A nurse is collecting data from a client who is 48 hours postpartum.
Which of the following findings reported by the client should the nurse identify as a postpartum psychosocial concern?

The client discusses desire to have more children.

The client reports fatigue and desire to sleep.

The newborn reminds the client of themself as a newborn.

The client does not want to feed the newborn.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Discussing a desire for more children is a normal manifestation of a positive postpartum adjustment. This indicates a healthy attachment to the current child and an optimistic outlook on future family expansion, reflecting psychological well-being and a positive coping mechanism in the postpartum period, not a concern.

Choice B rationale

Fatigue and a desire to sleep are common physiological and psychological responses to the physical demands of labor, delivery, and the initial postpartum period, as well as the demands of newborn care. This is a normal physiological recovery process and not indicative of a psychosocial concern.

Choice C rationale

Acknowledging similarities between the newborn and oneself as an infant indicates a healthy process of identification and bonding. This self-referential observation fosters a sense of connection and continuity within the family unit, signifying normal maternal-infant attachment and psychological integration, not a concern.

Choice D rationale

A client's reluctance to feed the newborn can be a significant indicator of potential psychosocial concerns such as postpartum depression, anxiety, or difficulties with maternal-infant bonding. This behavior may suggest a diminished capacity for engaging in essential caregiving activities, warranting further assessment and intervention.

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Correct Answer is B

Explanation

Choice A rationale

Vesicles on the skin, lips, and around the eyes are characteristic findings associated with herpes simplex virus infections, not Candida albicans. Herpes simplex presents with fluid-filled lesions and can be transmitted vertically during birth, manifesting in localized or disseminated forms in the neonate.

Choice B rationale

White patches on the tongue that cannot be removed are a classic sign of oral candidiasis, commonly known as thrush. This fungal infection, caused by *Candida albicans*, involves adhesion and proliferation of yeast on the mucous membranes, forming adherent pseudomembranous plaques.

Choice C rationale

Edematous red conjunctivae are typical manifestations of conjunctivitis, which can be caused by bacterial or viral infections, such as *Chlamydia trachomatis* or *Neisseria gonorrhoeae*, acquired during passage through the birth canal. This finding is not indicative of *Candida albicans* infection.

Choice D rationale

A temperature of 37.5° C (99.5° F) is within the normal range for a newborn, which typically falls between 36.5° C and 37.5° C (97.7° F and 99.5° F). While infections can cause fever, this specific temperature alone does not definitively indicate an infection with *Candida albicans* or any other pathogen.

A. Iron. B. Calcium. C. Vitamin E. D. Vitamin D.

Correct Answer is A

Explanation

Choice A rationale

Iron is essential for the production of hemoglobin, which is the oxygen-carrying protein in red blood cells. During pregnancy, maternal blood volume increases significantly, requiring a greater production of red blood cells to meet the increased oxygen demands of both the mother and the developing fetus. The recommended daily intake for pregnant women is 27 mg.

Choice B rationale

Calcium is crucial for fetal bone and tooth development, as well as for maintaining maternal bone health. While important, it does not directly contribute to the increase in maternal blood volume. The recommended daily intake is 1000 mg for pregnant women.

Choice C rationale

Vitamin E is an antioxidant that plays a role in protecting cells from damage. While it has various physiological functions, it is not directly involved in the process of increasing maternal blood volume.

Choice D rationale

Vitamin D is important for calcium absorption and bone health in both the mother and the fetus. It also plays a role in immune function. However, it does not directly contribute to the increase in maternal blood volume. The recommended daily intake is 600 IU for pregnant women.

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A nurse is collecting data from a client who is 48 hours postpartum. Which of the following findings reported by the client should the nurse identify as a postpartum psychosocial concern?

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A nurse is collecting data from a client who is 48 hours postpartum.
Which of the following findings reported by the client should the nurse identify as a postpartum psychosocial concern?