Which of the following statements most accurately describes postpartum depression (PPD)?
PPD will disappear on its own without outside help.
PPD is the baby blues” that includes a visit with a counselor or psychologist.
PPD is more common among older Caucasian women.
PPD is distinguished by irritability, severe anxiety, and panic attacks.
The Correct Answer is D
Choice A rationale
Postpartum depression does not resolve without intervention. It requires medical or psychological treatment to address underlying hormonal, emotional, and environmental factors contributing to the condition.
Choice B rationale
Postpartum depression is distinct from baby blues, which are transient and resolve without treatment. PPD involves more severe symptoms requiring medical or psychological intervention for effective management.
Choice C rationale
Postpartum depression is not limited to older Caucasian women. It affects women of all ages, ethnicities, and socioeconomic backgrounds, influenced by hormonal, genetic, and environmental factors.
Choice D rationale
Postpartum depression is characterized by severe anxiety, irritability, and panic attacks, distinguishing it from baby blues. These symptoms interfere with daily functioning and require medical or psychological treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Manually removing the placenta can introduce infection and cause uterine injury, which are not preventive measures for postpartum hemorrhage but treatments for retained placenta requiring sterile conditions and medical indication.
Choice B rationale
Administering antibiotics does not directly prevent postpartum hemorrhage, as it focuses on managing infections like endometritis. Hemorrhage prevention is better addressed by uterine tone management and avoiding excessive bleeding.
Choice C rationale
Applying pressure to the umbilical cord can lead to uterine inversion, worsening hemorrhage. Controlled cord traction during active management of the third stage is safer and reduces hemorrhage risk effectively.
Choice D rationale
Frequent urination prevents bladder distension, which enhances uterine contraction. A contracted uterus reduces hemorrhage risk by compressing blood vessels. Distended bladder inhibits proper uterine contraction, increasing hemorrhage likelihood.
Correct Answer is A
Explanation
Choice A rationale
Urine output of 40 mL in 8 hours indicates oliguria, suggesting inadequate renal perfusion. Normal urine output is 30 mL/hour or greater. This could signify hypovolemia or renal compromise post-hemorrhage.
Choice B rationale
A drop in hematocrit of 2% may be expected postpartum and is not immediately concerning unless accompanied by hemodynamic instability or symptoms of anemia like dizziness or fatigue.
Choice C rationale
A 2 lb weight decrease postpartum is normal due to fluid shifts and diuresis. It does not indicate an emergent condition requiring immediate reporting to the obstetrician.
Choice D rationale
A pulse rate of 68 beats per minute is within the normal adult range of 60 to 100 beats per minute and is not typically concerning post-delivery.
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