A postpartum client has been diagnosed with postpartum depression.
Which of the following symptoms would the nurse anticipate the client was exhibiting, aiding in the diagnosis?
Insomnia.
Intermittent crying in the first week postpartum, now resolved.
Delusions.
Induced vomiting.
The Correct Answer is D
Choice A rationale
Insomnia is a common symptom of postpartum depression, often characterized by difficulty falling or staying asleep, or waking up early. This sleep disturbance, when coupled with other symptoms such as persistent sadness, loss of interest in activities, and fatigue, is a key diagnostic criterion for the condition.
Choice B rationale
Intermittent crying in the first week postpartum, now resolved, is a common symptom of the "baby blues.”. The baby blues are a transient condition, typically resolving within the first two weeks. Postpartum depression, in contrast, involves more severe and persistent symptoms lasting longer than two weeks.
Choice C rationale
Delusions are a symptom of postpartum psychosis, a rare and severe mental health condition that is distinct from postpartum depression. Postpartum psychosis involves a break from reality and is a psychiatric emergency. Delusions are not characteristic of postpartum depression.
Choice D rationale
Induced vomiting is a symptom associated with eating disorders, such as bulimia nervosa. While eating disorders can coexist with postpartum depression, induced vomiting is not a defining symptom of postpartum depression itself. It is a separate clinical finding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
This response is dismissive and does not address the patient's concerns. Providing accurate information empowers the patient to make informed decisions about their health. The nurse should always address patient concerns and provide education, especially when it relates to their birth experience and future reproductive health. Failing to do so can erode trust and negatively impact the patient-provider relationship.
Choice B rationale
This statement is an oversimplification and potentially inaccurate. The feasibility of a vaginal birth after a cesarean section (VBAC) depends on several factors, including the type of uterine incision. A classical vertical incision, for instance, is a strong contraindication due to a significantly increased risk of uterine rupture in subsequent pregnancies. The nurse must provide a more nuanced and accurate explanation.
Choice C rationale
This is an incorrect and potentially harmful statement. A previous cesarean section does not automatically preclude a future vaginal delivery. A vaginal birth after cesarean (VBAC) is a viable option for many individuals, particularly those who had a low transverse uterine incision. The decision is based on a careful assessment of risks and benefits with the patient's provider.
Choice D rationale
This statement is the most accurate and scientifically grounded response. The type of uterine incision is the most significant factor determining the safety of a future vaginal delivery. A low transverse incision has a lower risk of rupture during a trial of labor, making VBAC a safe option for many. A classical (vertical) incision, conversely, carries a high risk of uterine rupture, necessitating a repeat cesarean.
Correct Answer is C
Explanation
Choice A rationale
Placing one hand on the fundus while the other is on the perineum is an incorrect technique. This method fails to provide counterpressure to the lower uterine segment, which is essential to prevent uterine inversion during fundal massage. The uterus must be stabilized to ensure safe and effective palpation and massage.
Choice B rationale
Palpating the fundus with only fingertip pressure is an incorrect technique. This light pressure is insufficient to accurately assess uterine tone and position. Effective palpation requires firm but gentle pressure to compress the uterine wall and determine its height, tone, and midline placement.
Choice C rationale
Placing one hand at the base of the uterus just above the symphysis pubis and one on the fundus is the recommended technique. This provides essential counterpressure to support the lower uterine segment and prevent uterine prolapse or inversion during palpation and massage, ensuring patient safety.
Choice D rationale
Resting both hands on the fundus is an incorrect technique. This method fails to provide adequate counterpressure to the lower uterine segment. Without this stabilization, there is an increased risk of uterine inversion when massaging or assessing the fundus, a potentially life-threatening complication.
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