Author Question: The clinic nurse sees a patient and her infant in the clinic for their 2-week follow-up visit. The ... (Read 197 times)

lb_gilbert · **on:** Jun 28, 2018

The clinic nurse sees a patient and her infant in the clinic for their 2-week follow-up visit. The woman appears to be tired, her clothes and hair appear unwashed, and she does not make eye contact with her infant.

Which question would be most appropriate for the nurse to ask?
A.
Do you have help at home?
B.
Is there anything wrong with your son?
C.
Tell me about the first few days at home.
D.
What has happened? You look awful

Question 2

A perinatal clinic nurse develops concerns about a postpartum woman and her infant at the first well-baby checkup. The nurse has assessed several risk factors for depression. Which action by the nurse is most appropriate?

A.
Administer the Edinburgh Postnatal Depression Scale.
B.
Contact Children and Family Services or Child Protective Services.
C.
Notify the Visiting Nurses Association and request a home visit.
D.
Provide information and teaching on the postpartum blues.

diana chang · **Reply #1 on:** Jun 28, 2018

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.