To provide adequate postpartum care, the nurse should be aware that postpartum depression (PPD) with psychotic features:
a. Is more likely to occur in women with more than two children.
b. Is rarely delusional and then is usually about someone trying to harm her (the mother).
c. Although serious, is not likely to need psychiatric hospitalization.
d. May include bipolar disorder (formerly called "manic depression").
ANS: D
Manic mood swings are possible. PPD is more likely to occur in first-time mothers. Delusions may be present in 50% of women with PPD, usually about something being wrong with the infant. PPD with psychosis is a psychiatric emergency that requires hospitalization.
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