The severity of depressive symptoms in the postpartum period varies from a feeling of the "blues," to moderate depression, to psychotic depression or melancholia. Which disorder is correctly matched with its presenting symptoms?
1. Maternity blues (lack of concentration, agitation, guilt, and an abnormal attitude toward bodily functions)
2. Postpartum depression (irritability, loss of libido, sleep disturbances, expresses concern about inability to care for baby)
3. Postpartum melancholia (overprotection of infant, expresses concern about inability to care for baby, mysophobia)
4. Postpartum depressive psychosis (transient depressed mood, agitation, abnormal fear of child abduction, suicidal ideations)
2
Rationale: The symptoms of the maternity blues include tearfulness, despondency, anxiety, and subjectively impaired concentration appearing in the early puerperium. Symptoms of postpartum depression are associated with fatigue, irritability, loss of appetite, sleep disturbances, loss of libido, and expressions of great concern about her inability to care for her baby. Both postpartum melancholia and postpartum depressive psychosis are characterized by a lack of interest in, or rejection of, the baby, or a morbid fear that the baby may be harmed. Other symptoms include depressed mood, agitation, indecision, lack of concentration, guilt, and an abnormal attitude toward bodily functions.
You might also like to view...
A 12-month-old child is admitted to the ICU after being found abandoned in a hot car. The child is responsive, but the nurse notices that the anterior fontanelle of the child is sunken
Which of the following conditions should the nurse suspect in this situation? A) Dehydration B) Increased intracranial pressure C) Fluid overload D) Hypertension
Two units of PRBCs have been ordered for a patient who has experienced a GI bleed. The patient is highly reluctant to receive a transfusion, stating, "I'm terrified of getting AIDS from a blood transfusion."
How can the nurse best address the patient's concerns? A) "All the donated blood in the United States is treated with antiretroviral medications before it is used." B) "That did happen in some high-profile cases in the twentieth century, but it is no longer a possibility." C) "HIV was eradicated from the US blood supply in the early 2000s." D) "The chances of contracting AIDS from a blood transfusion in the United States are exceedingly low."
The nurse is making rounds and finds her older adult patient sobbing and obviously upset. She states that her doctor told her that she has cancer, and she does not want to die. "What's the sense?" she says. "I might as well die. I'm going to anyway
I guess that shows how useless I really am. Nobody wants an old lady around." The nurse notices that the patient's respirations have increased, and the tip of her nose and ear lobes are becoming cyanotic. The nurse assesses the patient and finds that the patient's pulse rate is over 150 beats per minute. According to Maslow's hierarchy of needs, the nurse should first a. Call the physician to request a psychiatric consult. b. Reassure the patient that she has value as a human being. c. Place the patient on oxygen and try to calm her. d. Call the patient's family to help her realize that she is wanted.
One of the disadvantages of JITT training for nurses is encountered when disasters occur in real time. The public health nurse
A) may feel unprepared for the disaster and subsequently fail to provide care. B) may fear that he or she does not possess the necessary skills to function in a disaster. C) may not be notified that they are needed in a timely manner. D) may not be a viable resource for the emergency team.