Perinatal Mental Health Exam
_ in _ men are affected by perinatal depression - ------------ANS: 1 in 10 men
_ in _ women are affected by perinatal depression - ------------ANS: 1 in 7 women
2nd generation antipsychotics - ------------ANS: No increased risk of birth defects or
pregnancy complications
Increased GD and weight gain (Zyprexa & Seroquel)
Seroquel crossed placenta less than zyprexa and risperdal
3 different emotions women feel during D-MER - ------------ANS: Despondency:
hopeless, sadness, negative emotions (mild-mod-severe)
Anxiety; moderate to severe. Dread, restless
Agitation: anger, agitation, paranoia. Almost always is severe.
3 greatest fears in panic disorder - ------------ANS: Going crazy, death, losing control
3 target areas addressed in IPT - ------------ANS: 1) grief: what have I lost? Facilitate
mourning process, grieve loss of old role and help adapt to new role, rejection of new
role. Conflicting feelings
2) role transition: where am I now? ID changes, new attachments/social supports,
transition to parenting, new coping skills
,3) role disputes: what do I need?
Modify communication patterns, reevaluate expectations in relationships. Effectively
communicate w others. Also includes couples counseling
4 subcategories of PTSD - ------------ANS: Symptoms that follow last more than 1
month after event
1. Intrusion
2. Avoidance
3. Negativity in cognitions and mood
4. Arousal
9 steps to wellness by Jane Honikman - ------------ANS: Education
Sleep
Nutrition
Exercise/time to self
Non judge mental sharing
Emotional support
Practical support
Referrals and other resources
Plan of action: break down goals into small steps! One thing you'll do for self this
week
Acupuncture - ------------ANS: Use as adjunct, not alone.
Mood/depression benefits. Can help pain, nausea, sleep. Do not use to prevent labor
or c section
,Reduction in mild depression if used perinatally
After nicu how parenting can be: - ------------ANS: Adjustment to life at home with
baby, no support staff. Hyper vigilance, continued home isolation. Fragile infant at
home w follow up care. No monitors at home
Antidepressants and gestational HTN and pre-eclampsia - ------------ANS: Small
increase risk of pregnancy induced HTN and pre eclampsia.
Risk level is approximately the same whether or not an individual discontinues or
continued antidepressants use during pregnancy
Depression is associated w other risk factors such as obesity poor diet smoking
substance use and lack of exercise
Antidepressants likely don't increase risk of ___. They might increase risk of ______.
They likely do increase risk of _______ - ------------ANS: Likely don't increase risk of
birth defects, miscarriage, stillbirth, cognitive or behaviorism problems, autism
They might increase risk premature labor, postpartum hemorrhage, gestational HTN,
and pre eclampsia
They likely do increase risk of neonatal side effects and persistent pulmonary
hypertension
Antidepressants: do they increase risk of perinatal loss. - ------------ANS: No
increased risk of stillbirth or neonatal death.
Miscarriage risk was greatest when they were stopped prior to conception or in first
trimester. Underlying illness was the issue not the meds!
, Anxiety: goals with CBT - ------------ANS: Reduce physical hyper vigilance:
breathing/relaxation techniques
Take away perceived danger: focus on objective evidence, distinguish between true
vs false alarm
Recognize anxiety as an alarm: see it for what it is, learn to tolerate it
Are OB/GYNs educated on women with disabilities? - ------------ANS: No, only 19%
surveyed feel they have knowledge to care for those with disabilities.
And women with disabilities perceive their HCP with negative attitudes about
motherhood and childbearing
Are there benefits of placental encapsulation? - ------------ANS: It was proposed to
help energy, improve lactstion, decrease PPD, increase iron
Evidence shows no differences! Can also cause late onset infant group b strep
infection if mother consumes dehydrated placenta!
Are there long term neurobehavioral side effects of antidepressants? -
------------ANS: Dose and duration during pregnancy did nothing predict any cognitive
and behavioral outcome in kids 3-6 years exposed to SSRIs, TCAs & Effexor
Not associated with increased risk.
