A home care nurse is following up with a postpartum client. Which of the following is a risk factor that places this client at risk for postpartum depression?

Hormonal changes with a rapid decline in estrogen and progesterone levels.

Increased social support systems.

High self-esteem.

Mother of two other children.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Hormonal changes play a significant role in postpartum depression. After childbirth, there is a rapid decline in estrogen and progesterone levels, which can lead to mood fluctuations and depressive symptoms. Understanding this hormonal aspect is crucial for the nurse to address postpartum depression risk factors.

Choice B rationale:

Increased social support systems would be considered a protective factor against postpartum depression rather than a risk factor. Having strong social support can help mitigate the risk of developing postpartum depression.

Choice C rationale:

High self-esteem is not typically a risk factor for postpartum depression. In fact, individuals with higher self-esteem may be more resilient in coping with the challenges of postpartum period.

Choice D rationale:

Being a mother of two other children is not inherently a risk factor for postpartum depression. While having multiple children can be demanding, it does not directly increase the risk of developing postpartum depression. The hormonal changes and individual circumstances play more significant roles.

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Correct Answer is C

Explanation

Choice A rationale:

Vitamin E is essential for cell function and acts as an antioxidant. While vitamin E is important during pregnancy, there is no specific recommendation to increase its intake during gestation. The recommended daily allowance (RDA) for vitamin E during pregnancy is 15 mg.

Choice B rationale:

Vitamin D is crucial for calcium absorption and bone health. However, it is not explicitly advised to increase vitamin D intake during pregnancy, and it largely depends on the individual's baseline vitamin D levels. The RDA for vitamin D during pregnancy is 600 IU.

Choice C rationale:

Fiber is essential during pregnancy as it helps prevent constipation, which is a common problem due to the increased levels of progesterone. A high-fiber diet also helps in maintaining healthy blood sugar levels, which is important to avoid gestational diabetes.
Choice D rationale:

Calcium is vital for the development of the baby's bones and teeth. While it is an important nutrient during pregnancy, the body's ability to absorb calcium improves during pregnancy, so the recommended intake does not increase as much as fiber.

A. Increased pancreatic activity during pregnancy causes fat intolerance. B. Increased estrogen production causes more hydrochloric acid in the stomach. C. Pressure from the growing uterus pushes up on the stomach and intestines. D. Progesterone causes relaxation of the cardiac sphincter allowing acid to reflux.

Correct Answer is D

Explanation

Choice A rationale:

Increased pancreatic activity during pregnancy causing fat intolerance is not related to the cause of indigestion and heartburn. Pancreatic activity can change during pregnancy, but it does not directly impact indigestion and heartburn.

Choice B rationale:

Increased estrogen production causing more hydrochloric acid in the stomach is not the cause of indigestion and heartburn during pregnancy. While hormones can influence digestion, the mechanism for indigestion and heartburn lies elsewhere.

Choice C rationale:

Pressure from the growing uterus pushing up on the stomach and intestines is a contributing factor to indigestion and heartburn during pregnancy. However, it is not the primary cause. The main cause is related to the relaxation of the cardiac sphincter.

Choice D rationale:

Progesterone causes relaxation of the cardiac sphincter, which is a muscular valve that prevents stomach acid from flowing back into the esophagus. When this sphincter relaxes, it can lead to acid reflux and subsequent indigestion and heartburn during pregnancy. The nurse should educate the client about this hormonal effect to help manage these symptoms effectively.

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A home care nurse is following up with a postpartum client. Which of the following is a risk factor that places this client at risk for postpartum depression?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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