Which patient is at the highest risk of developing postpartum depression?

A mother who had a healthy pregnancy and delivery

A first-time mother with a supportive partner

A mother with a history of depression and minimal social support

A mother with no family history of mental illness

Answer and Explanation

The Correct Answer is C

A. A mother with a healthy pregnancy and delivery has a lower risk, though postpartum depression can still occur, it is not as likely as in cases with more risk factors.

B. A first-time mother with a supportive partner has protective factors such as a strong support system, reducing the risk of postpartum depression.

C. A history of depression and minimal social support are significant risk factors for postpartum depression. Previous mental health issues increase the likelihood of postpartum mood disorders, and lack of support makes coping more difficult.

D. A lack of a family history of mental illness does not eliminate the risk of postpartum depression, especially if other risk factors, such as previous depression or limited support, are present.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Blurred vision and ataxia are signs of lithium toxicity. The nurse should withhold the medication and notify the healthcare provider immediately for further evaluation.

B. Administering the next dose of lithium could worsen the toxicity, as these are early signs of lithium overdose.

C. Propranolol is used for controlling tremors or anxiety but does not address lithium toxicity.

D. Levothyroxine is used for thyroid dysfunction, which is not indicated by these symptoms.

A. Sympathetic nervous system B. Limbic system C. Parasympathetic nervous system D. Vagus nerve

Correct Answer is A

Explanation

A. The sympathetic nervous system is responsible for the "fight or flight" response, which is triggered during times of anxiety, stress, or fear. It increases heart rate, blood pressure, and prepares the body to respond to perceived threats, which aligns with the client's severe anxiety going to work.

B. The limbic system plays a role in emotion and memory but is not directly responsible for the physiological changes associated with anxiety.

C. The parasympathetic nervous system is responsible for "rest and digest" functions, counteracting the sympathetic nervous system’s responses during relaxation, not during anxiety.

D. The vagus nerve is part of the parasympathetic system and is not primarily responsible for the acute anxiety response.

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Which patient is at the highest risk of developing postpartum depression?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bipolar disorder and is taking lithium. The client reports blurred vision and ataxia. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for a client who experiences severe anxiety when going to work. The nurse should identify that which of the following areas of the autonomic nervous system is stimulated when the client goes to work?

Correct Answer is A

Explanation

A nurse reviews the laboratory report for a client who is receiving lithium three times daily PO. The client's current blood lithium level is 1.8 mEq/L. The nurse identifies that this lab value indicates which of the following?

A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A client who has bipolar disorder approaches the nurse and reveals fresh, self-inflicted, superficial cuts going up and down his right arm. Which of the following actions should the nurse take first?

A nurse is caring for a client who has bipolar disorder. The client states, "I feel like Superman. I can do anything. I can fly home today and then become a U.S. Senator." Which of the following findings is this client exhibiting?

A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. He continues to state, "I don't know why my wife left me." The client receives a diagnosis of anxiety. The nurse realizes the client's findings support which level of anxiety?

A mother (G1 P1 T1 PO AO L1) diagnosed with postpartum depression expresses feelings of hopelessness. Which nursing diagnosis is the priority?

A client with PTSD experiences exaggerated startle response. The client is paranoid and hypervigilant. Which nursing intervention is most appropriate?