CNM Certified Nurse Midwife

Category - Postpartum

A client who gave birth to a healthy newborn experiences crying and expresses feelings of sadness and emptiness. The client delivered her baby 3 days ago. The nurse midwife suspects that the client has:
  1. Postpartum depression.
  2. Postpartum blues.
  3. Postpartum psychosis.
  4. A normal behavior during the taking-hold phase.
Explanation
Answer: B - The client has postpartum blues. Postpartum blues occurs shortly after childbirth and dissipates quickly. The client may experience crying and express feelings of emptiness. Research shows that postpartum blues occurs in about 70% of postpartum clients. Postpartum depression, on the other hand, occurs in the first few months after childbirth and may last up to a year. Counseling may be recommended. Postpartum psychosis occurs during the first month after childbirth. Clients may have delusions and hallucinations. Drug therapy and psychotherapy are usually recommended.
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