Postpartum care: psychosis: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Postpartum care: psychosis

Sample item

Five days after delivery, a patient has severe insomnia, rapidly fluctuating mood, hallucinations, and bizarre beliefs about the baby. What is the correct management principle?

AUrgent psychiatric assessment and protection of mother and infantBTreat only with sleep hygiene adviceCDelay assessment until the six-week checkDRoutine reassurance alone

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Urgent psychiatric assessment and protection of mother and infant

Postpartum psychosis is a psychiatric emergency with risk to mother and infant. It requires urgent specialist assessment, safety planning, and treatment, often with inpatient care.

Option by option

A. Urgent psychiatric assessment and protection of mother and infant (correct)
Correct. Acute psychosis postpartum requires immediate safety-focused care.
B. Treat only with sleep hygiene advice
Sleep advice does not address psychosis and safety risk.
C. Delay assessment until the six-week check
Waiting weeks risks rapid deterioration.
D. Routine reassurance alone
Reassurance alone is unsafe.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

Questions about this OBG question

What is the answer to this OBG question?

The best answer is A, Urgent psychiatric assessment and protection of mother and infant. Postpartum psychosis is a psychiatric emergency with risk to mother and infant.

Why is "Treat only with sleep hygiene advice" not the answer?

Sleep advice does not address psychosis and safety risk.

Why is "Delay assessment until the six-week check" not the answer?

Waiting weeks risks rapid deterioration.

Why is "Routine reassurance alone" not the answer?

Reassurance alone is unsafe.

What concept does this question test?

It tests Postpartum care: psychosis in OBG. It requires urgent specialist assessment, safety planning, and treatment, often with inpatient care.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Postpartum care: psychosis?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.