decision-making abilities.
Antenatal education should promote positive attitudes and expectations towards childbirth.
Choice C is wrong because increased maternal role strain would indicate that the expectant mothers are experiencing difficulties or conflicts in adapting to the maternal role, which could affect their well-being and bonding with the baby.
Antenatal education should help women to adjust to the changes and demands of motherhood.
Choice D is wrong because decreased social support would indicate that the expectant mothers have less access to or use of resources and assistance from their family, friends, or health professionals, which could affect their coping and satisfaction.
Antenatal education should encourage women to seek and utilize social support during pregnancy and postpartum.
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