A postnatal woman becomes confused, highly agitated and says that voices are ordering her to harm her baby. Which nursing action is the priority?
Correct answer: B. Arrange immediate psychiatric and safety assessment
- A. Leave her alone to reduce stimulation
- B. Arrange immediate psychiatric and safety assessment
- C. Reassure her that this is normal baby blues
- D. Encourage her to sleep and review her tomorrow
Explanation
Confusion, hallucinations and possible harm indicate postpartum psychosis, which is a psychiatric emergency. The nurse must protect the mother and newborn and arrange urgent specialist assessment, rather than treating it as ordinary postpartum sadness.
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About Postnatal Care and Breastfeeding
Maternal postnatal care assesses uterine involution, lochia, perineal healing, bladder and bowel function, vital signs, emotional wellbeing and signs of puerperal infection or haemorrhage. Breastfeeding covers colostrum, milk production, positioning and attachment, feeding frequency, common difficulties and the distinction between normal breast changes and mastitis.
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