A woman who is 12 weeks postpartum presents with the following behavior:

she reports severe mood swings and hearing voices, believes her infant is going to die, she has to be reminded to shower and put on clean clothes, and she feels she is unable to care for her baby. These behaviors are associated with which of the following?
a. Postpartum blues
b. Postpartum depression
c. Postpartum psychosis
d. Maladaptive mother–infant attachment


ANS: c
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a. Postpartum blues usually occurs within the first few weeks of the postpartum period. Women experiencing postpartum blues will have mild mood swings, and they can take care of themselves as well as their baby.
b. Women with PPD are predominately depressed and do not have mood swings.
c. Postpartum psychosis is associated with a break from reality reflected in the woman hearing voices.
d. The symptoms reported are reflective of a psychiatric disorder beyond maladaptive attachment.

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