In the OB follow-up clinic, your patient, who is 4 weeks post-delivery, tells you she is sleeping for long hours, wants to avoid taking care of the baby, and wishes she had never had the baby. What would be your first response?
A.
"It's normal to feel overwhelmed at first."
B.
"Tell me more about these feelings."
C.
Report her to Child Protective Services.
D.
"I'll call your husband right away to get you back home to rest."
ANS: B
The open-ended question will give you more information and be less judgmental to this patient. This behavior is not normal at 4 weeks post delivery and more rest is probably not adequate treatment. You would like a lot more information before reporting this as neglect.
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