NR 606 MIDTERM EXAM QUESTIONS WITH
VERIFIED SOLUTIONS
baby blues causes-correct-answer-Drastic hormonal changes
Fatigue after giving birth and breastfeeding
Sudden changes in routine caring for baby
Lack of support from partner or family
Transition to being a mother
the most common maternal mood disorder-correct-answer-depression
when can the specifier "with peripartum onset" be applied-correct-answer-can be
applied to depressive disorders if the onset of mood symptoms occurs during
pregnancy or in the four weeks following childbirth.
criteria for perinatal psychosis as a "brief psychotic disorder with peripartum
onset"-correct-answer-when symptoms present suddenly during pregnancy or
within the first 4 weeks after birth and last at least one day but no more than one
month.
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who has the highest risk of a postpartum psychotic episode-correct-answer-
preexisting bipolar disorder
Current recommendations from the American College of Obstetricians and
Gynecologists (ACOG) include screening how often?-correct-answer-at least once
during the perinatal period using a validated instrument, increasing the frequency
of visits when symptoms are identified, and referring clients for appropriate
pharmacotherapy and psychotherapy treatments
The American Academy of Pediatrics (AAP) recommends incorporating the
Edinburgh Postnatal Depression Scale (EPDS) how often-correct-answer-into
infants' 1, 2, 4, and 6-month well check visits using a cutoff score of 10 as an
indicator that maternal depression may be present
what must be ruled out before starting SSRIs for perinatal depression-correct-
answer-bipolar II
Medications for perinatal bipolar disorder-correct-answer-lithium, lamotrigine
First line therapy for perinatal PTSD-correct-answer-first line= psychotherapy
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SSRIs may be used for comorbid depression
screening tool used for bipolar disorder-correct-answer-MDQ
Screening tool used for depression-correct-answer-PHQ-9
tool used to monitor symptoms of bipolar disorder after diagnosis-correct-
answer-young mania rating scale
tool used to assess clients who present with symptoms of psychosis-correct-
answer-brief psychiatric rating scale
how can maternal depression and anxiety can impact fetal development in utero-
correct-answer-increase the risk for preterm birth and low birth weight, and lead
to an insecure attachment between the mother and infant as well as suboptimal
breastfeeding practices