Which patient is at the highest risk of developing postpartum depression?
A mother who had a healthy pregnancy and delivery
A first-time mother with a supportive partner
A mother with a history of depression and minimal social support
A mother with no family history of mental illness
The Correct Answer is C
A. A mother with a healthy pregnancy and delivery has a lower risk, though postpartum depression can still occur, it is not as likely as in cases with more risk factors.
B. A first-time mother with a supportive partner has protective factors such as a strong support system, reducing the risk of postpartum depression.
C. A history of depression and minimal social support are significant risk factors for postpartum depression. Previous mental health issues increase the likelihood of postpartum mood disorders, and lack of support makes coping more difficult.
D. A lack of a family history of mental illness does not eliminate the risk of postpartum depression, especially if other risk factors, such as previous depression or limited support, are present.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Binge eating and weight gain are more commonly associated with eating disorders or other psychological conditions, not PTSD.
B. Nightmares, difficulty concentrating, and irritability are key symptoms of PTSD, reflecting the psychological impact of trauma. These are consistent with the intrusive and arousal symptoms associated with PTSD.
C. Purging is associated with eating disorders, not PTSD.
D. Decreased energy and fatigue are common symptoms of depression, not specifically indicative of PTSD, although they can be seen in both conditions.
Correct Answer is C
Explanation
A. Nausea is a common side effect but is not as critical as a skin rash.
B. Tremors may occur with certain medications used in bipolar disorder but are not a specific concern with lamotrigine.
C. A skin rash is a serious adverse effect of lamotrigine, as it can indicate a life-threatening condition called Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN), which require immediate medical intervention.
D. Drowsiness may occur with many medications but is not as urgent as a skin rash in this case.
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