A postpartum woman has been diagnosed with postpartum psychosis. Which of the following actions should the nurse perform?

Choice A rationale Maintaining a client with postpartum psychosis on strict bed rest is contraindicated. While safety is paramount, strict bed rest can exacerbate feelings of isolation, contribute to lethargy, and may not directly address the acute safety and psychological needs, including the potential for self-harm or harm to the infant. Physical activity, when safe, is often encouraged. Choice B rationale Restricting visitation to only the partner can increase the client's social isolation and deprive her of a supportive network, which is vital for recovery. While visitation may need structure, a complete restriction to one person is generally not therapeutic and would not be the standard initial or primary intervention for a psychiatric illness. Choice C rationale While monitoring toileting is essential in contexts where clients may attempt concealed self-harm (like hoarding medications or attempting self-injury), the primary and most acute safety concern in postpartum psychosis is the potential for infant harm, which is a more critical and universal priority than monitoring toileting. Choice D rationale Postpartum psychosis carries a significant risk of infanticide due to the severity of the illness, which includes delusions and hallucinations. Therefore, the nurse must supervise all infant care and mother-infant interactions to ensure the safety of the newborn, as this is the most critical and potentially life-threatening risk associated with this condition.