Author Question: A client has been diagnosed with postpartum depression after delivering her first child. The nurse ... (Read 91 times)

jrubin · **on:** Jul 22, 2018

A client has been diagnosed with postpartum depression after delivering her first child. The nurse would expect that which of the following medications would be prescribed for this client?

1. Sertraline
2. Fluoxetine
3. Paroxetine
4. Diazepam

Question 2

The nurse is explaining to the daughter of a client how pain is perceived by the individual. The nurse tells the client's daughter that which of the following is considered the main relay station for sensory information related to pain?

1. Cerebral cortex
2. Limbic system
3. Thalamus
4. Reticular system

HandsomeMarc · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1. Sertraline

Rationale:
Sertraline is recommended to be the first-line treatment for postpartum depression. Paroxetine is the alternative first-line treatment for postpartum depression. Fluoxetine is not recommended for lactating women because of the long half-life and the risk of the medication crossing into the breast milk. Since it is not known if the client is breastfeeding, of the medications listed, sertraline is the safest for lactating and breastfeeding mothers. Diazepam is not used to treat postpartum depression.

Answer to Question 2

3. Thalamus

Rationale:
The thalamus is the main relay station for sensory information. Pain information is then transmitted to the cerebral cortex as well as the reticular and limbic system for the processing and interpretation of pain. The cerebral cortex is the second step in processing pain stimuli. The transmission of pain moves through the limbic system after the thalamus. Transmission of pain impulses occurs in the reticular system after traveling though the thalamus as the main relay station.