The nurse in a women's health clinic is returning client phone calls. Which client would be the priority to call first?

Question

Quizplus · Accepted Answer

Postpartum psychosis is a rare but serious perinatal mood disorder. Research suggests a multifactorial etiology, including genetic predisposition and hormone fluctuation after birth. Risk factors include history of bipolar disorder and previous discontinuation of mood-stabilizing medications (eg, lithium). Signs appear within 2 weeks after birth and include hallucinations, delusions, paranoia, severe mood changes, delirium, and feelings that someone will harm the baby (Option B). Postpartum psychosis is a psychiatric emergency requiring hospitalization, pharmacologic intervention, and long-term supportive care. Women exhibiting signs of postpartum psychosis are at increased risk of suicide and infanticide, and their assessment should take priority to ensure the safety of mother and baby. (Option A) Post-surgical constipation is caused by narcotic and anesthetic administration, decreased ambulation, and manipulation of the bowels during surgery. Fluids, fiber, ambulation, and stool softeners should be encouraged. Absence of flatus or associated nausea/vomiting would be more concerning. This is not an emergent issue; this client would be called third. (Option C) Urinary incontinence can occur after vaginal birth due to neuromuscular trauma and can improve with pelvic floor exercises. This client would be called last. (Option D) Fatigue is common with a new baby. However, sleeping too much might indicate postpartum depression. The nurse should call this client second for further assessment. Educational objective: Postpartum psychosis is a rare but serious perinatal mood disorder characterized by hallucinations, paranoia, severe mood swings, and feelings of harm toward the baby. This form of psychosis is an emergency and requires immediate assessment and intervention.

The Nurse in a Women's Health Clinic Is Returning Client