A 26-year-old female client diagnosed with bipolar disorder delivers her first child. The nurse's assessment is guided by the knowledge that epidemiological data suggests:
a. a strong link between bipolar disorder and postpartum psychosis
b. postpartum hormonal changes help improve the symptoms of bipolar disorder
c. bipolar disorder symptoms resume after delivery at the same level as prepregnancy
d. no discernible pattern relating postpartum depression with preexisting bipolar disorder
A
Epidemiological data suggests that there is a strong link between bipolar disorder and postpartum psychosis. Women with depression occurring either before pregnancy or during gestation must be followed closely during and after pregnancy to anticipate the potential for postpartum depression or psychosis. Research suggests that the decrease in estrogen levels combined with sleep disturbances place the woman at risk for postpartum psychosis.
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