NR 606 MIDTERM EXAM QUESTIONS WITH ACCURATE
SOLUTIONS
1) Untreated MMHDs can have long-term negative impact on mother including --
Answer ✔✔ - Have poor nutrition
- Use substances such as alcohol, tobacco, or drugs
- Experience physical, emotional, or sexual abuse
- Be less responsive to baby's cues
- Have fewer positive interactions with baby
- Experience breastfeeding challenges
- Question their competence as mothers
2) Untreated MMHDs can have long-term negative impact on the child including --
Answer ✔✔ - Low birth weight or small head size
- Pre-term birth
- Longer stay in the NICU
- Excessive crying
- Impaired parent-child interactions
- Social-emotional, cognitive, language, motor, and adaptive behavior
development
- Adverse Childhood Experience
,3) Risk Factors for MMHDs -- Answer ✔✔ - Smoking
- Lack of social support
- Poor relationship quality
- Pregnancy complications
- Personal or family history of depression
- History of physical or sexual abuse
- Unintended pregnancy
- Life stress
- Chronic physical conditions
- Prior pregnancy with fetal/infant loss
- History of mental illness
4) pathophysiology of the baby blues -- Answer ✔✔ The abrupt change in
hormones that occurs when the placenta is delivered may contribute to the
development of symptoms and may be exacerbated by fatigue, pain,
overstimulation, lack of support, or insecurity
5) baby blues symptoms -- Answer ✔✔ Poor concentration
- Moody
- Feeling sad
- Fatigue
- Easily angered
- Insomnia
- Anxiety
- Crying without reason
- Poor concentration
6) baby blues causes -- 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
7) the most common maternal mood disorder -- Answer ✔✔ depression
, 8) when can the specifier "with peripartum onset" be applied -- Answer ✔✔ can be
applied to depressive disorders if the onset of mood symptoms occurs during
pregnancy or in the four weeks following childbirth.
9) criteria for perinatal psychosis as a "brief psychotic disorder with peripartum
onset" -- 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.
10) who has the highest risk of a postpartum psychotic episode -- Answer ✔✔
preexisting bipolar disorder
11) Current recommendations from the American College of Obstetricians and
Gynecologists (ACOG) include screening how often? -- 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
12) The American Academy of Pediatrics (AAP) recommends incorporating the
Edinburgh Postnatal Depression Scale (EPDS) how often -- 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
13) what must be ruled out before starting SSRIs for perinatal depression -- Answer
✔✔ bipolar II
14) Medications for perinatal bipolar disorder -- Answer ✔✔ lithium, lamotrigine
15) First line therapy for perinatal PTSD -- Answer ✔✔ first line= psychotherapy
SSRIs may be used for comorbid depression
SOLUTIONS
1) Untreated MMHDs can have long-term negative impact on mother including --
Answer ✔✔ - Have poor nutrition
- Use substances such as alcohol, tobacco, or drugs
- Experience physical, emotional, or sexual abuse
- Be less responsive to baby's cues
- Have fewer positive interactions with baby
- Experience breastfeeding challenges
- Question their competence as mothers
2) Untreated MMHDs can have long-term negative impact on the child including --
Answer ✔✔ - Low birth weight or small head size
- Pre-term birth
- Longer stay in the NICU
- Excessive crying
- Impaired parent-child interactions
- Social-emotional, cognitive, language, motor, and adaptive behavior
development
- Adverse Childhood Experience
,3) Risk Factors for MMHDs -- Answer ✔✔ - Smoking
- Lack of social support
- Poor relationship quality
- Pregnancy complications
- Personal or family history of depression
- History of physical or sexual abuse
- Unintended pregnancy
- Life stress
- Chronic physical conditions
- Prior pregnancy with fetal/infant loss
- History of mental illness
4) pathophysiology of the baby blues -- Answer ✔✔ The abrupt change in
hormones that occurs when the placenta is delivered may contribute to the
development of symptoms and may be exacerbated by fatigue, pain,
overstimulation, lack of support, or insecurity
5) baby blues symptoms -- Answer ✔✔ Poor concentration
- Moody
- Feeling sad
- Fatigue
- Easily angered
- Insomnia
- Anxiety
- Crying without reason
- Poor concentration
6) baby blues causes -- 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
7) the most common maternal mood disorder -- Answer ✔✔ depression
, 8) when can the specifier "with peripartum onset" be applied -- Answer ✔✔ can be
applied to depressive disorders if the onset of mood symptoms occurs during
pregnancy or in the four weeks following childbirth.
9) criteria for perinatal psychosis as a "brief psychotic disorder with peripartum
onset" -- 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.
10) who has the highest risk of a postpartum psychotic episode -- Answer ✔✔
preexisting bipolar disorder
11) Current recommendations from the American College of Obstetricians and
Gynecologists (ACOG) include screening how often? -- 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
12) The American Academy of Pediatrics (AAP) recommends incorporating the
Edinburgh Postnatal Depression Scale (EPDS) how often -- 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
13) what must be ruled out before starting SSRIs for perinatal depression -- Answer
✔✔ bipolar II
14) Medications for perinatal bipolar disorder -- Answer ✔✔ lithium, lamotrigine
15) First line therapy for perinatal PTSD -- Answer ✔✔ first line= psychotherapy
SSRIs may be used for comorbid depression
