A nurse is reinforcing discharge teaching with a client who is 2 days postpartum and has a history of postpartum depression.Which of the following instructions should the nurse include?

Choice A rationale Isolating oneself by staying home is contraindicated as it can exacerbate feelings of loneliness and isolation, which are significant features of postpartum depression (PPD). Social support and interaction are crucial components of recovery and mental well-being for a client with a history of PPD, and social engagement is actively encouraged for a positive prognosis. Choice B rationale Regular contact with a mental health professional or crisis counselor is a critical component of the management plan for a client at high risk for or experiencing PPD. This provides ongoing assessment, emotional support, and therapeutic intervention, ensuring early detection of worsening symptoms and facilitating timely, effective mental health care, thereby reducing the risk of a severe depressive episode. Choice C rationale Returning to work within two weeks post-delivery is premature and can increase stress and fatigue, which are triggers for PPD symptoms. The recommended postpartum recovery period typically extends to six weeks or more, allowing for physical healing and psychological adjustment to the demands of motherhood before resuming external professional obligations. Choice D rationale While adequate sleep is vital to combat the fatigue associated with new motherhood, which is a known PPD trigger, instructing the client to "sleep as much as possible" is unrealistic and potentially isolating. PPD management focuses on balanced self-care, ensuring rest while maintaining necessary activities, social engagement, and adherence to the mental health treatment plan.