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

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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.

A. “You should avoid taking this medication if you are breastfeeding.” B. “You should take this medication at bedtime to prevent insomnia.” C. “You should expect to see improvement in your mood within a week.” D. “You should stop taking this medication if you experience weight gain.”

Correct Answer is B

Explanation

The correct answer is choice B.The client should take sertraline at bedtime to prevent insomnia, which is a common adverse effect of this medication.

Sertraline is an antidepressant that belongs to the selective serotonin reuptake inhibitor (SSRI) class of drugs.

Choice A is wrong because sertraline is compatible with breastfeeding and does not pose a significant risk to the infant.

Choice C is wrong because sertraline may take several weeks to show improvement in the client’s mood.The nurse should advise the client to continue taking the medication as prescribed and report any adverse effects or suicidal thoughts.

Choice D is wrong because weight gain is a possible adverse effect of sertraline, but it is not a reason to stop taking the medication abruptly.

The nurse should instruct the client to monitor their weight and report any significant changes to the provider.Abrupt discontinuation of sertraline can cause withdrawal symptoms such as nausea, dizziness, headache, and irritability.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 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.

Correct Answer is D

Explanation

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?

Correct Answer is B

Explanation

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 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?

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 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.)

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 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 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 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 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?