A woman with postpartum depression resists treatment, saying: Who ...

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A woman with postpartum depression resists treatment, saying: Who cares if I'm depressed? It only affects me. What response by the nurse is best?
 
  A.
  Don't you think your family would like you to get treatment?
  B.
  Infants of depressed mothers have delayed development.
  C.
  You may harm your baby if your depression is not treated.
  D.
  We care that you are depressed and want you to feel better.

Question 2

A patient was discharged from the hospital on warfarin sodium (Coumadin) and is now in the perinatal clinic for follow-up. Which of the following would best indicate to the nurse that goals for discharge teaching have been met?
 
  A.
  Chooses aspirin for pain relief
  B.
  Eats large salads three times a week
  C.
  Patient INR of 2.5
  D.
  Patient aPTT of 2 times normal

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Answer to Question 1

ANS: B
Infants of mothers with depression are more likely to have delays in psychosocial and cognitive development and may be fussier than infants whose mothers are not depressed. Giving the woman factual information about a consequence of untreated depression may help her make a decision about treatment. The other statements are emotionally manipulative and are likely to induce guilt.

Answer to Question 2

ANS: C
Warfarin therapy is monitored with the PT and INR, and in many places, the INR has replaced the PT. A therapeutic INR is 2-3.5. This patient's INR is therapeutic. Aspirin can potentiate the risk of bleeding when taken with warfarin. Green leafy vegetables contain vitamin K, which can counteract warfarin. The patient should eat a consistent amount of foods containing vitamin K and not binge occasionally. The aPTT is used to monitor heparin therapy.

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