The nurse assesses for signs of depression or postpartum blues. How can the nurse explain the difference?

Correct Answer: D

Rationale: The correct answer is D because postpartum blues typically involve symptoms like irritability and sadness, which are common and usually resolve within a few weeks. This is different from postpartum depression (PPD), which is more severe and may last longer. A is incorrect because PPD is typically more severe than postpartum blues. B is incorrect because postpartum blues usually resolve within a few weeks, not up to a year. C is incorrect because PPD is not considered a normal expectation of postpartum, as it requires intervention and treatment.

Correct Answer: B

Rationale: The correct answer is B because avoiding holding the newborn is a sign of lack of attachment in postpartum persons. This behavior indicates a lack of desire or ability to bond with the newborn, which is crucial for healthy emotional development. Intense eye contact (choice A) and cuddling (choice C) are typically associated with bonding behaviors. Exploring the newborn (choice D) can also be a positive behavior showing interest. However, the key indicator of attachment issues is the avoidance of holding the newborn, making choice B the correct answer.

Correct Answer: A

Rationale: The correct answer is A: increased risk for DVT. Cesarean birth increases the risk of Deep Vein Thrombosis (DVT) due to reduced mobility and potential blood clot formation. This is a critical concern as DVT can lead to serious complications like pulmonary embolism. Choices B and C are incorrect as cesarean birth typically results in longer recovery time and increased need for pain medication compared to vaginal birth. Choice D is incorrect as cesarean birth poses a higher risk of infection due to the surgical incision.

Correct Answer: B

Rationale: The correct answer is B: Apply cold packs and cabbage leaves. Engorgement causes breast swelling and discomfort due to increased blood and milk supply. Applying cold packs reduces inflammation and pain. Cabbage leaves have a cooling effect and can help reduce swelling. Massaging breasts can worsen engorgement by stimulating more milk production. Standing in a warm shower may provide temporary relief but does not address the root cause. Not wearing a bra may lead to discomfort and does not alleviate engorgement.

Correct Answer: A

Rationale: The correct answer is A: involvement of the partner during the prenatal period. This intervention increases the involvement of the adolescent partner postpartum by fostering a sense of responsibility, connection, and support early on in the pregnancy. By actively engaging the partner in prenatal care and decision-making processes, they are more likely to feel invested in the pregnancy and the well-being of the newborn. This involvement also promotes better communication and shared responsibilities between the partners, leading to a smoother transition into parenthood. Summary of why other choices are incorrect: B: Involvement of parents in decision making may be beneficial but does not directly address the involvement of the adolescent partner postpartum. C: Restricting people in the labor room does not promote partner involvement postpartum and may hinder support networks. D: Providing newborn care in the nursery may be helpful for short-term respite but does not enhance the involvement of the partner postpartum.