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.)
Encourage the client to perform self-care activities independently.
Advise the client to limit visitors and phone calls until she feels better.
Provide positive feedback and reassurance to the client.
Refer the client for counseling or therapy as needed.
Educate the client and her family about the condition and available resources.
Correct Answer : C,E
The normal ranges for postpartum depression are: • Edinburgh Postnatal Depression Scale (EPDS): a score of 10 or higher indicates possible PPD. • Patient Health Questioaire-9 (PHQ-9): a score of 5 or higher indicates mild depression, 10 or higher indicates moderate depression, 15 or higher indicates moderately severe depression, and 20 or higher indicates severe depression.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
The correct answer is choice B and D. Postpartum depression is a type of mood disorder that affects some people after giving birth.It can cause symptoms such asdepressed mood, insomnia, fatigue, anxiety, irritability, difficulty bonding with the baby and flat affect.Flat affect means having a lack of emotional expression or showing little interest in anything.
Choice A is wrong because fatigue is a common symptom of postpartum depression, not an indication of it.
Choice C is wrong because euphoria is the opposite of depression.It means feeling extremely happy or excited.
Choice E is wrong because delusions are a sign of postpartum
Correct Answer is D
Explanation
The correct answer is choice D. Postpartum blues.This condition is characterized by feelings of sadness, lack of appetite, sleep pattern disturbances, feeling of inadequacies, crying easily for no apparent reason, restlessness, insomnia, fatigue, headache, anxiety, anger, sadness.It usually occurs within the first few days after delivery and resolves within 2 weeks.
Choice A is wrong because postpartum fatigue is not a specific condition but a common symptom that many postpartum women experience due to physical and emotional demands of childbirth and caring for a newborn.
Choice B is wrong because postpartum psychosis is a rare and severe mental disorder that affects about 0.1% to 0.2% of postpartum women.It involves symptoms such as pronounced sadness, disorientation, confusion, paranoia, hallucinations, delusions, and thoughts of harming oneself or the infant.It usually develops within the first 2 weeks after delivery and requires immediate medical attention.
Choice C is wrong because the letting-go phase is a psychological stage of postpartum adjustment that occurs around the third week after delivery.It involves accepting the reality of parenthood, relinquishing the fantasy of the ideal child, and establishing a new identity as a mother.
It does not involve tearfulness, insomnia, lack of appetite, or feeling of letdown.
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