When a woman is diagnosed with postpartum depression (PPD) with psychotic features, what is the nurse’s primary concern in planning the client’s care?
Harm to herself or her infant.
Displaying outbursts of anger.
Neglecting her hygiene.
Losing trust in her husband.
The Correct Answer is A
Choice A rationale
Postpartum depression with psychotic features may lead to suicidal ideation or infanticidal tendencies due to delusions or hallucinations. Ensuring safety is critical to prevent harm to both mother and infant.
Choice B rationale
Anger outbursts, though concerning, do not pose immediate threats like harm to self or infant. Addressing this behavior is secondary to prioritizing safety in severe postpartum psychosis cases.
Choice C rationale
Neglecting hygiene reflects depressive symptoms but does not indicate psychosis severity or imminent danger. Primary focus remains on managing safety risks to the mother and infant.
Choice D rationale
Losing trust in her husband is relevant to interpersonal stress but does not constitute a primary care concern. The immediate threat of harm takes precedence over marital dynamics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
Choice A rationale
Deep sleep is not a characteristic of neonatal abstinence syndrome; rather, infants tend to exhibit irritability and disturbed sleep patterns due to central nervous system hyperirritability caused by opioid withdrawal.
Choice B rationale
A high-pitched cry occurs due to central nervous system overstimulation and hyperirritability, which are hallmark features of neonatal abstinence syndrome and a direct result of opioid withdrawal in neonates.
Choice C rationale
Poor feeding is common in neonatal abstinence syndrome due to uncoordinated suck reflexes and gastrointestinal disturbances, leading to difficulty maintaining adequate nutrition and hydration in affected neonates.
Choice D rationale
Neonates with neonatal abstinence syndrome often exhibit tremors or shaking as a result of central nervous system hyperirritability, which is a hallmark symptom of opioid withdrawal in newborns.
Choice E rationale
Excessive sweating is a manifestation of autonomic nervous system dysregulation caused by opioid withdrawal in neonates, commonly observed in infants with neonatal abstinence syndrome.
Correct Answer is D
Explanation
Choice A rationale
Support groups provide emotional connection, but they do not address immediate concerns like the parents' involvement in care, which is essential for fostering confidence and bonding with the baby.
Choice B rationale
Limiting visits could increase parental anxiety and hinder their emotional connection to their baby. Parental involvement in care improves attachment and reduces stress, making this suggestion counterproductive to emotional health.
Choice C rationale
Advising parents to avoid attachment disregards the importance of early bonding in the neonatal period, which plays a key role in long-term emotional and psychological development for both the child and the parents.
Choice D rationale
Regular updates and including parents in the baby’s care empower them, promoting attachment and reducing feelings of helplessness. Parent-infant interaction has been shown to enhance coping mechanisms and improve family dynamics.
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