CH. 22 Postpartum Depression ATI

Postpartum blues
50-85% of women during first few days after birth and generally continues for up to 10 dayss.
-tearfullness, insomnia, lack of appetite, letdown

Postpartum depression
-depression occurs w/in 6 months of delivery.
-sadness, intense mood swings
-10=15% new mothers
-Does not resolve without intervention

Postpartum psychosis
-first 2-3 weeks postpartum period
-hx of bipolar at higher risk
-Severe include confusion, disorientation, hallucinations, delusions, obsessive behaviors, and paranoia
-harm self or infant

Risk factors
hormonal changes
-physical discomfort or pain
-individual socioeconomic factors
-Decreased social support
-anxiety
-Unplanned or unwanted pregnancy
-hx of previous depressive disorder
-low self-esteem
-hx of abuse

Postpartum blues findings
-sadness
-lack of appetite
-sleep pattern disturbances
-feeling inadequate
-Crying easily
-Restlessness, insomnia, fatigue
-headache
-Anxiety, anger, sadness

Postpartum depression findings
-guilt and inadequacy
-irritability
-anxiety
-fatigue beyond reasonable
-feeling of loss
-lack of appetite
-persistent feeling of sadness
-intense mood swings
-sleep pattern distrubances
-crying
-weight loss
-flat affect
-rejection of the infant
-severe anxiety and panic attack

Postpartum psychosis findings
-pronounced sadness
-disorientation
-confusion
-paranoia
-hallucinations or delusional thoughts of self-harm or harming the infant

Care
-monitor mother baby interactions
-monitor mood and affect
-Reinforce that feelign down in postpartum is normal and self-limiting
-notify provider if it persists
-communicate feelings
-compliance with meds
-community resourcce
-has thoughts of self harm, suicide, harming her infant.

Antipsychotics and mood stabilizer
clients with postpartum psychosis

Education
-nap and get plenty of rest
-taking a time out for herself
-community resources
-counseling

A nurse is assessing a postpartum client who is exhibiting tearfulness, insomnia, lack of appetite, and a feeling of letdown. Which of the following conditions are associated with these clinical findings?

A) postpartum fatigue
B) postpartum psychosis
C) letting go phase
D) postpartum blues

D) postpartum blues

A nurse is caring for a postpartum client who delivered her third infant 2 days ago. The nurse recognizes that which of the following findings are suggestive of postpartum depression? (SATA)

A) fatigue
B) Insomnia
C) Euphoria
D) Flat affect
E) delusions

A
B
D

A nurse is assessing a client who has postpartum depression. The nurse should expect which of the followign findings? (SATA)

A) Paranoia that her infant will be harmed
B) Concerns about lack of income to pay bills
C) Anxiety about assuming a new role as a mother
D) Rapid decline in estrogen and progesterone
E) Feeling of inadequacy with the new role as a mother

B
C
D
E

A nurse is caring for a client who has postpartum psychosis. Which of the following actions is the nurse’s priority?

A) Reinforce the need to take antipsychotics as prescribed
B) Ask the client if she has thoughts of harming herself or the infant
C) Monitor the infant for indications of failure to thrive
D) Review the client’s record hx of bipolar

B

postpartum depression postpartum blues postpartum depression postpartum psychosis *Postpartum Blues* Clinical Manifestations Crying Feelings of sadness Lack of appetite Sleep Pattern Disturbances Feelings of Inadequacies Intense mood swings WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR …

When does postpartum blues occur and for how long? Symptoms? First few days of birth, up to 10 days Tearfulness, insomnia, lack of appetite, feeling letdown Fear/anxiety, anger, inability to cope w/ small problems When does postpartum depression occur? Characteristics? …

Emotional lability, irritability, and insomnia that typically resolves within 2 weeks (by postpartum day 10); usually self-limiting. Postpartum or Baby Blues Major depressive episode associated with childbirth; symptoms lasting beyond 6 weeks and worsening Postpartum Depression WE WILL WRITE A …

Postpartum Blues (Baby Blues) transient and brief; mild mood swings, irritability*, anxiety, decreased concentration, insomnia, tearfulness, crying spells; occur within 2-3 days pp (peak on 4th or 5th) and resolve within 2 wks; more common and less serious than PPD; …

What cultural characteristics are found where postpartum depression is rare? -Structure of a distinct postpartum period -Protective measures for the presumed vulnerability of the new mother -Social seclusion -Mandated rest -Assistance in tasks from relatives/midwives What do new moms get …

Postpartum period increases the risk of developing mood disorders. Postpartum blues, postpartum depression (PPD) and postpartum psychosis are the different types of mood disorders which are common in postpartum period. PPD has devastating effects on the lives of the mothers …

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