complicated postpartum Exam Guide with Correct Answers

postpartum depression - Answer-a new mother's feelings of inadequacy and sadness in the days and weeks after giving birth Incidence ~10% of women who give birth Onset is during pregnancy or within 4 weeks of childbirth Can also occur up to one year postpartum postpartum psychosis - Answer-a rare and severe form of depression that occurs in women just after giving birth and includes delusional thinking and hallucinations Manic episodes, impulsivity, agitation, hyperactivity, insomnia, irrationality, difficulty remembering or making a decision, delusions and hallucinations postpartum depression treatment - Answer-•SSRI (Zoloft, Paxil, Prozac) ‒Only small amounts excreted in breast milk •Individual or group therapy •Practical assistance with childcare postpartum psychosis treatment - Answer-•Hospitalization •Antipsychotic medication, ECT •Social support •Removal of infant Edinburgh Postnatal Depression Scale (EPDS) - Answer-a set of 10 screening questions that can indicate whether a parent has symptoms that are common in women with depression and anxiety during pregnancy and in the year following the birth of a child nursing care for psych disorders - Answer-¡Assess at prenatal and postnatal encounters ¡Note history of previous psych problems •Adequacy of coping skills •Self-esteem ¡Observe client with baby only and with family ¡Listen for verbalizations indicating potential violence to self or baby, bizarre thoughts ¡Seek psych referral, social services postpartum hemorrhage - Answer-• 1000 ml after vaginal birth or cesarean birth •At term, 600 - 800 ml of blood per minute flows through the pregnant uterus •For every 3-4 percentage point drop in hematocrit, assume 500 ml blood loss PPH risks - Answer-¡Previous cesarean birth or uterine surgery