Question

A nurse is monitoring the client for signs of postpartum depression. Which would indicate the need for further assessment related to this form of depression?

1.The client is caring for the infant in a loving manner.
2.The client demonstrates an interest in the surroundings.
3.The client constantly complains of tiredness and fatigue.
4.The client looks forward to visits from the father of the newborn.

Answer 1

Looking forward to visits from the father of the newborn does not typically indicate postpartum depression. A thorough assessment for postpartum depression involves examining the client's mood and behaviors over time, considering previous mental health history, and evaluating the onset timing and severity of symptoms.

Step-by-step explanation:

A nurse monitoring for signs of postpartum depression would typically be on the lookout for symptoms such as persistent sadness, lack of interest in the newborn, anxiety, sleep disturbances, changes in appetite, and thoughts of self-harm. If a client looks forward to visits from the father of the newborn, this does not typically indicate postpartum depression, as it suggests a positive engagement and support system. However, a comprehensive assessment for postpartum depression would involve a broader look at the client's overall emotional and psychological state, beyond their reaction to specific events or individuals.

Research has indicated that postpartum depression can significantly impact early interactions, parenting, and safety practices (Fields, 2010). For a thorough assessment, the client's mood, thoughts, and behaviors over a period should be considered, along with risk factors like previous mental health history, cortisol levels (Halligan et al., 2007), and the presence of support systems. The onset timing and severity of symptoms are also critical factors to consider, which if severe, including thoughts of self-harm, should prompt immediate attention (Wisner et al., 2013).