Practice Quiz

Doula

Category - Postpartum

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A doula is speaking with a client who gave birth to a baby girl two months ago. During the conversation, the client informs the doula that she is hearing voices and that she constantly feels empty. She has a history of clinical depression. Which of the following is the priority action of the doula?
  1. Offer compassion
  2. Protect the client and child from injury
  3. Consider counseling for the client
  4. Administer antidepressants
Explanation
Answer: B - The client has postpartum psychosis, which is manifested by feelings of depression and hallucinations. A history of clinical depression increases a woman's risk for postpartum psychosis. The doula's priority is to protect the client and child from injury. In addition to suicide ideation, it is not uncommon for women with this condition to have the urge to hurt their babies. The doula must be alert when a client reveals this information, helping the client to get help immediately. Offering compassion is more appropriate for clients with postpartum blues. Counseling is usually recommended to client with postpartum depression.
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