A woman 4 weeks postpartum tells her nurse that she is "not able to cope with her baby crying all the time and that all she can think of is getting out of her home

" She further states that her family is "going to harm her if she doesn't take care of the baby she found." What is the medical term for this mood disorder? A) Postpartum blues
B) Postpartum depression
C) Postpartum psychosis
D) Postpartum paranoia


C
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A postpartum psychosis can be suspected if the woman exhibits manic-depressive behaviors, generally starting within the first 4 weeks after delivery. Postpartum psychosis occurs in less than 1% of the postpartum population. Initially, the symptoms may include irritability, restlessness, sleeplessness, agitation, and avoidance of the infant. The condition may progress to include incoherence, with delusions or hallucinations relating to the child or childbirth. The other options are milder versions of this disorder that generally do not involve thoughts of suicide or murder.

Nursing

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When a nurse completes a client's discharge summary, which of these data should be included?

a. intervention and education outcomes b. problems encountered with the client's family c. number of incident reports involving the client d. results of specialized treatments and diagnostic tests

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A nurse notices that a client's nasogastric tube is draining poorly. Which of the following is a possible cause of a poorly draining nasogastric tube?

A) A vent has been left unplugged by the nurse. B) The drainage container is empty. C) The tube is displaced above the cardiac sphincter. D) The suction level (mm Hg) is higher than it should be.

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A 42-year-old woman was diagnosed with herpes simplex and underwent treatment. However, the woman has been admitted through the emergency department (ED) with signs and symptoms of fulminant liver failure

The nurse in the ED should recognize which of the following characteristics of this patient and her health history? A) The woman has likely been infected with hepatitis C without her knowledge. B) IV drug use or unsafe sexual practices likely contributed to her liver disease. C) Alcohol use has likely contributed to the course of the woman's illness. D) Prior to this current illness, the woman was likely in good health.

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The nurse is implementing interventions to prevent physical stressors for a 9-year-old child receiving chemotherapy in the hospital. What is an example of using atraumatic care for this child?

A) Use restraint or 'holding down' of the child during the procedure to prevent injury. B) Have the parent stand near and/or rub the child's feet during the procedure. C) Insert a saline lock if the child will require multiple doses of parenteral medications. D) Avoid using numbing techniques for multiple blood draws or IV insertion.

Nursing