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Postpartum psychosis — ABEM Board MCQ

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ModeratePsychiatric emergenciesPostpartum psychosisABEM Board

A 29-year-old woman 2 weeks postpartum arrives with insomnia and bizarre behavior. Triage acuity is ESI 2; BP 122/78 mm Hg, HR 108/min. She says the baby is possessed and voices told her not to feed him. She has no prior psychiatric admission. Which of the following is the most appropriate disposition?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Admit for emergency psychiatric care with infant safety measures

Postpartum psychosis with command hallucinations or delusions involving the infant requires emergency admission and safety planning.

Reference: ACOG perinatal mental health guidance