NUR 414A Postpartum Depression

how do you diagnosis postpartum depression

NO DX TEST -- can use postpartum depression screening scale to determine dx

The nurse in the postpartum unit is observing the mother-infant bonding process in a client. Which observation, if made by the nurse, indicates the potential for a maladaptive interaction? 1.The mother is observed talking to the newborn. 2.The mother performs cord care for the newborn. 3.The mother verbalizes discomfort with the new role of motherhood. 4.The mother requests that the nurse feed the newborn because she is feeling fatigued.

4

what are the baby blues

postpartum depression; most frequent affliction r/t childbearing

treatments for postpartum depression

-antidepressants -psychosocial therapies

other s/s of postpartum depression

-appetite changes -crying, sadness -feelings of guilt -irritability -lack of energy -less responsive to infant -loss of pleasure in normal activities -suicidal thoughts

complications of postpartum depression

-neglect of infant -suicidal -homicidal (toward infant) -chronic depression

patient education for postpartum depression

-reduce isolation -get out of the house -know when to ask for help -have support group available -get uninterrupted sleep

MOST COMMON s/s r/t postpartum depression

-restlessness -agitation -impaired concentration -anxiety

risk factors for postpartum depression

-single parent -traumatic labor -martial disunity -substance abuse -low self-esteem -financial issues -baby will illness -multiple children -previously had postpartum depression

what is the incidence of postpartum depresison

1 in 5 women

The nurse is teaching a new mother how to care for her newborn. The nurse notes that the client is very fearful and reluctant to handle the newborn and also notes that this is the client's first child. Which nursing interventions are most appropriate in assisting the promotion of mother-infant interaction and bonding? Select all that apply. 1.Accepting the client's feelings 2.Acknowledging the client's apprehension 3.Assisting the client with giving the baths to allow her to become more at ease 4.Leaving the infant with the client so that she will be required to provide the care 5.Taking the newborn back to the nursery to provide rest periods for the new mother

1, 2, 3

After a precipitous delivery, the nurse notes that the new mother is passive and touches her newborn infant only briefly with her fingertips. What should the nurse do to help the woman process the delivery? 1.Encourage the mother to breast-feed soon after birth. 2.Support the mother in her reaction to the newborn infant. 3.Tell the mother that it is important to hold the newborn infant. 4.Document a complete account of the mother's reaction on the birth record.

2

The postpartum unit nurse is creating a plan of care for a first-time mother and identifies the need for measures that will promote parent-infant bonding. Which measure should the nurse include in the plan? 1.Use a low-pitched voice to speak to the infant. 2.Encourage the mother to hold the infant when the infant cries. 3.Encourage the parents to allow the infant to sleep in the parental bed. 4.Encourage the mother to allow the nursing staff to care for the infant during her hospital stay until she is discharged.

2

The nurse is assessing a client for signs of postpartum depression. Which observation, if noted in the new mother, indicates a need for follow-up or further assessment related to this form of depression? 1.The mother is caring for the infant in a loving manner. 2.The mother demonstrates an interest in the surroundings. 3.The mother constantly complains of tiredness and fatigue. 4.The mother looks forward to visits from the father of the newborn.

3

what should you assess for in postpartum depression

assess infant for: -abuse -weight loss -dehydration -failure to thrive -attachment issues -not developing on track

what is the pathophysiology of postpartum depression

changes in levels of hormones after childbirth

what does mom with postpartum depression look like

lack of personal hygiene poor appetite irritable avoidance flat affect unkempt distracted disorganized exhausted insomnia