Some studies find some association but there are other confounding variables
_ in _ men are affected by perinatal depression - ------------ANS: 1 in 10 men
_ in _ women are affected by perinatal depression - ------------ANS: 1 in 7 women
2nd generation antipsychotics - ------------ANS: No increased risk of birth defects or
pregnancy complications
Increased GD and weight gain (Zyprexa & Seroquel)
Seroquel crossed placenta less than zyprexa and risperdal
3 different emotions women feel during D-MER - ------------ANS: Despondency:
hopeless, sadness, negative emotions (mild-mod-severe)
Anxiety; moderate to severe. Dread, restless
Agitation: anger, agitation, paranoia. Almost always is severe.
3 greatest fears in panic disorder - ------------ANS: Going crazy, death, losing control
3 target areas addressed in IPT - ------------ANS: 1) grief: what have I lost? Facilitate
mourning process, grieve loss of old role and help adapt to new role, rejection of new
role. Conflicting feelings
2) role transition: where am I now? ID changes, new attachments/social supports,
transition to parenting, new coping skills
,3) role disputes: what do I need?
Modify communication patterns, reevaluate expectations in relationships. Effectively
communicate w others. Also includes couples counseling
4 subcategories of PTSD - ------------ANS: Symptoms that follow last more than 1
month after event
1. Intrusion
2. Avoidance
3. Negativity in cognitions and mood
4. Arousal
9 steps to wellness by Jane Honikman - ------------ANS: Education
Sleep
Nutrition
Exercise/time to self
Non judge mental sharing
Emotional support
Practical support
Referrals and other resources
Plan of action: break down goals into small steps! One thing you'll do for self this
week
Acupuncture - ------------ANS: Use as adjunct, not alone.
Mood/depression benefits. Can help pain, nausea, sleep. Do not use to prevent labor
or c section
,Reduction in mild depression if used perinatally
After nicu how parenting can be: - ------------ANS: Adjustment to life at home with
baby, no support staff. Hyper vigilance, continued home isolation. Fragile infant at
home w follow up care. No monitors at home
Antidepressants and gestational HTN and pre-eclampsia - ------------ANS: Small
increase risk of pregnancy induced HTN and pre eclampsia.
Risk level is approximately the same whether or not an individual discontinues or
continued antidepressants use during pregnancy
Depression is associated w other risk factors such as obesity poor diet smoking
substance use and lack of exercise
Antidepressants likely don't increase risk of ___. They might increase risk of ______.
They likely do increase risk of _______ - ------------ANS: Likely don't increase risk of
birth defects, miscarriage, stillbirth, cognitive or behaviorism problems, autism
They might increase risk premature labor, postpartum hemorrhage, gestational HTN,
and pre eclampsia
They likely do increase risk of neonatal side effects and persistent pulmonary
hypertension
Antidepressants: do they increase risk of perinatal loss. - ------------ANS: No
increased risk of stillbirth or neonatal death.
Miscarriage risk was greatest when they were stopped prior to conception or in first
trimester. Underlying illness was the issue not the meds!
, Anxiety: goals with CBT - ------------ANS: Reduce physical hyper vigilance:
breathing/relaxation techniques
Take away perceived danger: focus on objective evidence, distinguish between true
vs false alarm
Recognize anxiety as an alarm: see it for what it is, learn to tolerate it
Are OB/GYNs educated on women with disabilities? - ------------ANS: No, only 19%
surveyed feel they have knowledge to care for those with disabilities.
And women with disabilities perceive their HCP with negative attitudes about
motherhood and childbearing
Are there benefits of placental encapsulation? - ------------ANS: It was proposed to
help energy, improve lactstion, decrease PPD, increase iron
Evidence shows no differences! Can also cause late onset infant group b strep
infection if mother consumes dehydrated placenta!
Are there long term neurobehavioral side effects of antidepressants? -
------------ANS: Dose and duration during pregnancy did nothing predict any cognitive
and behavioral outcome in kids 3-6 years exposed to SSRIs, TCAs & Effexor
Not associated with increased risk.
Some studies find some association but there are other confounding variables
