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?

. “I should take this medication at bedtime.”

“I can breastfeed my baby while taking this medication.”

“I should stop taking this medication if I have dry mouth.”

“I can drink alcohol in moderation while taking this medication.”

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. “I can breastfeed my baby while taking this medication.” Sertraline (Zoloft) is one of the preferred antidepressants to take when breastfeeding and has been used by many breastfeeding mothers without any problems It passes into breast milk in very small amounts and has been linked with side effects in very few breastfed babies

Choice A is wrong because sertraline can cause insomnia and taking it at bedtime might worsen this side effect

Choice C is wrong because dry mouth is a common and mild side effect of sertraline that does not require stopping the medication

Choice D is wrong because alcohol can interact with sertraline and increase the risk of side effects such as drowsiness, dizziness, and impaired coordination

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Correct Answer is D

Explanation

The correct answer is choice D. All of the above.

The nurse should consider the woman’s preferences and needs, the availability and accessibility of services, and the cost and insurance coverage of services when making referrals for postpartum depression.

Choice A is wrong because it is not enough to consider only the woman’s preferences and needs.

The nurse should also take into account the practical aspects of accessing and affording the services.

Choice B is wrong because it is not enough to consider only the availability and accessibility of services.

The nurse should also respect the woman’s wishes and needs and help her find services that are suitable for her.

Choice C is wrong because it is not enough to consider only the cost and insurance coverage of services.

The nurse should also ensure that the services are available and accessible, and that they meet the woman’s preferences and needs.

A. Encourage the client to perform self-care activities independently. B. Advise the client to limit visitors and phone calls until she feels better. C. Provide positive feedback and reassurance to the client. D. Refer the client for counseling or therapy as needed. E. Educate the client and her family about the condition and available resources.

Correct Answer is ["C","E"]

Explanation

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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.)

Correct Answer is ["C","E"]

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 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?

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A nurse is providing education and support to a woman with postpartum depression and her family members. Which of the following statements by the family members indicates a need for further teaching?

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?

A nurse is reviewing the medical record of a client who has postpartum depression. Which of the following factors should the nurse identify as a risk factor for this condition?

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 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 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?