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| Section | Objectives |
|---|---|
| Perinatal Mental Health Foundations | - Perinatal mood and anxiety disorders (PMADs)
|
| Ethics, Culture, and Systems of Care | - Ethical practice in perinatal mental health
|
| Clinical Assessment and Screening | - Screening tools and evaluation
|
| Treatment and Intervention | - Therapeutic approaches
|
1. 63. Case Study
Aliya is currently pregnant with her second child at 25 weeks gestation Her first child is 20 months old. She is coming to you to help her decide if what she is experiencing is normal for pregnancy or if she is having symptoms of a perinatal mood disorder. During her interview, she describes poor sleep, increased tearfulness, low energy, and irritability. She states that her first child sleeps well and is not interrupting her sleep, and that she is not waking up due to increased urination or physical discomforts of pregnancy. She reports that she has not ever been as tearful as she is now, including during her previous postpartum period She states that she has been tested by her obstetrician (OB) care provider for anemia and thyroid dysfunction and her lab results were normal. She is noticing that her irritability is affecting her relationship with her partner She worries that she is
"pushing him away:" even though he is trying to be supportive.
Question: Which of the following common problems during pregnancy would NOT significantly affect Aliya's sleep?
A) Vivid dreams
B) Increased thirst during the night
C) Increased blood pressure
D) Restless Legs Syndrome (RLS)
2. 13. Symptoms of postpartum depression include: (choose all that apply)
A) Issues with sleep
B) Tiredness
C) Changes in Diet
D) Euphoria
E) None of these apply
3. 11. Mothers that have experienced postpartum depression in the past have a decreased risk for postpartum depression in the future.
A) True
B) False
4. 81. Which of the following screening tools is MOST commonly used to assess perinatal individuals?
A) MADRS (Montgomery-Asberg Depression Rating Scale)
B) The Ham-D (Hamilton Depression Rating Scale)
C) The EPDS (Edinburgh Postnatal Depression Scale)
D) The BPRS (Brief Psychiatric Rating Scale)
5. 88. Prenatal massage has been shown to:
A) reduce depression and anxiety
B) decrease estrogen levels in pregnant women
C) increase prenatal complications.
D) increase incidences of prematurity and low birth weight
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: A,B,C | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: A |
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