Question

help #7 a&b 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

a. Professionalism is one of the attitudes helpful to approach the patient in the right way. Professionalism is the set of behaviors used to address the patient in the right manner to achieve optimum outcomes. The nurse has to communicate with the mother effectively in order to achieve the trust of the patient, Approaching the newborn mother with dignity, respect, and kindness increases the patient cooperation which improves the outcomes.

b. Problem-solving is defined as an immediate response to a particular situation in order to obtain possible solutions. It is one of the essential skills used by the nurse for good clinical judgment. The nurse can analyze the attitudes, and a negative belief of mother regarding the motherhood and respond appropriately to make possible solutions for the mother.