A woman gave birth to a healthy newborn 1 month ago. The patient ...

[Mr3Hunna]

A woman gave birth to a healthy newborn 1 month ago. The patient now reports she cannot cope and is unable to sleep or eat. She says, I feel like a failure. I can't take care of my baby. This baby is the root of my problems.
 
  The priority nursing diagnosis is:
 
  a. Insomnia
  b. Ineffective coping
  c. Situational low self-esteem
  d. Risk for other-directed violence

Question 2

Which documentation indicates the treatment plan of a patient with major depression was effective?
 
  a. Slept 6 hours uninterrupted. Sang with activity group. Anticipates seeing grandchild.
  b. Slept 10 hours uninterrupted. Attended craft group; stated project was a failure, just like me.
  c. Slept 5 hours with brief interruptions. Personal hygiene adequate with assistance. Weight loss of 1 pound.
  d. Slept 7 hours uninterrupted. Preoccupied with perceived inadequacies. States, I feel tired all the time.

[Toya9913]

Answer to Question 1

ANS: D
When the mother with depression of postpartum onset has ruminations or delusional thoughts about the infant, the risk for harming the infant is increased; thus it becomes the priority diagnosis. The other diagnoses are relevant but are of lower priority.

Answer to Question 2

ANS: A
Sleeping 6 hours, participating in a group activity, and anticipating an event are all positive happenings. All the other options show at least one negative finding.

[Mr3Hunna]

Thanks for the timely response, appreciate it

[Liddy]

TYSM