A nurse is assessing a postpartum client during a follow-up visit.

What was the client’s score on the Edinburgh Postnatal Depression Screen?

Score of 9 on postpartum day 2.

Score of 11 on postpartum day 30.

Discharge teaching completed.

Will follow-up with provider in 4 weeks.

Answer and Explanation

The Correct Answer is B

Choice A rationale
A score of 9 on the Edinburgh Postnatal Depression Screen (EPDS) on postpartum day 2 is below the clinical cutoff score of 10, which is used to distinguish health controls versus possible depression. Therefore, this score would not indicate a high risk of developing a depressive disorder.
Choice B rationale
A score of 11 on the EPDS on postpartum day 30 is above the clinical cutoff score of 1034. This score indicates a high risk of developing a depressive disorder. Therefore, further assessment and possible intervention would be necessary.
Choice C rationale
While discharge teaching is an important aspect of postpartum care, it does not provide information about the client’s risk of developing postpartum depression. Therefore, this choice does not answer the question.
Choice D rationale
A follow-up appointment with a provider in 4 weeks is a standard part of postpartum care, but it does not provide information about the client’s risk of developing postpartum depression.
Therefore, this choice does not answer the question.

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Correct Answer is D

Explanation

Choice A rationale
Informing the client that the law requires them to name the fetus is not accurate. Laws vary by location, but most do not require parents to name a stillborn fetus. It is important to provide accurate information and support the parents in their decisions during this difficult time.
Choice B rationale
Limiting the amount of time the fetus is in the client’s room is not necessarily beneficial. Each family will have different needs and preferences when it comes to spending time with their stillborn baby. Some families may find comfort in holding and spending time with their baby, while others may prefer not to. The nurse should support the family’s decisions and provide compassionate care.
Choice C rationale
Instructing the client that an autopsy should be performed within 24 hours is not necessarily beneficial. The decision to perform an autopsy will depend on a variety of factors, including the parents’ wishes, the circumstances of the stillbirth, and local laws and regulations. It is important to provide the parents with information and support them in making this decision.
Choice D rationale
Providing the client with photos of the fetus can be a helpful part of the grieving process for some families. It allows them to remember their baby and can be a tangible reminder of the baby’s existence. However, this should be done based on the family’s wishes.

A. Consume foods served at cool temperatures. B. Brush your teeth after each meal. C. Eat three large meals per day. D. Drink plenty of water when feeling nauseated.

Correct Answer is A

Explanation

Consuming foods served at cool temperatures can help alleviate nausea and vomiting during early pregnancy. Cold foods often have less aroma compared to hot foods, which can make them more tolerable for someone experiencing nausea.
Choice B rationale
Brushing teeth after each meal is a good oral hygiene practice, but it does not directly help with managing nausea and vomiting during early pregnancy.
Choice C rationale
Eating three large meals per day is not recommended for managing nausea and vomiting during early pregnancy. Instead, eating small, frequent meals throughout the day can help keep the stomach from becoming empty, which can exacerbate nausea.
Choice D rationale
Drinking plenty of water when feeling nauseated can help prevent dehydration, which can occur as a result of vomiting. However, it may not directly alleviate the feeling of nausea.

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A nurse is assessing a postpartum client during a follow-up visit. What was the client’s score on the Edinburgh Postnatal Depression Screen?

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A nurse is assessing a postpartum client during a follow-up visit.

What was the client’s score on the Edinburgh Postnatal Depression Screen?