Post Partum Depression (mood and affect)
The nurse is caring for a client in whom postpartum depression is suspected. Which question is most appropriate for the nurse to ask this client during the diagnostic process?
How many hours of sleep are you getting each night?
A nurse is teaching a family about possible therapies for a client with postpartum psychosis. Which clinical therapy would the nurse state is used to treat the client experiencing this condition?
Lithium and antipsychotics Supervision when caring for infant or other children Support groups Short-term institutionalization
informal stage
The parents have learned their newborn's cues and respond to his unique needs instead of following advice from a book or from others. The woman develops her own style of mothering.
Which nursing diagnosis is appropriate for a client diagnosed with postpartum depression?
alterations in parenting
anticipatory stage
during pregnancy; watches own mother and other role models for parenting cues
A nurse is providing a workshop about nursing care for clients experiencing a postpartum illness. Which discharge teaching strategy suggested by the nurse would be inappropriate?
eating hi fat meals CAN journal, prioritize, avoid alcohol
Which action by a new mother hinders her from attaching with her baby?
putting baby in crib next to bed
PP psychosis
risk factors: previous PPD, bipolar hx, first time pregnancy manifestations: agitation, confusion, sleeplessness, hallucinations, delusions, hyperactivity, inability to concentrate or remember, poor judgment, irrationality -believe infant should not be allowed to live -hospitalization and meds -ECT
Which therapy is most appropriate for a client experiencing postpartum psychosis who is a threat to self or others?
short-term institutionalism
A treatment program for clients with postpartum depression includes pharmacologic and nonpharmacologic approaches. The nurse suggests that which nonpharmacologic treatment provides couples with opportunities to share common experiences and concerns?
support groups
Which medication is contraindicated for breastfeeding mothers?
tricyclic doxepin
The nurse is providing care to a postpartum mother who also has a child, age 3, at home. Which action by the nurse would facilitate bonding between the new baby and the sibling?
Educating the new parents on the open visitation and rooming-in policy at the hospital
personal stage
The maternal role has become internalized. There is a sense of harmony with the role, and the newborn is seen as a central person in the parents' lives.
The nurse is assessing a client for postpartum blues. Which feelings voiced, or behaviors observed, might the nurse document regarding a client experiencing postpartum blues?
fatigue, anxiousness, tearfulness, loss of appetite, and feelings of being overwhelmed and being "let down."
The nurse is caring for several clients on a postpartum unit. Which client is at the greatest risk for developing postpartum depression?
1st time mom
The nurse is assessing a client for risk factors associated with postpartum depression. Which data item found in the health history is not associated with postpartum depression?
2nd pregnancy
Discharge teaching is being conducting by the charge nurse to a client with postpartum depression. Which resource option would be inappropriate for the nurse to provide to the client?
Faith-based services
A postpartum client returns to the clinic for her scheduled appointment 3 weeks after delivery. She reports extreme fatigue, feelings of sadness, and insomnia. Based on these assessment findings, which diagnosis does the nurse anticipate for this client?
PPD
The home care nurse is providing care for a postpartum client. The client begins to cry during the assessment process and states, "I don't know why I am crying all the time. I am so in love with my baby." Which postpartum disorder does the nurse suspect that the client is experiencing?
Postpartum blues is characterized by mild depression interspersed with happier feelings and is self-limiting -crying for no reason -usually no longer than 2 weeks
The nurse is caring for a client with postpartum depression. Which intervention should the nurse include in the client's care?
Provide resources and referrals as needed Use a depression scale to assess the client's status (edinburgh PDS) Educate the client and family about signs and symptoms of postpartum depression Help facilitate bonding with the infant
formal stage
begins at birth; mother's behaviors are guided by parents, friends, and health professionals. As she and her partner become acquainted with the newborn, their caregiving meshes with the newborn's behavioral cues.
A nurse is making follow-up calls to postpartum clients. Which client should the nurse schedule to be seen immediately?
client reporting hearing voices talking about the baby
maternal role attainment
confidence in your ability as mom
The nurse on the postpartum unit demonstrates techniques to the mother to feed the newborn. The nurse then observes the mother following her technique. The patient is exhibiting which stage of maternal role attainment?
formal
safe while breastfeeding
lithium, nortryptylin, SSRIs
PPD
may begin DURING pregnancy, half the time during- severe anxiety and panic attacks
PPD
mental health counseling
The nurse is assessing a client and asks how she is feeling. In response to the nurse's question, the postpartum client states she has been experiencing ongoing appetite changes, sleep deprivation, crying spells, anxiety, and poor concentration. The nurse determines that the client needs to be referred for evaluation. Which referral would be most appropriate for this client?
mental health professional The presence of three symptoms on 1 day or one symptom for 3 days may signal serious depression and requires immediate referral to a mental health professional
Which symptom would be associated with the condition known as postpartum blues?
mood swings, insomnia, anorexia
The nurse is providing care to a breastfeeding client diagnosed with postpartum depression. Which medication order is appropriate for this client?
nortriptyline
puerperium
period immediately after giving birth
