A postpartum client is experiencing mood changes consistent with postpartum blues. Which instruction should the nurse include?

• A. Plan opportunities to get out of the house frequently.
• B. Limit social activities to conserve energy.
• C. Begin strict bed rest.
• D. Avoid going out until mood improves.

Answer: (A)

Postpartum blues are temporary mood changes after birth, and the plan of care focuses on supporting activities that help elevate mood and prevent isolation. Encouraging the client to plan opportunities to get out of the house frequently provides social interaction, exposure to daylight, and a change of environment, all of which can improve mood and energy levels. Short, manageable outings with help from a partner or family can also ease stress and promote better sleep-wake patterns, which are often disrupted in the immediate postpartum period.

Restricting social activities or promoting strict bed rest would not help mood or recovery; rather, they can worsen fatigue and isolation. Avoiding going out until the mood improves similarly delays the benefits of social support and activity. If mood does not improve within a couple of weeks or if there are signs of postpartum depression—such as persistent sadness beyond the typical blues, guilt, hopelessness, or inability to care for the baby—further assessment and intervention are needed.