NR606 Week 1 Study Set Questions With
Complete Solutions
Common maternal mental health disorders
depression, anxiety, OCD, PTSD, bipolar disorder,
and substance use disorder
Prescribing considerations in maternal mental
health
-you must consider the risks vs benefits for both
mother and baby
-work with the client 6-12 months prior to a
planned pregnancy
-most medications are tolerated, but in cases
where the -medications are contraindicated with
pregnancy, discuss birth control and a contingency
plan should the client become pregnant
-taper drugs when possible
-physiological changes during pregnancy impact
pharmacokinetics so monitor drug levels and
symptoms so dosages may be adjusted as
necessary
Switching medications during pregnancy
-if the client is stable on their current medication
regimen, it is usually better to continue with the
same regimen
-switching exposes the fetus to more substances
, and meds are tapered up and down during the
switch
What to do when a mental health client informs
you of pregnancy
-schedule and appointment to discuss a treatment
plan as soon as possible (the companion may be
included)
-have the client to continue to current medication
regiment for now
-education her to track symptoms (mood, sleet,
etc)
Informed consent for maternal mental health
-initiate a discussion regarding informed consent,
including risks vs benefits of medications during
pregnancy and breastfeeding
-clients who must stay on high-risk medications
may benefit from a referral to a perinatal
psychiatrist who specialized in psychiatric
medication administration during pregnancy
(valproic acid)
-documentation of informed consent
is required and should contain a description of the
conversation with the client including a discussion
of all potential serious complications associated
with treatment. (consider this...you do not want a
patient to say you knowingly gave them
Complete Solutions
Common maternal mental health disorders
depression, anxiety, OCD, PTSD, bipolar disorder,
and substance use disorder
Prescribing considerations in maternal mental
health
-you must consider the risks vs benefits for both
mother and baby
-work with the client 6-12 months prior to a
planned pregnancy
-most medications are tolerated, but in cases
where the -medications are contraindicated with
pregnancy, discuss birth control and a contingency
plan should the client become pregnant
-taper drugs when possible
-physiological changes during pregnancy impact
pharmacokinetics so monitor drug levels and
symptoms so dosages may be adjusted as
necessary
Switching medications during pregnancy
-if the client is stable on their current medication
regimen, it is usually better to continue with the
same regimen
-switching exposes the fetus to more substances
, and meds are tapered up and down during the
switch
What to do when a mental health client informs
you of pregnancy
-schedule and appointment to discuss a treatment
plan as soon as possible (the companion may be
included)
-have the client to continue to current medication
regiment for now
-education her to track symptoms (mood, sleet,
etc)
Informed consent for maternal mental health
-initiate a discussion regarding informed consent,
including risks vs benefits of medications during
pregnancy and breastfeeding
-clients who must stay on high-risk medications
may benefit from a referral to a perinatal
psychiatrist who specialized in psychiatric
medication administration during pregnancy
(valproic acid)
-documentation of informed consent
is required and should contain a description of the
conversation with the client including a discussion
of all potential serious complications associated
with treatment. (consider this...you do not want a
patient to say you knowingly gave them
