A new mother who is bottle feeding says that she is happy to not have to use birth control for several months after having a baby.What should the nurse say in response?
You won’t need to use it for at least 6 months.
Most people don’t need it for 3 months.
You might ovulate within 27 days.
That’s right.
The Correct Answer is C
Choice A rationale
It is incorrect to say that birth control is not needed for at least six months. Ovulation can occur much sooner, and contraception should be discussed early.
Choice B rationale
Most people do not need birth control for three months is also incorrect. Ovulation can resume as early as three weeks postpartum.
Choice C rationale
Ovulation can occur within 27 days postpartum, making it important to discuss contraception early to prevent unintended pregnancies.
Choice D rationale
Agreeing with the statement is incorrect and can lead to misinformation. It is important to provide accurate information about postpartum ovulation and contraception.
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Correct Answer is D
Explanation
Choice A rationale
Staying home until one week after delivery is not a specific intervention for postpartum depression. Social support and monitoring are more effective strategies.
Choice B rationale
While adequate rest is important, advising to sleep as much as possible is not a targeted intervention for postpartum depression. Structured support and counseling are more beneficial.
Choice C rationale
Returning to work two weeks after delivery is not advisable for someone with a history of postpartum depression. Early return to work can increase stress and exacerbate symptoms.
Choice D rationale
Contacting a crisis counselor once a week provides structured support and monitoring, which is crucial for managing postpartum depression. Regular counseling helps in early identification and management of symptoms.
Correct Answer is B
Explanation
Choice A rationale
Urinary tract infections (UTIs) are not typically associated with increased lochia. UTIs usually present with symptoms such as burning during urination, frequent urination, and lower abdominal pain.
Choice B rationale
Lochia can pool in the vagina while lying in bed, leading to a larger amount being expelled upon standing. This is a normal occurrence and not a cause for concern.
Choice C rationale
Retained fragments of the placenta can cause heavy bleeding and infection, but the sudden expulsion of a large amount of lochia upon standing is more likely due to pooling rather than retained placenta.
Choice D rationale
The amount of lochia typically decreases over time during the postpartum period. An increase in lochia is not expected and should be evaluated for other causes.