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
The correct answer is choice D. Paroxetine is an antidepressant that belongs to the class of selective serotonin reuptake inhibitors (SSRIs).
It can cause withdrawal symptoms if stopped abruptly, such as nausea, dizziness, headache, and anxiety.Therefore, it is recommended to taper off this medication gradually when feeling better, under the guidance of a doctor.
Choice A is wrong because paroxetine does not usually cause nausea and does not need to be taken with food.Choice B is wrong because paroxetine does not cause constipation, but rather diarrhea as a common side effect.Choice C is wrong because paroxetine does not interact with grapefruit juice, unlike some other medications that are metabolized by the same enzyme.Grapefruit juice can increase or decrease the blood levels of some drugs, causing adverse effects or reduced efficacy.
Correct Answer is ["B","D"]
Explanation
The correct answer is choice B and D.Fatigue and flat affect are two symptoms of postpartum depression, which is a type of mood disorder that affects some people after giving birth.Postpartum depression can cause feelings of sadness, anxiety, guilt, irritability and difficulty bonding with the baby.
Choice A is wrong because fatigue is not a normal part of the postpartum period.It can indicate a lack of sleep, physical exhaustion or depression.
Choice C is wrong because euphoria is not a symptom of postpartum depression.It can be a sign of postpartum psychosis, which is a rare and severe condition that requires emergency medical attention.
Choice E is wrong because crying is not necessarily a symptom of postpartum depression.
It can be a normal reaction to the hormonal and emotional changes that occur after childbirth.However, if crying is excessive, prolonged or accompanied by other signs of depression, it may indicate a problem.
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