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 D. “Postpartum depression is caused by poor parenting skills.” This statement indicates a need for further teaching because it is false and stigmatizing.Postpartum depression is not caused by poor parenting skills, but by a combination of hormonal, physical, emotional, financial and social changes that happen after having a baby.

Postpartum depression can affect anyone regardless of their parenting skills or experience.

The other statements are correct and show an understanding of postpartum depression:

• A.“Postpartum depression can affect my ability to bond with my baby.” This statement is true because postpartum depression can cause feelings of guilt, anxiety and inability to care for the baby or oneself.

These feelings can interfere with the attachment and bonding process between the parent and the baby.

• B.“Postpartum depression can occur anytime within the first year after giving birth.” This statement is true because postpartum depression can appear within a week of delivery or gradually, even up to a year later.

The onset and duration of postpartum depression can vary depending on the individual and their circumstances.

• C.“Postpartum depression can be treated with medication, therapy, or both.” This statement is true because postpartum depression is a treatable condition that can be managed with medication and counseling.

Depending on the type and severity of the symptoms, different treatment options may be recommended by the healthcare provider.

The most important thing is to seek help and support if one is experiencing postpartum depression.

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?

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Naxlex Comprehensive Predictor Exams

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?

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 caring for a postpartum client who delivered her third infant 2 days ago. The nurse recognizes that which of the following findings are suggestive of postpartum depression? (Select all that apply.)

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?

A nurse is assessing a postpartum client who is exhibiting tearfulness, insomnia, lack of appetite, and a feeling of letdown. The nurse knows these findings are characteristics of.

A nurse is caring for a postpartum client who delivered their third infant two days ago. Which of the following manifestations could indicate postpartum depression? (Select all that apply.)

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 planning care for a client who has postpartum depression with suicidal ideation. Which of the following interventions should be included in the plan of care?

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?

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?