Chapter 20: Postpartum Issues in Mental Health

Chapter 20: Postpartum Issues in Mental Health

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   In the OB follow-up clinic, your patient, who is 4 weeks post-delivery, tells you she is sleeping for long hours, wants to avoid taking care of the baby, and wishes she had never had the baby. What would be your first response?

A.	“It’s normal to feel overwhelmed at first.”
B.	“Tell me more about these feelings.”
C.	Report her to Child Protective Services.
D.	“I’ll call your husband right away to get you back home to rest.”

 

 

____     2.   Which statement best describes postpartum blues?

A.	A rare condition that impacts bonding between mother and baby.
B.	A transient, self-limiting period of sadness after the birth of the baby.
C.	A psychiatric diagnosis similar to dysthymia.
D.	A transient period of sadness that usually moves into postpartum depression.

 

 

____     3.   Which is NOT a contributing factor to postpartum blues?

A.	Hormone shifts
B.	Lack of sleep
C.	Stress
D.	History of depression

 

 

____     4.   Which of the following combines the best treatments for postpartum blues?

A.	Antidepressants, sleep, crisis intervention
B.	Rest, support, compassion
C.	Mother-baby bonding session, family education, antidepressants
D.	Analgesics for post-delivery pain, rest, longer hospital stay

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  B

The open-ended question will give you more information and be less judgmental to this patient. This behavior is not normal at 4 weeks post delivery and more rest is probably not adequate treatment.  You would like a lot more information before reporting this as neglect.

 

PTS:   1

REF:   Chapter 20: Postpartum Issues in Mental Health; Treatment of Postpartum Depression; page 325

KEY:  Integrated Processes: Nursing Process: Assessment | Content Area: Maternity: Postpartum: Mental health: Mood disorder | Cognitive Level: Analysis | Client Need: Psychosocial Integrity: Therapeutic communication

 

2. ANS:  B

This definition of postpartum blues differentiates it from dysthymia and postpartum depression. It occurs in 70 percent of new mothers.

 

PTS:   1                    REF:   Chapter 20: Postpartum Issues in Mental Health; Postpartum Blues; page 323

KEY:  Integrated Processes: Nursing Process: Analysis | Content Area: Women’s health | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Mental health concepts

 

3. ANS:  D

History of depression is a contributor to postpartum depression, not postpartum blues.

 

PTS:   1                    REF:   Chapter 20: Postpartum Issues in Mental Health; Postpartum Blues; page 323

KEY:  Integrated Processes: Nursing Process: Analysis | Content Area: Women’s health | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Mental health concepts

 

4. ANS:  B

Antidepressants have no use in postpartum blues. Rest, support, and compassion are the main interventions.

 

PTS:   1

REF:   Chapter 20: Postpartum Issues in Mental Health; Treatment of Postpartum Blues; page 324

KEY:  Integrated Processes: Nursing Process: Implementation | Content Area: Women’s health | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Mental health concepts