postpartum assessment normal findings


High scores suggest a forceful and dominant person who lacks hesitation. Fancher, R., & Rutherford, A. Psych Central. The nurse notes that the lochia is red and has a foul odor. The nurse is preparing to assist in performing a fundal assessment on a postpartum client. It is the mental equivalent of physical examination. The nurse recognizes that the mother may have intensified "postpartum blues" because of which situation? (Vol. Which sign noted in the mother indicates an early sign of excessive blood loss and shock? He also coined the term "mental test" in this paper. [7], In a psychological clinic setting, psychological assessment can be used to determine characteristics of the client that can be useful for developing a treatment plan. A medical history of a patient provides insights into diagnostic possibilities as well as the patient's experiences with illnesses. Pioneers of psychology. The examiner's expectations may also influence the client's performance in the assessments. Low scores suggest a person who lives more in the moment. The spouse lacks hope because of the loss of the baby and illness of his wife. On further data collection the nurse notes a localized area of redness on the left breast, and the mother is diagnosed with mastitis. Which intervention should promote parent-infant bonding, Encourage her to hold the infant even when the infant is crying. Which instructions should be included on the list? The nurse attempts to encourage a new mother to understand and to accept the cesarean section that was necessary to deliver her baby, rather than to focus on the surgical aspect of the procedure. Low scores suggest being less affected by others' opinions, but not necessarily having good social skills or poise. However, those who score lower are more narrow in their interests and have low curiosity. A delivery room nurse collects data on a mother who just delivered a healthy newborn infant. In the 1800s, Hubert von Grashey developed a battery to determine the abilities of brain-damaged patients. The nurse instructs the mother to increase her daily caloric intake by which amount? The nurse in the postpartum unit is assigned to care for a client who delivered a full-term, healthy baby. There are two variations of the MMPI administered to adults, the MMPI-2 and the MMPI-2-RF, and two variations administered to teenagers, the MMPI-A and MMPI-A-RF. The patients will be asked about current illness and the history of it, past medical history and family history, other drugs or dietary supplements being taken, lifestyle, and allergies. The restructured form of the MMPI-A, the MMPI-A-RF, was published in 2016 and consists of 241 true or false questions that can understood with a sixth grade reading level. Which appropriately describes the situation? Fourth, tests are normed. [14][15] Self-reporting methods may be used, including questionnaires, structured interviews and rating scales.[16]. Select all that apply. Encourage her to hold the infant even when the infant is crying. High scorers are more moved by others' emotions, while low scorers are more hardheaded and typically consider themselves realists. History Symptoms vary but may include: Fever. Assessment of Quantitative [F]Sodium Fluoride PET Measures of Knee Subchondral Bone Perfusion and Mineralization in Osteoarthritic and Healthy Subjects. The nurse suspects that the client has a pulmonary embolism when the client exhibits which signs and symptoms? High scorers are more inclined to avoid conflict and tend to forgive easily. When an individual is given their NEO report, it is important to understand specifically what the facets are and what the corresponding scores mean. Which nursing actions should decrease the discomfort of an episiotomy? The nurse is monitoring a new mother in the fourth stage of labor for signs of hemorrhage. The nurse provides home care instructions to a postpartum client following a vaginal birth with episiotomy. London: Sage Publications. Tell me about the delivery of your baby.". This may be a sign of hemorrhage or shock. Other psychological evaluations seek to better understand the individual's unique characteristics or personality to predict things like workplace performance or customer relationship management.[2]. The nurse checks the mother's fundus and notes that it is firm. For most women, having a baby is a very exciting, joyous, and often anxious time. One of the main problems in the field is pseudopsychology, also called pop psychology. The nurse performs a perineal assessment on the mother and notes a trickle of bright red blood coming from the perineum. The types of assessments and the purposes for them differ among these settings. Which response by the client indicates that the client understands the instructions? In informal evaluation, assessments are based on unstructured, free-flowing interviews or observations that allow both the patient and the clinician to guide the content. The client is required to stay on bed rest. Earliest accounts of evaluation are seen as far back as 2200 B.C. Which statement by the mother indicates an understanding of these measures? The bright red bleeding is abnormal and should be reported. High scores suggest a person concerned with the well-being of others and show it through generosity, willingness to help others, and volunteering for those less fortunate. I should avoid wearing a bra at this time.". Which signs/symptoms should the nurse expect to note in the neonate? The occurrence of which event should be reported to the primary health care provider? A client has had a midline episiotomy. (2012). High scores suggest wanting the company of others. Which statement by the client indicates the need for further teaching? vThe nurse is assisting with caring for a postpartum client who is experiencing uterine hemorrhage. The nurse plans care based on which information related to the condition? The nurse is assisting in preparing a plan of care for a client who just delivered a dead fetus. It is sometimes posed as an alternative approach to the experimental method which focuses on the importance of conducting experiments in learning how to treat mental disorders, and the differential method which sorts patients by class (gender, race, income, age, etc.) [7], Guidelines have been put in place to ensure the psychologist giving the assessments maintains a professional relationship with the client since their relationship can impact the outcomes of the assessment. An increase in the pulse rate from 88 to 102 beats per minute. History. Longdom organizing Global Scientific Conferences in USA, Canada, Europe, Asia-Pacific, Middle East and other prominent locations across the globe. Figure 22. Diagnostic criteria for major depressive disorder (according to DSM-5); A: Five or more of the nine symptoms listed below, for at least 2 weeks, with at least one of the symptoms being depressed mood or anhedonia. The nurse provides explanation to a client prescribed methylergonovine maleate in the immediate postpartum period. Most clinicians agree that a balanced battery of tests is the most effective way of helping patients. After the birth, the family has remained together, touching the baby. The nurse is reinforcing instructions to a postpartum cesarean delivery client who is preparing for discharge. Which determination should the nurse make based on this information? Judges may use the psychologist's report to change the sentence of a convicted person, and parole officers work with psychologists to create a program for the rehabilitation of a parolee. Second, these tests provide empirically quantified information. Which statement by the nurse should further assist the family in their initial period of grief? During the discharge, the client asks the nurse, "Do I have to worry about this diabetes anymore?" The nurse is assigned to care for a client in the immediate postpartum period who received epidural anesthesia for delivery, and the nurse monitors the client for complications. [10][11], Within clinical psychology, the "clinical method" is an approach to understanding and treating mental disorders that begins with a particular individual's personal history and is designed around that individual's psychological needs. Ultrasound is the first-line imaging modality for assessment of thyroid nodules found on clinical examination or incidentally on another imaging modality. High scores suggest a more open-mindedness to traveling and experiencing new things. Peripartum (postpartum) cardiomyopathy (PPCM) is the most common cardiomyopathy in pregnancy. The nurse plans to take the woman's vital signs at which time intervals? Low scores suggest are more passive and try not to stand out in a crowd. A stillborn was delivered in the birthing suite a few hours ago. The nurse is caring for a client with placenta previa who is at high risk for infection and hemorrhage. Within this setting, psychologists often are working with clients who may have medical or legal problems or sometimes students who were referred to this setting from their school psychologist. Within a medical setting, psychological assessment is used to find a possible underlying psychological disorder, emotional factors that may be associated with medical complaints, assessment for neuropsychological deficit, psychological treatment for chronic pain, and the treatment of chemical dependency. The parents of a neonate who is not circumcised asks the nurse why the foreskin should not be retracted. It was not until 1985 that Agreeableness and Conscientiousness were added to the personality assessment.