Basics
What is postpartum depression?
A mood disorder that occurs after childbirth, involving persistent feelings of sadness, hopelessness, or loss of interest in daily activities.
Name one emotional symptom of postpartum depression.
Sadness, guilt, irritability, anxiety, or feelings of worthlessness.
Name one biological risk factor for postpartum depression.
Hormonal changes, thyroid imbalance, or sleep deprivation.
What screening tool is commonly used to identify postpartum depression?
Edinburgh Postnatal Depression Scale (EPDS).
What class of medication is commonly prescribed for postpartum depression?
Antidepressants (SSRIs) — e.g., sertraline, fluoxetine.
How soon after delivery can postpartum depression begin?
Anytime within the first year after childbirth (usually within the first few weeks).
Name one physical symptom of postpartum depression.
Fatigue, sleep disturbances, appetite changes, or low energy.
Name one psychosocial risk factor for postpartum depression.
Lack of support, financial stress, relationship problems, or unwanted pregnancy.
At what postpartum checkup should screening for PPD typically occur?
Around 2–6 weeks postpartum.
What non-pharmacological treatment helps patients process emotions and coping strategies?
Psychotherapy or counseling (CBT, interpersonal therapy).
How long must symptoms last to diagnose postpartum depression?
At least 2 weeks or longer.
What symptom differentiates postpartum psychosis from postpartum depression?
Hallucinations or delusions.
A mother with a history of this condition before pregnancy is at higher risk.
Depression or anxiety disorder.
What is one key question a nurse should ask to assess for suicidal ideation?
“Have you had any thoughts of harming yourself or your baby?”
True or False: Mothers with postpartum depression should not breastfeed.
False — they can, with appropriate medication guidance.
True or False: Postpartum depression only occurs in women with a prior history of mental illness.
False — it can affect anyone, even without a prior history.
What is the most serious potential outcome of untreated postpartum depression?
Suicide or infanticide.
Lack of this type of support can increase the risk of PPD.
Emotional and social support.
What’s the difference between postpartum blues and depression in terms of duration?
Baby blues last < 2 weeks; depression lasts ≥ 2 weeks and is more severe.
What is an important nursing intervention when a patient expresses hopelessness?
Stay with the patient and ensure safety; notify provider immediately.
What are the baby blues?
A mild, short-term emotional condition after childbirth.
What symptom might a nurse identify if a mother says, “I don’t feel connected to my baby”?
Difficulty bonding or attachment issues.
True or False: Having a cesarean section increases risk for postpartum depression.
True — due to increased stress, pain, or complications.
Which healthcare professional can diagnose postpartum depression?
Physician, nurse practitioner, or mental health professional.
What is the nurse’s priority action if a mother expresses thoughts of harming herself or her baby?
Ensure immediate safety and initiate emergency psychiatric evaluation.