Midterm Exam: NR 606/ NR606 (Latest 2026/ 2027 Update) Diagnosis and Management in Psychiatric-Mental Health II Practicum Review| Q/A | Grade A| 100% Correct (Verified Answers) -Chamberlain

Midterm Exam: NR 606/ NR606 (Latest 2026/ 2027 Update) Diagnosis and Management in Psychiatric-Mental Health II Practicum Review| Q/A | Grade A| 100% Correct (Verified Answers) -Chamberlain QUESTION Define peripartum onset Answer: occurs during pregnancy or first 12 months after delivery A QUESTION olanzapine in pregnancy Answer: increased risk of gestational diabetes and large for gestational age infants increase the risk of musculoskeletal malformations in infants QUESTION quetiapine in pregnancy Answer: increased risk of gestational diabetes and large for gestational age infants most used antipsychotics during pregnancy-no malformations QUESTION risperidone in pregnancy Answer: most used antipsychotics during pregnancy-no malformations QUESTION in general about antipsychotics during pregnancy Answer: may cause neonatal withdrawal symptoms; close monitoring of the newborn may be indicated for several days after delivery. QUESTION What psych medications are safe for breastfeeding? Answer: SSRIs benzodiazepines valproic acid quetiapine olanzapine risperidone QUESTION What psych medications should the infant be bottle fed? Answer: lithium lamotrigine clozapine QUESTION SSRI and breastfeeding Answer: infant exposure to antidepressants through breast milk is low; these medications are considered relatively safe during lactation QUESTION benzos and breastfeeding Answer: limited information suggests that infant exposure to benzodiazepines through breast milk is low, but infants should be monitored for sedation and poor feeding and switched to bottle feeding if necessary. QUESTION valproic acid and breastfeeding Answer: supports breastfeeding in mothers who take valproic acid, however, infant serum drug levels must be monitored QUESTION quetiapine, olanzapine and risperidone and breastfeeding Answer: limited data suggests that infant exposure through breast milk is low and adverse effects are rare QUESTION lithium and breastfeeding Answer: infant exposure through breast milk is high. If the client chooses to breastfeed, serum lithium levels must be monitored and the infant should be observed for signs of toxicity including cyanosis and hypotonia QUESTION lamotrigine and breastfeeding Answer: infant exposure through breast milk is high; maternal levels of lamotrigine increase after delivery which increases exposure to infant through breast milk QUESTION clozapine and breastfeeding Answer: due to the increased risk of adverse effects, including neutropenia, breastfeeding may not be recommended If the client chooses to breastfeed, monitoring of white blood counts is required. QUESTION What are smoking related pregnancy complications? Answer: ectopic pregnancy, placental abruption, placenta previa, fetal mortality, and stillbirth, as well as preterm birth and low birth weight infants QUESTION What are smoking related effects on neonates? Answer: sudden infant death syndrome and birth malformations such as oral clefts and neural tube defects, QUESTION What are smoking effects on infants, children, and adolescents? Answer: asthma, cognitive impairment, lower respiratory illness, ADHD, and central nervous system tumors QUESTION What trimester has the greatest risk for alcohol related birth outcomes? Answer: first-trimester QUESTION What are health problems associated with alcohol use disorder? Answer: increased risk for miscarriage, stillbirth, congenital anomalies, low birth weight, small for gestational age, and preterm delivery QUESTION Lifelong effects for children from drinking alcohol while pregnant include? Answer: fetal alcohol spectrum disorders (FASDs), neurodevelopmental and central nervous system deficits, speech and language challenges, cognitive and behavioral deficits, impaired executive functioning, and psychosocial difficulties in adulthood QUESTION What adverse pregnancy outcomes are associated with cannabis use? Answer: preterm labor, low birth weight and small for gestational age deliveries QUESTION What adverse fetal/adolescent outcomes are associated with cannabis use? Answer: adverse effects on fetal and adolescent brain growth, executive functioning skills, behavioral problems, and academic achievement QUESTION What adverse pregnancy outcomes are associated with cocaine use? Answer: premature rupture of membranes, placental abruption, preterm birth, low birth weight, and small for gestational age deliveries QUESTION What adverse fetal/adolescent outcomes are associated with cocaine use? Answer: lower short-term memory, child and adolescent delinquent behavior, earlier age of sexual activity, and substance use QUESTION What effects do opioids have on pregnancy?