The pediatric nurse is performing an assessment on a 4-week-old client in the clinic. During the assessment, the newborn's mother starts to cry and states, "I am the worst mother in the world." What should the nurse ask next?

Question

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Postpartum depression (PPD) is a perinatal mood disorder that affects women following childbirth. Symptoms may include crying, irritability, difficulty sleeping (or sleeping more than usual), anxiety, and feelings of guilt. Symptoms typically arise within 4 weeks of delivery and can affect the mother's ability to care for herself and the newborn. The nurse should ask specific questions about depression or hopelessness to assess for PPD (Option D). It is also important to ask about thoughts of self-harm or harm to the newborn. Postpartum depression (PPD) (Option A) Women who do not have strong support systems are at a higher risk for PPD. However, it is most important to assess for the presence of PPD. (Option B) Mothers may have feelings of inadequacy or guilt as they experience challenges in caring for their infant (eg, breastfeeding difficulties, infant colic). The nurse should assess the need for client teaching, which can help to alleviate anxiety and improve outcomes; however, this is not the priority. (Option C) Sleep disturbances are common when caring for a newborn and may worsen depression or anxiety. However, it is most important to directly ask the client about depression. Educational objective: Postpartum depression (PPD) is a perinatal mood disorder characterized by crying, irritability, sleep disturbances, anxiety, or feelings of guilt. Nurses should assess for PPD by asking specific questions about feelings of depression and hopelessness as well as thoughts about self-harm or harm to the newborn.

The Pediatric Nurse Is Performing an Assessment on a 4-Week-Old