A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition?

"Postpartum depression usually begins 48 hours after childbirth.".

"Postpartum depression is more likely to occur in women who have a history of depression.".

"It's common for clients who have postpartum depression to exhibit psychotic behavior.".

"The most common manifestation of postpartum depression is harming the infant.".

Answer and Explanation

The Correct Answer is B

A. "Postpartum depression usually begins 48 hours after childbirth." Postpartum depression can begin at any time within the first year after childbirth, but it typically starts between 1 to 3 weeks after delivery, not specifically 48 hours after.

B. "Postpartum depression is more likely to occur in women who have a history of depression." This statement reflects an understanding of the risk factors associated with postpartum depression. Women with a personal or family history of depression or mental health issues are at a higher risk of experiencing postpartum depression.

C. "It's common for clients who have postpartum depression to exhibit psychotic behavior." While severe cases of postpartum depression can lead to postpartum psychosis, this is a much rarer condition. Postpartum depression itself typically does not involve psychotic symptoms.

D. "The most common manifestation of postpartum depression is harming the infant." While thoughts of harming the infant can occur in extreme cases, the most common manifestations of postpartum depression include symptoms such as sadness, anxiety, fatigue, and difficulty bonding with the baby, rather than intentions to harm.

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Correct Answer is C

Explanation

A.While it is important to understand changes in behavior, the sudden shift from depression to a cheerful state could be indicative of a potential risk, such as a plan to self-harm, particularly if the client is showing improved mood quickly.

B.It is not appropriate to reward a change in behavior without understanding the underlying reasons for the change. The sudden improvement in mood could be a sign of a potential risk, such as suicidal ideation or a temporary lift in mood before a possible crisis.

C.This is a crucial intervention. A sudden change in mood can sometimes be associated with an increased risk of self-harm or suicidal ideation, particularly if the client’s mood improves significantly before a more stable improvement in their depressive symptoms. Continuous monitoring helps ensure the client’s safety.

D.This could be premature and potentially unsafe, given the sudden and significant change in the client's condition. It is more important to ensure that the client’s mood change is not indicative of an underlying risk before allowing unsupervised activities.

A. Prepare for gastric lavage due to an extremely elevated lithium level. B. Administer the morning dose of lithium. C. Check the client's medication record to assess whether the client has been refusing her lithium. D. Hold the medication and assess for early manifestations of toxicity.

Correct Answer is B

No explanation

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A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

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Correct Answer is B

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