Chapter 20: Postpartum Issues in Mental Health My Nursing Test Banks

Chapter 20: Postpartum Issues in Mental Health

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.

Its normal to feel overwhelmed at first.

B.

Tell me more about these feelings.

C.

Report her to Child Protective Services.

D.

Ill 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

____ 5. Which statement by the nurse indicates a good understanding of postpartum blues?

A.

You need to get involved with taking care of this baby.

B.

You are lucky to have a healthy baby. The patient in the next room would give anything to be in your place.

C.

You look tired. Why dont you rest for a bit and I will come back later to start some teaching.

D.

I will call the social worker to check into alternate caregiving for the new baby.

____ 6. In addition to antidepressants, which of the following is usual treatment for postpartum depression?

A.

Antipsychotics

B.

Psychotherapy

C.

Hormone replacement

D.

Temporary removal of the baby from the home

____ 7. Your pregnant patient has a history of major depression. Which of the following is she most likely to be at risk for?

A.

She is at risk for development of manic episodes.

B.

She is at risk for recurrence of depression after the birth of the baby.

C.

She is more likely to have an autistic child.

D.

She has no higher risk for emotional problems than other patients.

Chapter 20: Postpartum Issues in Mental Health

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: Womens 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: Womens 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: Womens health | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Mental health concepts

5. ANS: C

This response indicates understanding that postpartum blues is transient and that time and rest are major healers. The other responses are all inappropriate, as they are judgmental.

PTS: 1

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

KEY: Integrated Processes: Nursing Process: Implementation | Content Area: Womens health | Cognitive Level: Application | Client Need: Psychosocial Integrity: Mental health concepts

6. ANS: B

Psychotherapy along with antidepressants are the major treatments. Patients usually are not psychotic, so there is no need for antipsychotics, and hormone replacement is not indicated. Mother and baby should be kept together with added support from the family to ensure the baby is well cared for.

PTS: 1

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

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

7. ANS: B

History of major depression is the biggest risk factor for postpartum depression.

PTS: 1

REF: Chapter 20: Postpartum Issues in Mental Health; Postpartum Depression; page 324

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

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