Author Question: The postpartum patient who is being discharged from the hospital experienced severe postpartum ... (Read 67 times)

urbanoutfitters · **on:** Jun 27, 2018

The postpartum patient who is being discharged from the hospital experienced severe postpartum depression after her last birth. What should the nurse include in the plan of follow-up care for this patient?

1. One visit from a homecare nurse, to take place in 2 days
2. Two visits from a public health nurse over the next month
3. An appointment with a mental health counselor
4. Follow-up with the obstetrician in 6 weeks

Question 2

The nurse is working with new parents who have recently immigrated to the United States. The nurse is not familiar with the family's cultural background. Which approach is most appropriate when discussing the newborn?

1. You appear to be Muslim. Do you want your son circumcised?
2. Let me explain newborn care here in the United States.
3. Your baby is a United States citizen. You must be very happy about that.
4. Could you explain your preferences regarding childrearing?

parker125 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
Rationale 1: A home visit in 2 days will be helpful to assess feeding, but is too early to detect signs of postpartum depression.
Rationale 2: Two home visits in a month are too sporadic to accurately pick up postpartum depression.
Rationale 3: Postpartum depression has a high recurrence rate. Setting up an appointment with a mental health professional is the best option for a woman with a history of postpartum depression.
Rationale 4: Following up with the obstetrician in 6 weeks is too long a wait.

Answer to Question 2

4
Explanation: 4. The nurse must be sensitive to the cultural beliefs and values of the family and be aware of cultural variations in newborn care.