Which signs of postpartum depression require additional attention from the nurse? (Select all that apply.)
Return of lochia rubra.
Engorged, painful breasts.
Difficulty falling asleep.
Decreased appetite.
Feelings of sadness.
Correct Answer : C,D,E
Choice A rationale
Return of lochia rubra, or bright red bleeding, is not a sign of postpartum depression. It is a normal part of the postpartum period and can last for several weeks after childbirth.
Choice B rationale
Engorged, painful breasts can be a sign of breastfeeding complications, but they are not a sign of postpartum depression. They are a common experience for many women as their milk comes in after childbirth.
Choice C rationale
Difficulty falling asleep, even when the baby is sleeping, can be a sign of postpartum depression. Sleep disturbances are common among women with postpartum depression.
Choice D rationale
Decreased appetite can be a sign of postpartum depression. Changes in eating habits, such as eating too little or too much, are common symptoms of depression.
Choice E rationale
Feelings of sadness that last for more than two weeks after childbirth can be a sign of postpartum depression. While many women experience “baby blues” in the first few weeks after childbirth, prolonged feelings of sadness can indicate a more serious issue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While the estimated amount of fluid can provide some information about the volume of amniotic fluid lost, it is not the most critical piece of information. The amount of fluid can vary and does not necessarily indicate the progression of labor.
Choice B rationale
Any odor noted when the membranes ruptured can be a sign of infection. However, this is not the most crucial information to obtain immediately as it does not directly impact the management of labor.
Choice C rationale
The time the membranes ruptured is the most important information to obtain. This is because the risk of infection increases the longer the time between membrane rupture and delivery.
Knowing the time of rupture helps guide decisions about inducing labor and administering antibiotics to prevent infection.
Choice D rationale
The color and consistency of the fluid can provide information about the presence of meconium or blood, which could indicate fetal distress or placental problems. However, this is not the most critical information to obtain immediately.
Correct Answer is ["50"]
Explanation
To calculate the rate at which the infusion pump should be set, we need to determine how many mL of the solution contain 2 grams of magnesium sulfate.
Step 1: First, we find out how many grams of magnesium sulfate are in 1 mL of the solution. The IV bag contains 20 grams of magnesium sulfate in 500 mL, so we divide 20 grams by 500 mL to get the amount of magnesium sulfate per mL: 20 grams ÷ 500 mL = 0.04 grams/mL
Step 2: Next, we find out how many mL contain 2 grams of magnesium sulfate.
We divide 2 grams by the amount of magnesium sulfate per mL: 2 grams ÷ 0.04 grams/mL = 50 mL Therefore, the nurse should set the infusion pump to deliver 50 mL per hour.
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