Deck 20: Postpartum Issues in Mental Health

Question 1

Which of the following is true about postpartum issues in mental health?
1)Postpartum blues is a serious, major postpartum psychiatric disorder.
2)Pregnancy is thought to be a protectant against postpartum mental disorders.
3)Postpartum depression is a common and normal reaction postdelivery.
4)Postpartum mental disorders cross all cultures.

Answer 1

4

Question 2

Which information should the nurse consider when administering medications for patients with postpartum depression (PPD) and postpartum psychosis (select all that apply)?
1)Starting antidepressants during pregnancy is absolutely safe for the infant.
2)Women with bipolar disorder and postpartum mental problems should be encouraged to breastfeed.
3)Antidepressants are generally to be avoided in patients with bipolar disorder.
4)Antipsychotics are often needed to treat postpartum psychosis.
5)Antianxiety medications can be used to treat postpartum depression.

Answer 2

3, 4, 5

Question 3

Which of the following combines the best treatments for postpartum blues?
1)Antidepressants, sleep, crisis intervention
2)Rest, support, compassion
3)Mother-baby bonding session, family education, antidepressants
4)Analgesics for postdelivery pain, rest, longer hospital stay

Answer 3

2

Question 4

Which of the following interventions would you contribute to the plan of care for a patient with postpartum mental disorders (select all that apply)?
1)Suggest the use of support groups.
2)Closely observe patients with substance abuse.
3)Arrange home-health visits.
4)Provide support and education to the family.
5)Keep the mother active, especially when the baby is sleeping.

Question 5

Your pregnant patient has a history of major depression. Which of the following is she most likely to be at risk for?
1)She is at risk for development of manic episodes.
2)She is at risk for postpartum depression after the birth of the baby.
3)She is more likely to have an autistic child.
4)She has no higher risk for emotional problems than other patients.

Question 6

Which patient is most prone to postpartum depression (PPD)?
1)A mother 2 months postdelivery
2)A mother 4 months postdelivery
3)A mother 6 months postdelivery
4)A mother 8 months postdelivery

Question 7

Which of the following are early signs of postpartum psychosis (select all that apply)?
1)Restlessness
2)Hallucinations
3)Irritability
4)Delusions of persecution
5)Insomnia

Question 8

Which statement best describes postpartum blues?
1)A rare condition that affects bonding between mother and baby.
2)A transient, self-limiting period of sadness after the birth of the baby.
3)A psychiatric diagnosis similar to dysthymia.
4)A period of sadness that usually moves quickly into postpartum psychosis.

Question 9

Marie is admitted with postpartum depression. Which symptom should the nurse expect to observe?
1)Impaired ability to care for the baby
2)Delusions of grandeur
3)Extreme impulsivity
4)Disorganized speech

Question 10

Ann has a diagnosis of postpartum psychosis. Which finding would you expect to find in her history?
1)This is her third pregnancy.
2)She has bipolar disorder.
3)She delivered 5 months ago.
4)There are no prior mental health disorders.

Question 11

What is a priority when caring for a patient with postpartum psychosis?
1)Education for infant care
2)Safety of the infant
3)Proper bathing techniques for the infant
4)Supplements for infant nourishment

Question 12

Which is NOT a contributing factor to postpartum blues?
1)Hormone shifts
2)Lack of sleep
3)Stress
4)History of depression

Question 13

Which statement by the nurse indicates a good understanding of postpartum blues?
1)"You need to get involved with taking care of this baby."
2)"You are lucky to have a healthy baby. The patient in the next room would give anything to be in your place."
3)"You look tired. Why don't you rest for a bit and I will come back later to start some teaching."
4)"I will call the social worker to check into alternate caregiving for the new baby."

Question 14

In addition to antidepressants, which of the following is a common treatment for postpartum depression?
1)Antipsychotics
2)Psychotherapy
3)Hormone replacement
4)Temporary removal of the baby from the home

Question 15

You are caring for the patient who is 4 weeks postdelivery in the obstetrics follow-up clinic. She tells you she is sleeping for long hours, wants to avoid taking care of the baby, and wishes she had never had the baby. What would be your first response?
1)"It's normal to feel overwhelmed at first."
2)"Tell me more about these feelings."
3)Report her to Child Protective Services.
4)"I'll call your husband right away to get you back home to rest."