A husband calls the perinatal clinic because he is worried about his wife's emotional state after giving birth 2 weeks ago. Which question by the nurse would be most helpful?
A.
"Can you explain specifically what you are worried about?"
B.
"How is your wife's appetite? Is she eating enough?"
C.
"Is your wife still able to care for herself and the baby?"
D.
"When did all the symptoms start, before or after the birth?"
ANS: C
Emotional difficulties after birth include the "baby blues," postpartum depression, and postpartum psychosis. The most important determinant rests with the knowledge that postpartum or baby blues do not interfere with the woman's ability to care for herself and her family. This question effectively triages the situation. "Can you..." is a yes-no question and is never a good type of question to use when assessing a situation. In both baby blues and depression, appetite may be diminished.
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