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?
The client had an uncomplicated vaginal delivery.
The client has a family history of bipolar disorder.
The client is 25 years old and primiparous.
. The client planned and desired this pregnancy.
The Correct Answer is B
Answer and explanation..
The correct answer is choice B. The client has a family history of bipolar disorder. According to the American Psychological Association, a family history of depression or mental illness is one of the risk factors for postpartum depression. Postpartum depression is a mood disorder that affects some women after giving birth and can cause symptoms such as sadness, anxiety, irritability, guilt, and difficulty bonding with the baby.
Choice A is wrong because an uncomplicated vaginal delivery is not a risk factor for postpartum depression. In fact, complications during childbirth can increase the risk of developing this condition.
Choice C is wrong because being 25 years old and primiparous (having given birth for the first time) is not a risk factor for postpartum depression. However, age can be a factor if the mother is very young or older than average.
Choice D is wrong because planning and desiring the pregnancy is not a risk factor for postpartum depression. On the contrary, having an unplanned or unwanted pregnancy can increase the risk of developing this condition.
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Related Questions
Correct Answer is D
Explanation
Answer and explanation
The correct answer is choice A. Encourage the client to express her feelings and concerns.This is an appropriate intervention for a client who has postpartum depression with suicidal ideation because it allows the client to vent their emotions and feel supported by the nurse.
It also helps the nurse assess the client’s risk of self-harm and provide appropriate referrals if needed.
Correct Answer is C
Explanation
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.
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