The home-care nurse reviews a visit note eight days after bi… | MyMerci
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Mental Health Concepts

The home-care nurse reviews a visit note eight days after birth. Which findings require immediate follow-up? Highlight the findings associated with possible postpartum psychosis.

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Nurses' Notes 1105: The nurse visits the client and infant eight days after birth. The client whispers that the infant was secretly replaced by another family's baby. The partner reports that the client cried when left alone yesterday but accepted comfort. The client asks for help with positioning the infant during the next feeding. The client says that worry about feeding feels excessive and counseling may help. The infant is sleeping safely in a bassinet beside the partner. The client suddenly states, a voice ordered the client to hide the baby from demons. After reassurance, the client sits calmly and drinks a cup of water. The client identifies the current date and complete home address correctly. The client then allows the partner to hold the infant during the discussion. The partner reports three sleepless nights with pacing and claims of unlimited power. The client says that the postpartum appointment is written on the calendar. The kitchen contains food and clean water. The client denies incisional drainage. The nurse remains with the family while arranging emergency evaluation. The infant has no visible injury. The partner agrees not to leave the client alone with the infant.
Nurses' Notes 1105: The nurse visits the client and infant eight days after birth. The client whispers that the infant was secretly replaced by another family's baby. The partner reports that the client cried when left alone yesterday but accepted comfort. The client asks for help with positioning the infant during the next feeding. The client says that worry about feeding feels excessive and counseling may help. The infant is sleeping safely in a bassinet beside the partner. The client suddenly states, a voice ordered the client to hide the baby from demons. After reassurance, the client sits calmly and drinks a cup of water. The client identifies the current date and complete home address correctly. The client then allows the partner to hold the infant during the discussion. The partner reports three sleepless nights with pacing and claims of unlimited power. The client says that the postpartum appointment is written on the calendar. The kitchen contains food and clean water. The client denies incisional drainage. The nurse remains with the family while arranging emergency evaluation. The infant has no visible injury. The partner agrees not to leave the client alone with the infant.
Explanation
A fixed bizarre belief about the infant, a command hallucination involving the infant, and sleepless grandiose behavior require immediate follow-up. Postpartum psychosis is a psychiatric emergency.
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