The nurse is making a home visit three weeks postpartum. The nurse suspects the client is experiencing postpartum depression when she makes which of the following statements?
“I am really tired, and look forward to someday sleeping all night again.”.
“I have been getting a headache every once in a while, but it subsides when I take Tylenol.”.
“I feel like I am crying for no apparent reason, and I feel sad every day.”.
“I am feeling restless a lot lately.”.
The Correct Answer is C
Choice A rationale
Feeling tired and wanting to sleep longer postpartum is common due to disrupted sleep from infant care, but it doesn't specifically indicate postpartum depression, which involves significant mood and emotional changes.
Choice B rationale
Occasional headaches postpartum can result from hormonal changes or stress, resolving with analgesics like Tylenol, and are not indicative of postpartum depression without associated mood disturbances like sadness or crying episodes.
Choice C rationale
Persistent crying and daily sadness are hallmark signs of postpartum depression, linked to hormonal imbalances, disrupted serotonin regulation, and social or emotional factors affecting maternal mental health postpartum.
Choice D rationale
Restlessness may be attributed to anxiety, but it alone doesn't conclusively diagnose postpartum depression, which involves deeper and more pervasive mood changes such as sadness or emotional withdrawal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Tone refers to uterine atony, the leading cause of postpartum hemorrhage. Tissue refers to retained placental fragments. Trauma includes lacerations or uterine rupture. Thrombin relates to coagulation disorders impacting clotting.
Choice B rationale
TOLAC (Trial of Labor After Cesarean) and thrombosis are unrelated to immediate hemorrhage management. Thrombosis generally involves venous clots, differing from thrombin, which concerns clotting factor deficiencies causing bleeding.
Choice C rationale
Tear and tolerance are non-specific terms lacking relevance to postpartum hemorrhage management. Time to search is impractical and unrelated to immediate intervention for hemorrhage or its causes.
Choice D rationale
"None of the above" is incorrect as the Four Ts (Tone, Tissue, Trauma, Thrombin) specifically address the primary causes of postpartum hemorrhage and are universally accepted in clinical guidelines.
Correct Answer is C
Explanation
Choice A rationale
Retained placental fragments lead to delayed, not immediate, postpartum hemorrhage as they prevent complete uterine contraction over time.
Choice B rationale
Vaginal hematomas cause concealed, localized bleeding with minimal external blood loss, differing from profuse hemorrhage presentations.
Choice C rationale
Uterine atony, the most common cause, occurs when the uterus fails to contract effectively, leading to uncontrolled and excessive bleeding.
Choice D rationale
Uterine inversion, though serious, is rare and typically accompanied by visible uterine prolapse, not commonly causing profuse bleeding in the immediate postbirth period.
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