The nurse is teaching a client about postpartum depression. What statement indicates understanding?

Correct Answer: C

Rationale: In the context of maternal newborn nursing, understanding postpartum depression is crucial for both nurses and clients. Option C, "I should seek help if I feel disconnected from my baby," indicates understanding because postpartum depression can manifest as feelings of disconnection from the baby, among other symptoms. Seeking help is essential for early intervention and effective management. Option A, "It’s normal to feel hopeless for several weeks," is incorrect because while some mood fluctuations are normal postpartum, persistent feelings of hopelessness may indicate a more serious issue like postpartum depression. Option B, "Postpartum depression only occurs in first-time mothers," is incorrect as postpartum depression can affect any mother, regardless of whether it is their first child or not. Option D, "It is caused by a lack of support from family," is incorrect because while lack of support can contribute to postpartum depression, it is not the sole cause as there are multifactorial reasons for its development. Educationally, this question highlights the importance of recognizing the signs and symptoms of postpartum depression, emphasizing the need for early intervention and support for mothers experiencing this condition to promote maternal mental health and bonding with the newborn.

Correct Answer: B

Rationale: In postpartum care, monitoring the uterine fundus is crucial to prevent postpartum hemorrhage. When a boggy uterus is noted, the priority intervention is to massage the fundus until it becomes firm. Massaging the fundus helps to promote uterine contractions, which in turn helps to control bleeding by compressing blood vessels at the placental site. This intervention supports the physiological process of uterine involution and reduces the risk of excessive bleeding. Notifying the healthcare provider (Option A) is important but not the priority in this situation. Massaging the fundus should be initiated immediately to address the primary issue of uterine atony. Administering prescribed oxytocin (Option C) may be necessary after fundal massage if uterine tone remains inadequate. Checking the client's vital signs (Option D) is important but does not address the immediate need to control bleeding from uterine atony. Educationally, understanding the significance of uterine tone in the postpartum period is essential for nurses caring for maternal newborn clients. Proper technique in fundal massage and prompt recognition of uterine atony are critical skills for preventing complications like postpartum hemorrhage. Nurses must be prepared to take swift and appropriate actions to ensure the well-being of postpartum clients.

Correct Answer: A

Rationale: A vasectomy involves blocking or cutting the vas deferens to prevent sperm from being ejaculated with semen, making it an effective method of contraception. Choice B is incorrect because the testicles are not removed during a vasectomy, only the vas deferens is altered. Choice C is incorrect because seminal fluid is still produced, but sperm are prevented from entering it. Choice D is incorrect because sperm are not killed, but rather prevented from mixing with semen.

Correct Answer: B

Rationale: The copper IUD is a highly effective, long-term contraception method that does not interfere with breastfeeding. Choice A is incorrect because oral contraceptives may reduce milk supply, and many types are not recommended during breastfeeding. Choice C is incorrect because contraceptive injections may not be ideal during breastfeeding. Choice D is incorrect because emergency contraception is used only after unprotected sex and is not a long-term solution.

Correct Answer: D

Rationale: Contraceptive abstinence refers to avoiding penis-in-vagina intercourse to prevent pregnancy. It is a method of birth control where sexual partners choose not to engage in sexual intercourse during fertile periods to avoid the risk of pregnancy. This method relies on refraining from penetrative sex or any ejaculatory contact between the penis and vagina. It is a natural form of birth control and does not involve the use of contraceptives or devices.