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A challenge to prescribing psychoactive medications in the perinatal period is -
ANSWERS-the paucity of evidence regarding the true risks for the pregnant client and
developing fetus
If a pregnant client is stable on their current medication regimen what should the
PMHNP keep in mind - ANSWERS-keep them on current med rather than switching
When should the PMHNP refer the patient to a perinatal psychiatrist - ANSWERS-when
the patient is on a high-risk medication for pregnancy
most common adverse effect associated with SSRIs and SNRIs - ANSWERS-neonatal
withdrawal syndrome
symptoms of neonatal withdrawal syndrome - ANSWERS-Symptoms include tremors,
high-pitched crying, and disturbed sleep
increase the risk of atrial septal defects. - ANSWERS-paroextine
symptoms of newborn toxicity r/t benzodiazepine use during pregnancy - ANSWERS-
Symptoms include sedation, floppy muscle tone, and potential breathing issues at birth
bipolar medications that are considered teratogenic and should be avoided during
pregnancy. - ANSWERS-valproic acid and carbamazepine
, Atypical antipsychotics that increase risk of gestational diabetes and large for
gestational age infants - ANSWERS-olanzapine and quetiapine
has also been found to increase the risk of musculoskeletal malformations in infants -
ANSWERS-olanzapine
the most used antipsychotics during pregnancy - ANSWERS-risperidone and quetiapine
medications that are safe for breast feeding - ANSWERS-SSRIs, benzos, valproic acid,
quetiapine
medications that are safe for bottle feeding - ANSWERS-lithium, lamotrigine, clozapine
smoking- related pregnancy complications - ANSWERS-ectopic pregnancy, placental
abruption, placenta previa, fetal mortality, and stillbirth, as well as preterm birth and low
birth weight infants
Smoking-related effects on neonates include - ANSWERS-sudden infant death
syndrome and birth malformations such as oral clefts and neural tube defects
smoking effects on infants, children, and adolescents include - ANSWERS-asthma,
cognitive impairment, lower respiratory illness, attention deficit hyperactivity disorder
(ADHD), and central nervous system tumors
Health problems associated with alcohol use disorder include - ANSWERS-increased
risk for miscarriage, stillbirth, congenital anomalies, low birth weight, small for
gestational age, and preterm delivery
risk of using cannabis during the perinatal period - ANSWERS-including preterm labor,
low birth weight and small for gestational age deliveries, and adverse effects on fetal
and adolescent brain growth, executive functioning skills, behavioral problems, and
academic achievement