A nurse is providing discharge teaching to a client who has postpartum depression and a prescription for sertraline (Zoloft).

Which of the following statements by the client indicates an understanding of the teaching?

The correct answer is choice D. Serotonin syndrome.

Serotonin syndrome is a rare but serious condition that can occur when taking sertraline or other antidepressants that increase serotonin levels in the brain.It can cause symptoms such as agitation, confusion, muscle rigidity, fever, seizures and coma.

It requires immediate medical attention and can be life-threatening.

Choice A.Nausea is a common side effect of sertraline that usually improves over time or can be managed with anti-nausea medications.

It is not a serious concern unless it interferes with eating or drinking.

Choice B.Headache is another common side effect of sertraline that can be treated with painkillers such as paracetamol or ibuprofen.

It is not a sign of a serious problem unless it is severe or persistent.

Choice C.Insomnia is also a common side effect of sertraline that can be reduced by taking the medication in the morning or by avoiding caffeine and alcohol.

It is not a serious issue unless it affects your daily functioning or mental health.

Normal ranges for serotonin levels in the blood are 101–283 ng/mL.

Serotonin syndrome can occur when serotonin levels are too high, usually above 500 ng/mL.

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.