Postpartum Depression > Maternal & Newborn
Exam Review
Complications of Postpartum Depression
Total Questions : 5
Showing 5 questions, Sign in for moreA nurse is caring for a client who has postpartum depression.
The nurse should monitor the client for which of the following complications? (Select all that apply.)
Explanation
The correct answer is choice A, B, C, D and E.All of these choices are potential complications of postpartum depression.
Choice A is correct because postpartum depression can impair the mother-infant bonding, which is essential for the emotional and physical well-being of both.
Choice B is correct because postpartum depression can decrease the maternal self-care, which can affect the health and recovery of the mother after childbirth.
Choice C is correct because postpartum depression can have a negative impact on the baby’s cognitive and emotional development, as well as the attachment and socialization skills.
Choice D is correct because postpartum depression can increase the risk of marital discord or family dysfunction, as it can affect the communication and intimacy between partners and other family members.
Choice E is correct because postpartum depression can recur in subsequent pregnancies, especially if it was not treated properly in the first episode.
A nurse is providing education to a client who is pregnant with her first child and has a history of depression.
The nurse should inform the client that she is at increased risk for developing which of the following postpartum disorders?
Explanation
The correct answer is choice D. Postpartum depression.The nurse should inform the client that she is at increased risk for developing postpartum depression because it is a mood disorder that occurs in mothers after the birth of a baby and can be attributed to a combination of environmental, emotional, hormonal and genetic factors.The client has a history of depression, which is one of the risk factors for postpartum depression.
Choice A is wrong because postpartum blues are mild and transient mood changes that usually resolve within two weeks after delivery and do not require treatment.
Choice B is wrong because postpartum psychosis is a rare and severe mental illness that affects about 1 to 2 per 1000 women after childbirth and causes delusions, hallucinations, paranoia and mood swings.
It is not related to the client’s history of depression.
Choice C is wrong because postpartum obsessive-compulsive disorder is a type of anxiety disorder that causes intrusive and unwanted thoughts or images about harming the baby, as well as compulsive behaviors to reduce the anxiety.
It affects about 3 to 5% of new mothers and is not associated with the client’s history of depression.
A nurse is assessing a client who has postpartum psychosis.
Which of the following findings should the nurse expect? (Select all that apply.)
Explanation
The correct answer is choice A and E.Paranoia that her infant will be harmed and feelings of inadequacy with the new role as a mother are both symptoms of postpartum psychosis.Postpartum psychosis is a serious mental health illness that can affect someone soon after having a baby and affects their sense of reality.
Choice B is wrong because concerns about lack of income to pay bills are not specific to postpartum psychosis and could affect anyone who has financial difficulties.
Choice C is wrong because anxiety about assuming a new role as a mother is not a symptom of postpartum psychosis, but rather a common feeling among new parents.
It could also be a sign of postpartum anxiety or depression, which are different from postpartum psychosis.
Choice D is wrong because rapid decline in estrogen and progesterone is not a symptom of postpartum psychosis, but rather a physiological change that happens after giving birth.
It may contribute to mood changes, but it does not cause postpartum psychosis by itself.
Normal ranges for estrogen and progesterone vary depending on the stage of the menstrual cycle, pregnancy and menopause.After giving birth, estrogen levels drop from about 300 pg/mL to less than 50 pg/mL within a few days.Progesterone levels drop from about 150 ng/mL to less than 1 ng/mL within a few days.
These levels gradually return to normal over several weeks.
A nurse is caring for a client who has postpartum blues.
The nurse should advise the client to do which of the following to cope with her condition?
No explanation
A nurse is planning to teach a prenatal class about postpartum disorders.
The nurse should include that postpartum blues typically peaks at which of the following times after delivery?
Explanation
The correct answer is choice B.Postpartum blues typically peaks atfour to five daysafter delivery.Postpartum blues are feelings of sadness, anxiety, irritability, and mood swings that affect up to 80% of new mothers.They are caused by hormonal changes, physical exhaustion, and emotional stress after childbirth.
Choice A is wrong because postpartum blues usually start within the first48 to 72 hoursafter delivery, not 24 hours.
Choice C is wrong because postpartum blues usually disappear within acouple of weeksafter delivery, not two weeks.
Choice D is wrong because postpartum blues are different from postpartum depression, which can last up toone yearafter childbirth.Postpartum depression is a more serious condition that requires medical attention and treatment.
Normal ranges for postpartum blues are from two to three days to two weeks after delivery.
If the symptoms last longer or interfere with daily functioning, it may indicate postpartum depression or another mood disorder.
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