Author Question: A perinatal nurse is conducting an initial interview and assessment on a new patient in her first ... (Read 44 times)

chandani · **on:** Jun 28, 2018

A perinatal nurse is conducting an initial interview and assessment on a new patient in her first trimester of an unplanned pregnancy. The nurse discovers the patient was a victim of child abuse and her husband has left her and returned several times.

The nurse should assess this patient for what other issue as the priority?
A.
Financial concerns
B.
Homelessness
C.
Intimate partner abuse
D.
Social isolation

Question 2

A woman with postpartum depression is in the perinatal clinic for follow-up. The health-care provider tells the nurse that the patient will be prescribed a tricyclic antidepressant. The nurse will instruct the patient about which medication?

A.
Fluoxetine (Prozac)
B.
Pamelor (Nortriptyline)
C.
Sertraline (Zoloft)
D.
Venlafaxine (Effexor)

chinwesucks · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Although all options are possibilities, this woman has several risk factors for being a victim of intimate partner abuse (unplanned pregnancy, victim of child abuse, marital instability). The nurse should first assess for this (intimate partner abuse) before considering the other situations.

Answer to Question 2

ANS: B
Pamelor is a tricyclic antidepressant. Prozac and Zoloft are selective serotonin reuptake inhibitors (SSRIs). Effexor is a serotonin-norepinephrine reuptake inhibitor (SNRI).