A client has been diagnosed with postpartum depression after delivering her first child. The nurse would expect that which of the following medications would be prescribed for this client?
1. Sertraline
2. Fluoxetine
3. Paroxetine
4. Diazepam
1. Sertraline
Rationale:
Sertraline is recommended to be the first-line treatment for postpartum depression. Paroxetine is the alternative first-line treatment for postpartum depression. Fluoxetine is not recommended for lactating women because of the long half-life and the risk of the medication crossing into the breast milk. Since it is not known if the client is breastfeeding, of the medications listed, sertraline is the safest for lactating and breastfeeding mothers. Diazepam is not used to treat postpartum depression.
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