Review Postpartum Blues

Postpartum Depression > Maternal & Newborn

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Postpartum Blues

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Total Questions : 4

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Question 1:

A nurse is caring for a client who gave birth 3 days ago and reports feeling sad, restless, and fatigued.

The nurse should recognize that these are signs of what condition?

A. Postpartum blues B. Postpartum depression C. Postpartum psychosis D. Postpartum hemorrhage

Answer and Explanation

Choice A:

This condition is characterized by feeling sad, restless, and fatigued after giving birth. It is caused by hormonal changes and usually goes away within the first two weeks.

Choice B:

ostpartum depression is wrong because it is a more serious and persistent form of mood disorder that can affect up to one in five new moms. It can cause severe symptoms such as loss of interest, hopelessness, guilt, suicidal thoughts, and difficulty bonding with the baby. It requires treatment with therapy and medication.

Choice C:

Postpartum psychosis is wrong because it is a rare and severe mental health emergency that can cause hallucinations, delusions, paranoia, and other behavior changes. It can also increase the risk of harming oneself or the baby. It usually develops within the first week after delivery and requires immediate medical attention.

Choice D:

Postpartum hemorrhage is wrong because it is a physical complication that involves excessive bleeding after giving birth. It can cause symptoms such as low blood pressure, rapid heart rate, pale skin, and shock. It can be life-threatening and requires prompt treatment with fluids, blood transfusions, and medications.

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Question 2:

A nurse is teaching a prenatal class about postpartum care.

The nurse should inform the class that postpartum blues typically occur within how many days after childbirth?

A. 1 to 2 days B. 3 to 4 days C. 5 to 6 days D. 7 to 8 days.

Answer and Explanation

Choice A:

postpartum blues usually start within a few days of childbirth, not 1 to 2 days.

Choice B:

postpartum blues often peak by day four or five, not 3 to 4 days.

Choice C:

postpartum blues may last up to two weeks, not 5 to 6 days. If symptoms last longer than two weeks, the individual should be evaluated for postpartum depression.

Choice D:

Postpartum blues typically occur within 7 to 8 days after childbirth. Postpartum blues is a mild and short-term mood disorder that results after pregnancy and affects up to 85% of new mothers. It is caused by a sudden drop in hormone levels and the physical and emotional changes that come with having a new baby.

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Question 3:

A nurse is assessing a client who gave birth 5 days ago and has postpartum blues.

Which of the following findings should the nurse expect? (Select all that apply.)

A. Lack of appetite B. Hallucinations C. Tearfulness D. Feeling of letdown E. Insomnia.

Answer and Explanation

Choice A:

lack of appetite is not a typical symptom of postpartum blues. It may indicate a more serious condition such as postpartum depression or an underlying medical problem.

Choice B:

hallucinations are not a symptom of postpartum blues. They may indicate a rare but severe condition called postpartum psychosis, which requires immediate medical attention.

Choice C:

Postpartum blues or baby blues are mild and transient mood changes that occur after giving birth, usually within the first two weeks. They are caused by hormonal fluctuations, physical exhaustion and adjustment to parenthood. Some of the common symptoms of postpartum blues are tearfulness, feeling of letdown, irritability, anxiety and insomnia.

Choice D:

Choice E:

insomnia is a symptom of postpartum blues, not a separate choice. Insomnia means difficulty falling asleep or staying asleep, which can affect the mood and energy levels of new mothers.

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Question 4:

uestion 4.

A nurse is providing discharge instructions to a client who has postpartum blues.

Which of the following statements by the client indicates an understanding of the teaching?

A. “I should seek professional help if I still feel this way after a week.” B. “I should avoid talking to my partner or friends about how I feel.” C. “I should take antidepressants to cope with my mood swings.” D. “I should get plenty of rest and eat a balanced diet.”.

Answer and Explanation

Choice A:

client should seek professional help if the symptoms last longer than two weeks or interfere with daily functioning, as this may indicate postpartum depression .

Choice B:

the client should not avoid talking to their partner or friends about how they feel. Emotional support and reassurance are important for coping with the postpartum blues .

Choice C:

client should not take antidepressants to cope with the mood swings. Antidepressants are not indicated for postpartum blues, which is a self-limited condition that does not require medication .

Choice D:

The client should get plenty of rest and eat a balanced diet to cope with the postpartum blues. This is a mild and short-term mood disorder that affects up to 85% of new mothers and is caused by hormonal changes, physical exhaustion and life adjustments after childbirth. It usually resolves within two weeks without medication.

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Postpartum Blues

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