A woman is 10 days postpartum and reports persistent sadness, loss of interest, poor sleep even when the baby sleeps, and difficulty caring for herself. Which nursing action is most appropriate?
Correct answer: B. Arrange prompt mental health assessment and ask about self-harm
- A. Reassure her that these symptoms are normal postpartum blues
- B. Arrange prompt mental health assessment and ask about self-harm
- C. Advise her to stop breastfeeding until her mood improves
- D. Encourage her to remain alone and avoid visitors for several days
Explanation
Persistent symptoms that impair daily functioning beyond the early postpartum period suggest postpartum depression rather than transient blues. Prompt assessment is needed, and asking about self-harm addresses immediate safety.
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About Postnatal Care and Breastfeeding
Maternal postnatal care assesses uterine involution, lochia, perineal healing, bladder and bowel function, vital signs, emotional wellbeing and signs of puerperal infection or haemorrhage. Breastfeeding covers colostrum, milk production, positioning and attachment, feeding frequency, common difficulties and the distinction between normal breast changes and mastitis.
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