The nurse is monitoring the client for signs of postpartum depression. Which of the following, if noted in the client, would indicate the need for further assessment related to this form of depres-sion?
1. The client demonstrates an interest in the surroundings.
2. The client is caring for the infant in a loving manner.
3. The client constantly complains of tiredness and fatigue.
4. The client looks forward to visits from the father of the newborn.
3
Rationale: Postpartum depression is not the normal depression that many new mothers experi-ence from time to time. The client experiencing depression shows less interest in her surroundings and a loss of her usual emotional response toward the family. The client also is unable to show pleasure or love and may have intense feelings of unworthiness, guilt, and shame. The client often expresses a sense of loss of self. Generalized fatigue, complaints of ill health, and difficulty in concentrating also are present. The client would have little interest in food and experience sleep disturbances.
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