Your patient is diagnosed with perinatal mood and anxiety disorder. You know your patient understands your teaching about this when she states:

I am a terrible mother and should give my child up for adoption.

This is just normal baby blues and I will be fine in a few days.

I will have to be on medications the rest of my lifE.

I am not alone, I am not to blame, I will get better with help.

Answer and Explanation

The Correct Answer is D

Choice A: I am a terrible mother and should give my child up for adoption. This is a false and harmful statement that reflects low self-esteem, guilt, and hopelessness. These are common symptoms of perinatal mood and anxiety disorder, but they do not reflect the reality or the potential of the patient. The patient needs support, counseling, and possibly medication to overcome these negative thoughts.

Choice B: This is just normal baby blues and I will be fine in a few days. This is a false and minimizing statement that denies the severity and duration of perinatal mood and anxiety disorder. Baby blues are mild and transient mood changes that occur in the first two weeks after delivery. Perinatal mood and anxiety disorder is a more serious and persistent condition that can affect the mother's mental health, bonding with the baby, and daily functioninG. The patient needs to recognize the signs and symptoms of perinatal mood and anxiety disorder and seek professional help.

Choice C: I will have to be on medications the rest of my lifE. This is a false and pessimistic statement that assumes that perinatal mood and anxiety disorder is a chronic and incurable condition. Medications are one of the treatment options for perinatal mood and anxiety disorder, but they are not the only onE. Psychotherapy, peer support, lifestyle changes, and alternative therapies are also effective ways to manage perinatal mood and anxiety disorder. The patient needs to have a realistic and hopeful outlook on the recovery process and the possibility of remission.

Choice D: I am not alone, I am not to blame, I will get better with help. This is a true and empowering statement that reflects the key messages of perinatal mood and anxiety disorder education and awareness. The patient needs to know that perinatal mood and anxiety disorder is a common and treatable condition that affects many women around the worlD. The patient needs to understand that perinatal mood and anxiety disorder is not caused by personal weakness, failure, or fault. The patient needs to believe that perinatal mood and anxiety disorder can be overcome with the help of health care providers, family, friends, and support groups.

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Correct Answer is B

Explanation

Choice A: Absence of family members during labor is not a common practice among Hispanic clients, as they tend to value family support and involvement during childbirtH. The nurse should respect the client's preferences and allow the family members to be present if the client wishes.

Choice B: Request to drink cold fluids immediately after delivery is a common practice among Hispanic clients, as they believe that cold fluids help restore the balance of the body and prevent complications such as hemorrhage and infection. The nurse should accommodate the client's request and provide cold fluids as long as they are not contraindicateD.

Choice C: Practice of maternal fasting following the birth is not a common practice among Hispanic clients, as they tend to consume warm and nutritious foods and beverages to promote healing and lactation. The nurse should encourage the client to eat a balanced diet and provide culturally appropriate foods if possiblE.

Choice D: Desire to delay breastfeeding for several days is not a common practice among Hispanic clients, as they tend to initiate breastfeeding soon after delivery and continue it for a long timE. The nurse should support the client's decision and provide education and assistance on breastfeeding if needeD.

A. Call the lactation consultant to visit the patient B. Encourage and support the mother's desire/intention and include the partner in the conversation C. Give the mother a bottle of formula to supplement D. Help the mother shove her nipple in the baby's mouth. E. Check for audible swallowing and a comfortable (non-painful) suck F. Assist with proper positioning and latch techniques

Correct Answer is ["A","B","E","F"]

Explanation

A. Call the lactation consultant to visit the patient

Rationale: A lactation consultant is a specialized professional who can provide expert guidance on breastfeeding techniques and troubleshooting latching issues. They can offer personalized assistance and support to ensure proper latch and feeding.

B. Encourage and support the mother's desire/intention and include the partner in the conversation

Rationale: Providing emotional support and encouragement is crucial. Including the partner helps create a supportive environment for the mother and ensures that everyone is on the same page regarding breastfeeding goals and practices.

E. Check for audible swallowing and a comfortable (non-painful) suck

Rationale: Ensuring that the baby is swallowing and that the mother is not experiencing pain during feeding indicates that the latch may be correct. This helps confirm that the baby is feeding effectively and that the mother is comfortable.

Not Recommended:

C. Give the mother a bottle of formula to supplement

Rationale: Introducing formula supplementation is not necessary if the goal is exclusive breastfeeding. This step might undermine the mother's confidence or interfere with the baby's ability to latch properly.

D. Help the mother shove her nipple in the baby's mouth

Rationale: This approach can cause discomfort and may not address the underlying issue of improper latching. It is better to use techniques that encourage a natural and comfortable latch.

Note:

F. Assist with proper positioning and latch techniques"

Rationale:Proper positioning ensures the baby is comfortably aligned with their head in line with their body, and the baby is brought to the breast, not vice versa.

A good latch involves the baby opening their mouth wide to take in the nipple and a portion of the areola, which helps with milk transfer and reduces discomfort. Proper latch prevents pain and supports milk production.

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Your patient is diagnosed with perinatal mood and anxiety disorder. You know your patient understands your teaching about this when she states:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the admission of a client who is Hispanic to the labor and delivery unit. Which of the following practices should the nurse anticipate while caring for this client? (Select onE.:

Correct Answer is B

Explanation

Your patient who wants to exclusively breastfeed is afraid her baby isn't latching properly. To assist the mother you would (Select all that apply)

Correct Answer is ["A","B","E","F"]

Explanation

Intrauterine resuscitation for an evolving category II or category III tracing includes (Select all that apply):

You are assuming the care of a patient admitted for a fetal demise at 30 weeks gestation. Which is the most therapeutic response to the patient? (Select onE.:

A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis for L/S ratio. The client needs an amniocentesis to determine which of the following findings?

A nurse is assisting with the admission of a client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasonE. Which of the following statements should the nurse make? (Select onE.:

A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rulE. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?

A nurse is caring for a client who is 1 day postpartum following a cesarean birtH. To prevent thrombophlebitis, the nurse should include which of the following interventions in the client's plan of care? (Select onE.:

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A nurse is updating the plan of care for a newborn who is undergoing phototherapy. Which of the following actions should the nurse include in the plan? (Select all that apply):