A client in the postpartum clinic is complaining of tearfulness, mood swings, feelings of guilt, and inability to cope. The population health nurse suspects that the client is suffering from which condition?
1. Substance abuse.
2. Postpartum psychosis.
3. Seasonal affective disorder.
4. Postpartum depression.
Answer: 4
Explanation: 4. Symptoms of postpartum depression are similar to those of other major depressive episodes but may also include tearfulness, mood swings, feelings of guilt and inadequacy as a mother, and inability to cope with the demands of an infant. Substance abuse would not be suspected in this scenario. Postpartum psychosis is characterized by mood fluctuations, disorganized behavior, and possible delusions or hallucinations. Seasonal affective disorder is a form of depression that varies with the seasons, and results in depression in the fall and winter when exposure to natural light is diminished and positive mood in spring and summer when natural light is more abundant.
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