60 Questions
What are the two most often encountered psychiatric disorders in women postpartum?
Bipolar disorder and Major depression
Why can postpartum psychosis be fatal for both mother and infant?
Risk of suicide and infanticide
What challenges do homeless women face in accessing healthcare services?
Difficulty in getting referrals
Why is follow-up care particularly difficult for homeless women?
Multiple care providers at different sites
How can a nurse help a mother postpartum before discharge?
Facilitate referrals to support services
Why is determining a place to go essential before discharging a mother with her newborn infant?
To ensure access to help for mother or newborn
What is the main goal of medical treatment in cases of infection?
To eliminate the infection
What is the purpose of taking a culture and sensitivity sample from the suspected site of infection?
To identify the type of organisms causing the infection
What should a nurse focus on when providing care to prevent infection?
Teaching hygienic measures to reduce organisms causing infection
Why is it important for patients to complete the full course of antibiotics prescribed?
To prevent antibiotic resistance
What is a vital component in a woman's body defenses against infection?
Proper nutrition
What should women be taught to do before and after performing self-care involving secretions?
Wash hands before and after self-care
What are the two nutrients emphasized to promote healing postpartum?
Foods high in protein and vitamin C
When does mastitis usually occur after giving birth?
2 or 3 weeks after giving birth
What causes mastitis?
Entry of organisms through nipple cracks
What are common signs and symptoms of mastitis?
Edema and heaviness in the breast
What is the primary treatment for mastitis?
Antibiotics and continued milk removal
Why should a nursing mother not wean her infant when she has mastitis?
Weaning reduces engorgement and stasis of milk
How can a mother improve milk flow and reduce stasis if the affected breast is too painful to breastfeed?
Use a breast pump
Which type of disorder is more serious than postpartum blues?
Postpartum psychosis
What change in hormone levels is related to the onset of postpartum depression?
Rapid decrease in estrogen and progesterone levels
What is a possible preventative measure for postpartum depression according to research mentioned?
Nutritional supplement of tryptophan, tyrosine, and blueberry juice
Which factor is NOT mentioned as a risk factor for postpartum depression?
High job satisfaction
What does postpartum depression strain according to the text?
Coping mechanisms of the entire family
What treatment strategy for postpartum depression is mentioned as complementary and alternative (CAM)?
Light therapy (phototherapy) and exercise
What is the responsibility placed on nurses regarding formal postpartum screening for depression?
To detect and refer problems to prevent progression to chronic depression
Which theory about hormones is supported by the text as potentially affecting women's mood postpartum?
Fluctuating hormone levels postpartum may affect women's mood.
What is the primary focus of the nurse when providing support for postpartum depression?
Providing support and observation of behavior
To limit the spread of infection, the goals of medical treatment are to prevent it from reaching the blood and other organs, and to eliminate the infection, a culture and sensitivity sample from the suspected site of infection is taken to determine the antibiotics that will be most effective.
woman
IV antibiotics may be ordered, and the ______ may be placed on bed rest.
woman
Nursing care objectives focus on preventing infection and, if an infection occurs, on facilitating medical treatment. To achieve these goals, the nurse should use and teach hygienic measures to reduce the number of organisms that can cause infection (e.g., hand hygiene, ______ care).
perineal
Teach the ______ to take all of the antibiotics prescribed rather than stopping them after her symptoms are eliminated.
woman
Women should be taught to wash their hands before and after performing self-care that may involve contact with ______.
secretions
Nutrition is an essential component of her body’s ______.
defenses
Postpartum psychosis can be fatal for both ______ and infant
mother
Homelessness is defined as a lack of a permanent ______
home
Before discharge, it is essential to determine that the mother has a place to go and has a way of accessing help for herself or her ______
newborn
The nurse can be a key link in facilitating referrals to outreach programs, support services, counseling, shelters, and follow-up ______ care
medical
Some women live in single-room hotels, and others stay with friends or extended ______
family
In some cases, social workers within the community may refer the woman for ______
counseling
Foods high in protein (meats, cheese, milk, legumes) and vitamin C (citrus fruits and juices, strawberries, cantaloupe) are especially important for ____________ postpartum
healing
Mastitis is an infection of the ____________
breast
Mastitis usually occurs about 2 or 3 weeks after giving ____________
birth
Mastitis occurs when organisms from the skin or the infant’s mouth enter small cracks in the nipples or ____________
areolae
Breast engorgement and inadequate emptying of milk are associated with ____________
mastitis
Mastitis often involves only one ____________
breast
Signs and symptoms of mastitis include redness and heat in the breast, ____________, edema, and a heaviness in the breast
tenderness
If not treated, the infected area becomes encapsulated and an ____________ forms
abscess
Antibiotics and the continued removal of milk from the breast are the primary treatments for ____________
mastitis
The nursing mother should be taught proper breast-feeding techniques to reduce the risk for ____________
mastitis
_______ involves serious impairment of one’s perception of reality.
Psychosis
Postpartum blues, also known as an adjustment reaction, occur in about 75% of women, appearing on day 5 and disappearing by day __.
10
After childbirth, estrogen and progesterone levels decrease rapidly, which leads to increased brain levels of monoamine oxidase-A (MAO-A), which is related to the onset of postpartum _______.
depression
Research has shown that it is possible a nutritional supplement of tryptophan, tyrosine, and blueberry juice counters the effects of increased MAO-A levels and may prevent the development of postpartum _______.
depression
According to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), there are three types of postpartum depression: adjustment disorder, also called the baby blues, postpartum mood disorders, and postpartum _______.
depression
Formal postpartum screening for depression is not standard practice in the United States, which places the responsibility on the nurse to detect and refer problems to prevent progression to chronic _______.
depression
Risk factors for postpartum depression include inadequate social support, a poor relationship with the partner, life and childcare stress, low self-esteem, and an unplanned _______.
pregnancy
Signs and symptoms of postpartum depression may include the following: Lack of enjoyment in life, disinterest in others, loss of normal give-and-take in relationships, intense feelings of inadequacy, unworthiness, guilt, inability to cope, loss of mental concentration, inability to make decisions, disturbed sleep or appetite, constant fatigue, and feelings of ill _______.
health
Postpartum depression strains the coping mechanisms of the entire family at a time when all are adapting to the birth of a _______.
child
Light therapy (phototherapy) and exercise are complementary and alternative (CAM) treatment strategies that may help in the management of _______ _______.
postpartum depression
Test your knowledge on the goals of medical treatment and nursing care objectives for infections. Learn about limiting the spread of infection, identifying effective antibiotics, administering IV antibiotics, and preventing infections through nursing care.
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