NCLEX CRUSADE ACADEMY TEST - 19 POSTPARTUM MENTAL DISORDERS

1. A nurse is assessing a client on postpartum day 3 who reports mood swings and tearfulness without cause. What is the most likely condition?. Postpartum psychosis. Postpartum depression. Postpartum blues. Serotonin syndrome.

2. Which symptom is most indicative of postpartum depression?. Hallucinations. Severe guilt and loss of pleasure. Mild tearfulness. Rapid hormonal changes.

3. A client presents with hallucinations and delusions after childbirth. What is the priority?. Reassurance. Discharge home. Immediate psychiatric admission. Start breastfeeding.

4. Which screening tool is commonly used for postpartum depression?. Glasgow Scale. APGAR. Edinburgh Postnatal Depression Scale. Braden Scale.

5. Which medication is contraindicated in pregnancy due to teratogenic effects?. Sertraline. Fluoxetine. Paroxetine. Ibuprofen.

6. What is a hallmark of serotonin syndrome?. Hypotension. Bradycardia. Hyperreflexia and clonus. Hypothermia.

7. Which condition carries highest risk of infanticide?. Blues. Depression. Psychosis. Anxiety.

8. What is the primary nursing intervention for postpartum blues?. Medication. Surgery. Support and observation. Isolation.

9. Which is a red flag for neglect?. Clean infant. Proper feeding. Unwashed infant with poor care. Active bonding.

10. Combining SSRIs with tramadol can lead to: Hypoglycemia. Serotonin toxicity. Bradycardia. Hypoxia.