The perinatal nurse routinely screens pregnant women for postpartum depression. Which woman does the nurse screen as the priority?
A.
Adolescent
B.
Age 35 years or older
C.
Ambivalent at first visit
D.
First pregnancy
ANS: A
Recognized risk factors for postpartum depression include an undesired/unplanned pregnancy, a history of depression, recent major life changes such as the death of a family member, moving to a new community, lack of family or social support, financial stress, marital discord, adolescent age, and homelessness. Ambivalence is not unusual, especially in the first trimester. First pregnancy is not a risk factor.
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