A nurse is caring for a postpartum client who has been diagnosed with postpartum depression (PPD).

Which of the following interventions should be included in her plan of care?

Encourage her to sleep as much as possible

Encourage her to avoid talking about her feelings

Encourage her to spend time alone as much as possible

Encourage her to participate in support groups

Answer and Explanation

The Correct Answer is D

Encourage her to participate in support groups. This is because support groups can help the postpartum client to share her feelings, learn coping skills, and receive emotional and social support from other mothers who have experienced postpartum depression. Support groups can also reduce the sense of isolation and stigma that some women with postpartum depression may feel.

Encourage her to sleep as much as possible is wrong because sleeping too much can be a sign of depression and can interfere with the mother’s ability to bond with her baby and perform daily activities. Sleeping too little can also worsen symptoms or increase the likelihood of postpartum depression due to sleep deprivation. Therefore, the mother should be encouraged to follow a healthy sleep routine and get help from others if needed.

Encourage her to avoid talking about her feelings is wrong because talking about feelings is an important part of psychotherapy, which is a recommended treatment for postpartum depression.Talking about feelings can help the mother to express her emotions, identify negative thoughts, and receive feedback and guidance from a mental health professional. Avoiding talking about feelings can lead to further isolation and distress.

Encourage her to spend time alone as much as possible is wrong because spending time alone can also increase the sense of isolation and loneliness that some women with postpartum depression may experience. Spending time alone can also prevent the mother from receiving help and support from others, such as her partner, family, friends, or healthcare providers. The mother should be encouraged to seek social support and engage in enjoyable activities with others.

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Correct Answer is A

Explanation

The correct answer is choice A. Increased self-confidence levels.

This outcome would indicate that the expectant mothers have gained knowledge and skills to cope with the challenges of pregnancy and childbirth, and feel more confident in their abilities to perform the maternal role.

Antenatal education aims to prepare women for pregnancy, labor, delivery, and postnatal care, and to enhance their self-confidence and satisfaction.

Choice B is wrong because decreased childbirth attitudes would indicate that the expectant mothers have developed negative or fearful perceptions of childbirth, which could affect their coping and decision-making abilities.

Antenatal education should promote positive attitudes and expectations towards childbirth.

Choice C is wrong because increased maternal role strain would indicate that the expectant mothers are experiencing difficulties or conflicts in adapting to the maternal role, which could affect their well-being and bonding with the baby.

Antenatal education should help women to adjust to the changes and demands of motherhood.

Choice D is wrong because decreased social support would indicate that the expectant mothers have less access to or use of resources and assistance from their family, friends, or health professionals, which could affect their coping and satisfaction.

Antenatal education should encourage women to seek and utilize social support during pregnancy and postpartum.

A. Place the patient on the left side. B. Assess the passage of lochia. C. Ask the patient to void. D. Administer a dose of oxytocin

Correct Answer is C

Explanation

The correct answer is choice C. Ask the patient to void.This is because a full bladder can displace the uterus and interfere with its contraction, which can lead to postpartum hemorrhageThe nurse should assess the patient’s uterus after ensuring that the bladder is empty.

Choice A is wrong because placing the patient on the left side does not affect the uterus assessment.It may help with blood circulation and oxygenation, but it is not necessary before checking the uterus.

Choice B is wrong because assessing the passage of lochia is part of the uterus assessment, not a prerequisite.Lochia is the vaginal discharge after giving birth, containing blood, mucus, and uterine tissueIt has three stages: lochia rubra (red), lochia serosa (pinkish brown), and lochia alba (yellowish white)

Choice D is wrong because administering a dose of oxytocin is not required before assessing the uterus.

Oxytocin is a hormone that stimulates uterine contractions and reduces bleeding.It may be given during or after labor to prevent or treat postpartum hemorrhage, but it is not a routine procedure.

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A nurse is caring for a postpartum client who has been diagnosed with postpartum depression (PPD). Which of the following interventions should be included in her plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating the effectiveness of antenatal education on a group of expectant mothers. Which of the following outcomes would indicate a positive effect of the education?

Correct Answer is A

Explanation

The nurse is providing postpartum care to a patient 24 hours after a vaginal delivery. Which action does the nurse perform prior to assessing the patient’s uterus?

Correct Answer is C

Explanation

A client is concerned about the risk factors for pre-term labor. Which of the following factors should the nurse include in the discussion?

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A nurse is caring for a postpartum client who had a difficult labor and delivery. The client expresses frustration and disappointment with her birth experience. Which of the following actions should the nurse take?

A nurse is caring for a postpartum client who had a vaginal delivery with an episiotomy. Which action would help prevent infection of the perineal area?

A nurse is assessing a woman who gave birth four days ago. The nurse notes that the woman has a positive mood, expresses confidence in her ability to care for her infant, and reports adequate support from her partner and family. The nurse identifies these findings as indicators of:

A nurse is caring for a postpartum client who has been diagnosed with postpartum depression (PPD).

Which of the following interventions should be included in her plan of care?