Your patient is diagnosed with perinatal mood and anxiety disorder. You know your patient understands your teaching about this when she states:
I am a terrible mother and should give my child up for adoption.
This is just normal baby blues and I will be fine in a few days.
I will have to be on medications the rest of my lifE.
I am not alone, I am not to blame, I will get better with help.
The Correct Answer is D
Choice A: I am a terrible mother and should give my child up for adoption. This is a false and harmful statement that reflects low self-esteem, guilt, and hopelessness. These are common symptoms of perinatal mood and anxiety disorder, but they do not reflect the reality or the potential of the patient. The patient needs support, counseling, and possibly medication to overcome these negative thoughts.
Choice B: This is just normal baby blues and I will be fine in a few days. This is a false and minimizing statement that denies the severity and duration of perinatal mood and anxiety disorder. Baby blues are mild and transient mood changes that occur in the first two weeks after delivery. Perinatal mood and anxiety disorder is a more serious and persistent condition that can affect the mother's mental health, bonding with the baby, and daily functioninG. The patient needs to recognize the signs and symptoms of perinatal mood and anxiety disorder and seek professional help.
Choice C: I will have to be on medications the rest of my lifE. This is a false and pessimistic statement that assumes that perinatal mood and anxiety disorder is a chronic and incurable condition. Medications are one of the treatment options for perinatal mood and anxiety disorder, but they are not the only onE. Psychotherapy, peer support, lifestyle changes, and alternative therapies are also effective ways to manage perinatal mood and anxiety disorder. The patient needs to have a realistic and hopeful outlook on the recovery process and the possibility of remission.
Choice D: I am not alone, I am not to blame, I will get better with help. This is a true and empowering statement that reflects the key messages of perinatal mood and anxiety disorder education and awareness. The patient needs to know that perinatal mood and anxiety disorder is a common and treatable condition that affects many women around the worlD. The patient needs to understand that perinatal mood and anxiety disorder is not caused by personal weakness, failure, or fault. The patient needs to believe that perinatal mood and anxiety disorder can be overcome with the help of health care providers, family, friends, and support groups.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct action because a full bladder can cause the uterus to be displaced and prevent it from contracting properly, leading to uterine atony and excessive bleedinG. Asking the client to empty her bladder can help the fundus to return to the midline and reduce the lochiA.
Choice B reason: This is not the correct action because the client's temperature is within the normal range for the first 24 hours postpartum. A slight elevation in temperature can be due to dehydration, exertion, or milk production. The nurse should monitor the client's temperature and encourage fluid intake, but it is not a priority action.
Choice C reason: This is not the correct action because increasing IV fluids can cause fluid overload and worsen the bleedinG. The nurse should assess the client's fluid status and adjust the IV rate accordingly, but it is not a priority action.
Choice D reason: This is not the correct action because massaging the fundus can cause more bleeding and pain. The nurse should only massage the fundus if it is not firm and contracteD. Massaging a boggy fundus can help expel clots and reduce bleeding, but it is not indicated for a deviated fundus.
Correct Answer is ["A","C","D"]
Explanation
Choice A: Amniotic fluid in the vaginal vault indicates that the client's membranes have ruptured, which is a sign of labor. The fluid should be clear and odorless. The nurse should assess the fetal heart rate and monitor for signs of infection or cord prolapsE.
Choice B: Pain just above the navel is not a sign of labor. It may indicate other conditions such as gastritis, gallstones, or pancreatitis. The pain of labor is usually felt in the lower back and abdomen and radiates to the thighs.
Choice C: Cervical dilation is a sign of labor. It indicates that the cervix is opening and thinning to allow the passage of the fetus. The nurse should measure the cervical dilation in centimeters and document the progress of labor.
Choice D: Contractions every 3 to 4 minutes are a sign of labor. They indicate that the uterus is contracting and pushing the fetus downwarD. The nurse should assess the frequency, duration, and intensity of the contractions and monitor the fetal responsE.
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