Answer to Question 1
ANS: C
The woman's appearance and interaction with her baby are clues to postpartum depression. The nurse needs to assess the woman further. A nonthreatening way to open the dialogue might be to say: Tell me about the first few days at home. This statement provides the new mother with an opportunity to share both positive and negative impressions.
Answer to Question 2
ANS: A
If the nurse believes that the new mother is demonstrating signs and symptoms of postpartum depression, several depression screening tools are available, including the Edinburgh Postnatal Depression Scale, Postpartum Depression Predictors Inventory, Center for Epidemiological StudiesDepression, and Beck Depression Inventory II. Because they are highly predictive, these scales are valuable tools that can be combined with the informal interview during a routine post-birth checkup.