Daman & Diu Staff Nurse - 2018
Obstetrics & Gynaecology
Easy
Which of the following is exhibited by a mother with postpartum depression?
Appeared in: Daman & Diu Staff Nurse - 2018
Explanation
- Uncontrolled crying, along with persistent sadness and labile moods, is a classic symptom of Postpartum Depression (PPD).
- This symptom reflects the significant emotional dysregulation and distress experienced by the mother.
- Unlike the transient 'baby blues', the crying in PPD is more intense, frequent, and part of a larger depressive syndrome that impairs functioning.
- PPD does not involve a loss of contact with reality, which distinguishes it from postpartum psychosis.
Why Other Options Were Wrong
- Option A: Hallucinations, which are sensory experiences without an external stimulus (e.g., hearing voices), are a primary symptom of postpartum psychosis, not postpartum depression.
- Option B: Delusions are fixed, false beliefs that are not in keeping with reality (e.g., believing the baby is demonic). This is a hallmark symptom of postpartum psychosis.
- Option D: Confusion and disorientation are cognitive symptoms associated with the severe and acute nature of postpartum psychosis, indicating a significant break from reality.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Symptoms of Postpartum Depression as background academic context rather than a clinical decision trigger.
- Nurses play a vital role in screening for postpartum mood disorders using tools like the Edinburgh Postnatal Depression Scale (EPDS) during postpartum visits.
- It is critical for nurses to educate the mother and her family on the differences between 'baby blues', PPD, and postpartum psychosis to reduce stigma and encourage early help-seeking.
- Recognizing the signs of postpartum psychosis is a critical patient safety issue. Any report of hallucinations, delusions, or severe confusion requires immediate escalation and emergency psychiatric intervention to protect both the mother and the infant.
How to Approach the Question
- First, identify the core concept of the question, which is the specific symptomatology of postpartum depression (PPD).
- Mentally review the spectrum of postpartum mood disorders: Postpartum Blues (mild, transient), Postpartum Depression (more severe, persistent), and Postpartum Psychosis (severe, involves loss of reality).
- Analyze each option against your knowledge of these conditions.
- Evaluate 'Uncontrolled crying'. This aligns with the mood lability and sadness characteristic of depressive disorders.
- Evaluate 'Hallucinations', 'Delusions', and 'Confusion'. Recognize these as psychotic symptoms, which define postpartum psychosis, a separate and more severe diagnosis.
- Conclude that 'Uncontrolled crying' is the only symptom listed that is characteristic of postpartum depression without psychosis.
Concept Tested & Keywords
- Concept Tested: Symptoms of Postpartum Depression
- Stem keywords: postpartum depression, mother
- Lead-in keywords: Which of the following
- Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.
- Negative lead-in flag: false
Question ID
QwrWm7QeXkDdPIo9CWaq6D
Reference Book
E6 Guide to Mental Health & PSYCHIATRIC NURSING R Sreevani— Part 2 (pp 290-564 of 579) p. 168-170
E6 Medicine Davidson Principles Practice 24e p. 1226-1228
E6 Physiology Guyton 4SAE Part 3 p. 63-65
Practise the full Daman & Diu Staff Nurse - 2018
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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