A nurse is assessing a postpartum client who is at home. Which statement by the client would lead the nurse to suspect that the client may be developing postpartum depression?
A) "I just feel so overwhelmed and tired.".
B) "I'm feeling so guilty and worthless lately.".
C) "It's strange, one minute I'm happy, the next I'm sad.".
D) "I keep hearing voices telling me to take my baby to the river.".
B
Feedback:
Indicators for postpartum depression include feelings related to restlessness, worthlessness, guilt, hopeless, and sadness along with loss of enjoyment, low energy level, and loss of libido. Thus, the statement by the mother about feeling guilty and worthless suggest postpartum depression. The statements about being overwhelmed and fatigued and changing moods suggest postpartum blues. The statement about hearing voices suggests postpartum psychosis.
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