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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Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. All of the above outcomes indicate that CBT is effective for postpartum depression.CBT is a psychological treatment that helps women identify and change unhelpful thoughts, feelings, and behaviors that contribute to depression.CBT can improve self-esteem, confidence, social interest, and positive thoughts and beliefs about oneself.
Choice A is wrong because it only covers one aspect of CBT effectiveness.
Self-esteem and confidence are important outcomes, but they are not the only ones.
Choice B is wrong because it only covers one aspect of CBT effectiveness.
Social interest is an indicator of reduced isolation and increased support, but it is not the only one.
Choice C is wrong because it only covers one aspect of CBT effectiveness.
Positive thoughts and beliefs are a key component of CBT, but they are not the only one.
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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