Question

please, need help with question #7

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

Attitudes and Cognitive critical thinking skills used to address this case are

a. Analytical thinking skills: It is the ability of the nurse to examine the things that take around us. The nurse should observe each and every action of postpartum mother and able to determine which is right and wrong.

b. Communication: It is the sharing of ideas or thoughts between the persons. The nurse should communicate effectively with the newborn mother to alleviate her fear and allow her to express her feelings.

c. Problem-solving: It is the analyzing of the problem and to implement an appropriate solution for the problem. the nurse has to list out the problems of mothers and give her a possible list of solutions for the problem.

d. Reflection: It is the determination of the effectiveness of nursing actions and interventions. Nurse must reflect with her past experience and to make a good clinical judgment based upon clinical reasoning.

e. Quick response: It is the immediate action to the proposed problem. The nurse must respond immediately to the mother question which stabilizes her emotional status and improve her involvement in newborn care.

f. Interprofessional skills: It the link between different health care professionals. The nurse can make arrangements of pediatrician, dietician visit which helps the mother to a better understanding of newborn care. Psychological counseling builds up the bond between the mother and baby.