The labor and delivery unit nurses are adopting methods to reduce the number of women who develop postpartum depression. Research from Dennis and Dowswell (2013) provides evidence-based suggestions regarding beneficial interventions. Which suggestions do the nurses consider? Select all that apply.

Correct Answer: C

Rationale: The correct answer is C: Interpersonal psychotherapy. This is supported by research as an evidence-based intervention for reducing postpartum depression. It focuses on improving relationships and communication skills, which can help women cope with the challenges of motherhood. A: Telephone-based peer support may be helpful, but it is not specifically mentioned in the research by Dennis and Dowswell (2013) as a beneficial intervention. B: Partner report of symptoms can be useful in identifying postpartum depression, but it is not a recommended intervention according to the research. D: Teaching for self-recognition of problems is important, but it is not as effective as interpersonal psychotherapy in reducing postpartum depression according to the research.

Correct Answer: D

Rationale: The correct answer is D: WBCs 10,000. An elevated white blood cell count (WBC) is a common sign of infection as the body produces more WBCs to fight off pathogens. This increase in WBC count is known as leukocytosis and is a key indicator of an ongoing infection. In contrast, choices A, B, and C are not direct indicators of infection. A painful fundal massage may suggest uterine atony, breast-feeding every 2-3 hours is a normal part of postpartum care, and a pulse rate of 72 is within the normal range. Therefore, the most reliable assessment finding suggesting a possible infection is an elevated WBC count.

Correct Answer: A

Rationale: Correct Answer: A. Provide antipyretic. Rationale: 1. Mastitis is an inflammation of the breast tissue usually caused by infection. 2. Antipyretics help reduce fever, a common symptom of infection. 3. Providing antipyretics can help alleviate discomfort and promote healing. 4. Stopping antibiotics when redness is resolved (choice B) may lead to recurrence of infection. 5. Encouraging the person to stop breast-feeding (choice C) can negatively impact milk production and bonding. 6. Starting an IV and preparing for signs of sepsis (choice D) is an extreme measure not indicated unless sepsis is confirmed.

Correct Answer: C

Rationale: The correct answer is C because using a peri-bottle for cleaning front to back helps prevent introducing more bacteria into the infected perineal laceration. This method maintains proper hygiene, reduces the risk of further infection, and promotes healing. A urinary catheter (A) is not typically indicated for a perineal laceration infection. An abdominal binder (B) may provide support but does not directly address the infection. Discouraging pain medications (D) is not appropriate as pain management is important for patient comfort and healing.

Correct Answer: C

Rationale: The correct answer is C because early (primary) postpartum hemorrhage (PPH) often occurs due to uterine atony, which is the inability of the uterus to contract effectively after childbirth. This leads to excessive bleeding within 24 hours of delivery. Choice A is incorrect because early PPH occurs within 24 hours postpartum, not after 12 weeks. Choice B is incorrect because early PPH is indeed an emergency due to the risk of rapid blood loss. Choice D is incorrect as early PPH is typically diagnosed before or shortly after discharge, not after.