Question

questions 2, 4 and 7 please.

Postpartum Depression-Case Study The client is a 19-year-old woman who returned home from the hospital yesterday with her newborn baby boy who is now 2 days old. The baby weighed 7 lbs, I oz at birth. His Apgar scores were 8 and 10. The client had a 12-hour labor and an uncomplicated vaginal delivery. During her admission to the hospital. The client decided to breastfeed and did well with the support and encouragement from her nurses. She was attentive to all teaching while in the hospital, but she frequently voiced concern about having to care for her newborn by herself. Because of a recent move, the client has few friends and no family members within the area who can offer emotional support or education regarding her newborn. Neither her parents nor her husband's parents are able to visit or offer assistance at this time. The client works long hours as manager of a fast-food restaurant and will only be available at night to help care for the baby. The client's health insurance carrier allows for a home health nurse visit within the first week following hospital discharge; therefore, a murse has been assigned to visit the client at home. Upon arrival at the client's home on her fourth postpartum day, the murse notes that the apartment is cluttered and needs to be cleaned. The client appears disheveled and is sobbing. She states that she hasn't slept since coming home, she feels exhausted, and she can't take it anymore. She adds that the baby has finally stopped crying, for which she is relieved and grateful. The client states that if she had known that motherhood was going to be this difficult, she would never have had the baby. She feels she is a poor mother and incapable of caring for the baby. The nurse notes that the client is pale but her vital signs are stable. She states that she passed a large clot yesterday but her drainage is decreasing. Her fundus has receded to approximately 3 cm above the pubic bone. She adds that she has little appetite and has had two episodes of diarrhea during the past day. She further states that she misses her family and friends The baby, who is now 4 days old, is in a small room off the client's bedroom in a crib. The client reluctantly allows the murse to examine the baby, stating that she fears he will awaken. The nurse notes that the baby has excoriated buttocks, his skin is dry, and he is lying

Answer 1

Q. No. 2.a) Answer :

Post partum depression :

Depression to the mother following child birth due to some of hormonal changes, and some of psychological changes of the mother hood and fatigue we may observes.

b) Answer : here the client behavior is,

* she is not sleeping since discharge so there is an insomnia.

* feels incapable caring of baby,

* anxiety,

* depression,

* she is feeling poor mother hood it means full depression ect.

This is the client behavior I seen.

c) Answer :

* some of the hormones like estrogen and progesterone will useful for the fetus development during pregnancy,

* After delivery the estrogen levels still remain high in levels that means imbalance may happens,

* it is called estrogen dominance,

* so that time mood changes, emotional problems may arises in women after child birth.

Q. No. 4.a) Normal physical findings of 4 days infant :

* head circumference : 33 - 35 cm.

* chest circumference : 30 - 33 cm.

* height : 45 - 50 cm.

* weight : 2.5 -3.5 kgs.

c) Answer :

* here newborn weight is reduced from 7 lb to 6 lb.

* he Is having fever ,

* sunken fontanelle,

* yellow sclera ,

* lethargy due to poor feeding, ect.

These all symptoms indicates baby is having Jaundice.