Review Postpartum Depression (PPD)

Postpartum Depression > Maternal & Newborn

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Postpartum Depression (PPD)

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Total Questions : 4

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Question 1:

A nurse is educating a postpartum client about the signs and symptoms of postpartum depression.

Which of the following statements by the client indicates a need for further teaching?

A. “I should call my doctor if I feel sad or hopeless for more than two weeks.” B. “I should try to get enough sleep and eat a balanced diet.” C. “I should avoid talking to my partner or friends about how I feel.” D. “I should join a support group for women with postpartum depression.”

Answer and Explanation

Choice A:

it shows that the client is aware of the duration and severity of postpartum depression symptoms. Feeling sad or hopeless for more than two weeks is a criterion for diagnosing postpartum depression.

Choice B:

it shows that the client is taking care of her physical health and well-being, which can help prevent or reduce postpartum depression symptoms. Getting enough sleep and eating a balanced diet are important for maintaining hormonal balance and energy levels.

Choice C:

Choice C is wrong because it indicates that the client is isolating herself and avoiding social support, which are signs of postpartum depression. The client should be encouraged to talk to her partner or friends about how she feels and seek professional help if needed.

Choice D:

it shows that the client is willing to join a support group for women with postpartum depression, which can provide emotional and practical support, reduce stigma and isolation, and promote recovery.

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Question 2:

A nurse is assessing a postpartum client who has a history of bipolar disorder.

The nurse should monitor the client for which of the following manifestations of postpartum psychosis?

A. Paranoia that her infant will be harmed B. Concerns about lack of income to pay bills C. Anxiety about assuming her new role as a mother D. Rapid decline in estrogen and progesterone.

Answer and Explanation

Choice A:

aranoia that her infant will be harmed. This is a manifestation of postpartum psychosis, which is a severe mental illness that can affect someone soon after having a baby. Postpartum psychosis can cause hallucinations, delusions, paranoia or other behavior changes. People with postpartum psychosis have a much higher risk of harming themselves or their children.

Choice B:

Concerns about lack of income to pay bills. This is not a manifestation of postpartum psychosis, but it could be a sign of postpartum depression or anxiety, which are more common and less severe than postpartum psychosis. Postpartum depression and anxiety can cause persistent sadness, worry, guilt, loss of interest or difficulty bonding with the baby.

Choice C:

Anxiety about assuming her new role as a mother. This is not a manifestation of postpartum psychosis, but it could be a normal feeling for many new mothers. It could also be a sign of postpartum depression or anxiety if it interferes with daily functioning or causes excessive distress.

Choice D:

This is not a manifestation of postpartum psychosis, but it is one of the possible causes of it. The sudden drop in hormone levels after giving birth may trigger changes in brain chemistry that lead to postpartum psychosis in some people. Other risk factors include having a history of bipolar disorder, schizophrenia or previous postpartum psychosis. Normal ranges for estrogen and progesterone vary depending on the stage of pregnancy and the method of measurement, but generally they are much higher during pregnancy than after delivery. For example, the average level of estrogen in the third

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Question 3:

A nurse is caring for a postpartum client who is exhibiting tearfulness, insomnia, lack of appetite, and a feeling of letdown.

The nurse knows these findings are characteristics of.

A. Postpartum fatigue. B. Postpartum psychosis. C. The letting-go phase. D. Postpartum depression

Answer and Explanation

Choice A:

postpartum fatigue is not a condition but a symptom that can be caused by various factors such as physical discomfort, hormonal changes, or lack of sleep.

Choice B:

postpartum psychosis is a rare and severe mental disorder that usually occurs within the first 2 weeks after delivery and involves symptoms such as pronounced sadness, disorientation, confusion, paranoia, hallucinations, delusions, and thoughts of harming oneself or the infant.

Choice C:

letting-go phase is a normal stage of maternal role adaptation that occurs around 2 to 6 weeks after delivery and involves accepting the infant as a separate individual, resuming the pre-pregnancy relationship with the partner, and reestablishing relationships with other people.

Choice D:

According to the web search results, postpartum blues are characterized by feelings of sadness, lack of appetite, sleep pattern disturbances, feeling of inadequacies, crying easily for no apparent reason, restlessness, insomnia, fatigue, headache, anxiety, anger, sadness.

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Question 4:

A nurse is reviewing the risk factors for postpartum depression with a group of pregnant women.

Which of the following risk factors should the nurse mention? (Select all that apply.).

A. A personal or family history of depression B. Previous episodes of postpartum depression C. Stressful life events D. Lack of social support E. Hormonal imbalances.

Answer and Explanation

Choice A:

These are all risk factors for postpartum depression according to various sources.

Choice B:

These are all risk factors for postpartum depression according to various sources.

Choice C:

These are all risk factors for postpartum depression according to various sources.

Choice D:

These are all risk factors for postpartum depression according to various sources.

Choice E:

hormonal imbalances are not a risk factor for postpartum depression, but rather a possible cause or trigger. Normal ranges for hormone levels vary depending on the individual and the stage of pregnancy or postpartum period. However, some common hormones that are involved in postpartum depression are estrogen, progesterone, thyroid hormones and cortisol.

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Postpartum Depression (PPD)

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