The nurse enters the patient's room and notices the new mother quietly weeping as she packs up to take her newborn home.
After talking with the patient, the nurse notes that the following factors increase this patient's risk for postpartum depression:

She has a history of anxiety and depression.

This is her third baby.

She and her husband just moved far from family for his new job; he works 12-hour days.

This is her first baby.

Answer and Explanation

Correct Answer : A,C

Choice A rationale

A personal or family history of depression and/or anxiety is a significant risk factor for developing postpartum depression. The biological and psychological factors that predispose an individual to these conditions, such as hormonal fluctuations and brain chemistry imbalances, can be exacerbated by the hormonal changes and stresses of the postpartum period. A history of these conditions indicates a pre-existing vulnerability to mood disorders.

Choice B rationale

Having a third baby is not an inherent risk factor for postpartum depression. In fact, some studies suggest that multiparous women may have a lower risk than first-time mothers, as they may have more experience and social support. However, it is the overall context, such as a history of depression, lack of social support, or a stressful life event, that contributes to the risk, not the number of children alone.

Choice C rationale

A lack of social support is a major risk factor for postpartum depression. Moving far from family, who are often a primary source of emotional and practical support, creates a sense of isolation. When combined with a husband who works long hours, the mother is left to manage the significant demands of a newborn with minimal assistance, increasing stress and feelings of loneliness, which are all key contributors to postpartum depression.

Choice D rationale

While some studies indicate that primiparous (first-time) mothers may be at a slightly higher risk of postpartum depression due to the novelty of the experience and the steep learning curve, it is not a definite risk factor in itself. The risk is more closely tied to pre-existing conditions and external stressors, such as a history of mood disorders and lack of social support. This is her first baby is a less influential factor compared to a history of anxiety/depression and a lack of social support

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

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

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["B","C"]

Explanation

Choice A rationale

Delayed cord clamping, or waiting for a period after birth. before clamping and cutting the umbilical cord, is not included in the active. management of the third stage of labor. Active management focuses on interventions. that expedite the delivery of the placenta and reduce postpartum blood loss. Delayed cord clamping is typically part of physiologic or expectant management. and can increase blood loss, which is why it is avoided in active management.

Choice B rationale

Controlled traction on the umbilical cord is a key component. of active management of the third stage of labor. After the placenta has. separated, gentle, downward traction is applied to the cord while simultaneously. applying fundal counter-pressure. This maneuver assists in the expulsion of the. placenta and helps to minimize the risk of uterine inversion. The procedure. should be done with caution and expertise.

Choice C rationale

Administration of oxytocin, typically within one minute. of the baby's birth, is a critical part of the active management of the third. stage of labor. This prophylactic administration of a uterotonic drug stimulates. uterine contractions, which hastens the separation and expulsion of the placenta. and significantly reduces the risk of postpartum hemorrhage. The usual dose is 10. units intramuscularly.

Choice D rationale

Fundal massage is part of postpartum care, but it is not. typically performed before placental delivery as part of active management. Massaging a flaccid or atonic uterus helps it to contract and reduce bleeding, but. this is done after the placenta has been expelled. Performing fundal massage. prior to this can interfere with the natural placental separation process. *.

A. A G1P1 who is bottle-feeding with infant formula. B. A G1P1 who is exclusively pumping and providing her infant with bottled, expressed breastmilk. C. A G3P3 who is breastfeeding and supplementing with formula. D. A G2P2 who is breastfeeding exclusively and on-demand.

Correct Answer is A

Explanation

Choice A rationale

Menstruation typically resumes earliest in non-lactating individuals. The absence of breastfeeding or breast stimulation means that prolactin levels do not remain elevated. Prolactin inhibits the secretion of gonadotropin-releasing hormone, which is necessary for the resumption of ovulation and the menstrual cycle. Therefore, the lack of lactation allows for a quicker return of menses.

Choice B rationale

This patient is actively lactating, which keeps her prolactin levels elevated. Prolactin acts on the hypothalamus to inhibit the release of gonadotropin-releasing hormone, which in turn suppresses ovulation and the menstrual cycle. Even with pumping, the hormonal cascade is maintained, delaying the return of menses.

Choice C rationale

This patient is breastfeeding and supplementing, which means she is still stimulating milk production and maintaining elevated prolactin levels. While supplementing might slightly reduce the prolactin levels compared to exclusive breastfeeding, they remain high enough to suppress the menstrual cycle, delaying the return of menses compared to a non-lactating patient.

Choice D rationale

This patient is exclusively breastfeeding on-demand, which leads to the highest and most sustained levels of prolactin. Prolactin levels remain elevated due to the frequent nipple stimulation, which effectively suppresses ovulation and delays the resumption of the menstrual cycle. This patient would be the last to resume her menses. ---.

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

The nurse enters the patient's room and notices the new mother quietly weeping as she packs up to take her newborn home. After talking with the patient, the nurse notes that the following factors increase this patient's risk for postpartum depression:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse expects which of the following to be included in the active management of the third stage of labor? SELECT ALL THAT APPLY.

Correct Answer is ["B","C"]

Explanation

Which of the following postpartum patients would the nurse expect to resume her menses first?

Correct Answer is A

Explanation

The perinatal nurse assisting with establishing lactation is aware that acute mastitis can be minimized by:

At 3 weeks postpartum, a patient calls the nurse on the triage line at the OB clinic. The patient states that she is now experiencing a whitish vaginal discharge. The nurse correctly explains to the patient:

The nurse enters the patient's room and notices the new mother quietly weeping as she packs up to take her newborn home. After talking with the patient, the nurse notes that the following factors increase this patient's risk for postpartum depression:

A patient with a history of chronic hypertension begins to hemorrhage following a precipitous vaginal delivery. The nurse knows that all of the following medications can be administered to this patient, EXCEPT:

The nurse is caring for 4 patients on the postpartum unit. Which of her patients is at greatest risk for the development of thromboembolic disease?

The nurse notices that her postpartum patient has soaked through a large pad in 30 minutes. The nurse assesses the client’s fundus and finds it firm, midline, and at the appropriate height. The nurse should next:

Two days ago a woman gave birth to a full-term infant. Last night she awakened several times to urinate and noted that her gown and bedding were wet from profuse diaphoresis. One mechanism for the diaphoresis and diuresis that this woman is experiencing during the early postpartum period is:

Which of the following statements about "baby blues" does the nurse understand to be correct?

The nurse enters the patient's room and notices the new mother quietly weeping as she packs up to take her newborn home.
After talking with the patient, the nurse notes that the following factors increase this patient's risk for postpartum depression: