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.

Answer and Explanation

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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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.

A. “Postpartum depression can affect my ability to bond with my baby.” B. Postpartum depression can occur anytime within the first year after giving birth.” C. . “Postpartum depression can be treated with medication, therapy, or both.” D. “Postpartum depression is caused by poor parenting skills.”.

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.

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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?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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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?