A postpartum woman has been diagnosed with postpartum psychosis. Which of the following is essential to be included in the family teaching for this client?

Correct Answer: A

Rationale: The correct answer is A) The woman should never be left alone with her infant. Postpartum psychosis is a severe condition that can lead to irrational thoughts and behaviors, including harm to oneself or the infant. It is crucial to ensure the safety of both the mother and the baby. Leaving the woman alone with her infant can pose a serious risk, so constant supervision and support are essential. Option B is incorrect because symptoms of postpartum psychosis can last much longer than one week. This condition requires immediate attention and ongoing treatment to ensure the well-being of the mother and her child. Option C is incorrect because clinical response to medications can vary from individual to individual. While medications may be a part of the treatment plan, they are not a guarantee of poor response. Option D is incorrect as vital sign assessments every two days may not be sufficient for monitoring the well-being of a woman with postpartum psychosis. Close monitoring and support are crucial in managing this condition effectively. Educationally, it is important for families to understand the seriousness of postpartum psychosis and the precautions needed to ensure the safety of both the mother and the infant. Providing this information can help families support the woman in getting the necessary treatment and care.

Correct Answer: D

Rationale: The correct answer is D) It is appropriate for you to cry at a time like this. Rationale: - The correct answer acknowledges and validates the client's emotions, indicating empathy and understanding of the difficult situation the client is facing. It recognizes that crying is a natural response to emotional stress and provides a supportive approach. Why the other options are wrong: - Option A: This response minimizes the client's feelings by comparing the situation to a potentially worse scenario. It does not address the client's current emotional state or offer support. - Option B: This response focuses on the health of the client's other children, which may come across as dismissive of the client's current concerns and emotions. - Option C: This response imposes personal beliefs on the client and may not align with the client's own beliefs or values. It does not address the client's emotional needs or provide support. Educational context: In the postpartum period, mothers may experience a wide range of emotions, especially when faced with challenges such as a newborn with a birth defect. As a nurse, it is crucial to provide compassionate and empathetic care, acknowledging the client's feelings and offering support. Validating the client's emotions and providing a safe space for expression can help promote emotional well-being and facilitate coping during a challenging time.

Correct Answer: A

Rationale: The correct answer is A) 30. To calculate the infusion rate, we need to first determine the total units of heparin in the bag. The bag contains 20,000 units of heparin in 500 mL of solution. Therefore, there are 40 units of heparin in each 1 mL of solution (20,000 units / 500 mL = 40 units/mL). Since the client needs 12 units/min, the nurse should set the infusion pump to deliver 12 units/min / 40 units/mL = 0.3 mL/min. To convert this to mL/hr, we multiply by 60 (0.3 mL/min x 60 min/hr = 18 mL/hr), which is rounded to the nearest whole number, giving us the answer of 30 mL/hr. Option B, C, and D are marked as "NA" which indicates they are not applicable. This is because they are not relevant options for this particular question and do not provide any information to help solve the problem. Educationally, understanding how to calculate medication infusion rates is crucial for nurses to ensure accurate administration of medications, especially in critical situations like deep vein thrombosis where precise dosing is essential to prevent complications. Nurses must be proficient in drug calculations to provide safe and effective care to their patients.

Correct Answer: C

Rationale: The correct answer is C) Human placental lactogen (hPL). Explanation: Human placental lactogen (hPL) is a hormone produced by the placenta during pregnancy. It plays a role in promoting insulin resistance in the mother, which helps ensure a steady supply of glucose to the fetus. After delivery, hPL levels drop rapidly. This decrease in hPL leads to decreased insulin resistance, allowing glucose levels to normalize. A) Estrogen and B) Progesterone do not directly impact glucose levels in the same way as hPL. Estrogen and progesterone levels also drop postpartum but do not have a significant effect on glucose regulation. D) Human chorionic gonadotropin (hCG) is a hormone produced during pregnancy that is responsible for maintaining the corpus luteum, which in turn produces progesterone to support the pregnancy. However, hCG levels drop quickly after delivery and do not play a significant role in glucose regulation postpartum. Educational Context: Understanding the hormonal changes that occur postpartum is crucial for healthcare providers managing patients with diabetes, especially type 1 diabetes. Recognizing the impact of hPL on glucose levels can help healthcare professionals anticipate and manage blood glucose levels in the postpartum period, ensuring optimal care for both the mother and the newborn.

Correct Answer: C

Rationale: In this scenario, option C, "Encourage the couple to try to get pregnant again in the near future," is not an appropriate nursing action. It is crucial to provide sensitive and empathetic care to a couple who has experienced a fetal demise at 28 weeks. Encouraging them to try to get pregnant again in the near future can be emotionally insensitive and could potentially hinder their grieving process. Option A, "Swaddle the baby in a baby blanket," may provide the couple with the opportunity to hold and say goodbye to their baby, facilitating the grieving process. Option B, "Discuss funeral options for the baby," is important as it allows the couple to make decisions about honoring their baby's memory and provides closure. Option D, "Ask the couple whether they would like to hold the baby," is also appropriate as it gives the couple a chance to bond with their baby and create memories. In an educational context, it is vital for healthcare providers to be well-versed in providing compassionate care to individuals experiencing pregnancy loss. Understanding the emotional complexities involved and knowing how to support individuals through the grieving process is essential in delivering holistic care. By choosing appropriate actions and responses, healthcare providers can help facilitate healing and promote emotional well-being during such challenging times.