The nurse is instructing a new mother on the strategies to ...

[frankwu]

The nurse is instructing a new mother on the strategies to prevent the development of postpartum depression. Which instructions will the nurse include in the teaching session with the client?
 
  Select all that apply.
  A) Restrict fluids and eat a low-fat diet help to avoid the onset of postpartum depression.
  B) Realize that feeling depressed after delivering a baby is normal and can last for months.
  C) The only way to avoid postpartum depression is to not have children.
  D) Encourage the client to plan how to manage the baby's care needs at home to help adjust to motherhood.
  E) Instruct the client to recognize the signs and symptoms of postpartum depression and phone the health care provider if these occur.

Question 2

A client who is breastfeeding has been diagnosed with postpartum depression after delivering her first child. Which medications might be prescribed for this client?
 
  Select all that apply.
  A) Diazepam
  B) Phenytoin
  C) Paroxetine
  D) Fluoxetine
  E) Sertraline

[Eunice618]

Answer to Question 1

Answer: D, E

The nurse should instruct the client on the signs and symptoms of postpartum depression with the direction to phone her health care provider if this occurs. The nurse should also encourage the client to plan how to manage the baby's care needs at home to help adjust to motherhood. It is not normal to feel depressed for months after delivering a baby. Not having children is not the only way to avoid postpartum depression. Restricting fluids and eating a low-fat diet will not prevent postpartum depression and could harm the new mother's physiological status.

Answer to Question 2

Answer: C, E

Sertraline is recommended to be the first-line treatment for postpartum depression. Paroxetine is the alternative first-line treatment for postpartum depression. Fluoxetine is not recommended for lactating women because of the long half-life and the risk of the medication crossing into the breast milk. Diazepam and phenytoin are not used to treat postpartum depression.

[frankwu]

Excellent

[Dinolord]

TYSM