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Perinatal Mental Health: Questions/Solutions (100%)
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Perinatal Mental Health: Questions/Solutions (100%)
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Perinatal Mental Health: Questions/Solutions (100%)Incidence of depression in non-pregnant women Right Ans - 8-10% with a
16-20% lifetime risk
Incidence of depression in pregnant women Right Ans - 9-13%
Incidence of depression in postpartum women Right Ans - 9-30%
Baby blues occurs how frequently Right Ans - 8/10 or 80% of postpartum
women
Postpartum depression occurs how frequently Right Ans - 15-20%
Postpartum psychosis occurs how frequently Right Ans - 0.1-0.3%
What is included in an assessment for postpartum depression Right Ans - -
listen to woman
-advise
-observe for behavioral changes
-screen using objective tools
-invite/involve partner or family
What can you do as a nurse for prevention of post partum depression at the
PRIMARY level Right Ans - -preventative education related to depression
-prior to, during and after pregnancy
The etiology of depression is pregnancy is ____________ Right Ans - unclear
What may depression in pregnancy be related to? Right Ans - -hormonal
shifts
-neuroendocrine changes
-psychosocial adjustments
Pregnancy can create a "confusing" picture for diagnosing depression
because... Right Ans - -anxiety is "normal"
-poor sleep is "normal"
-weight changes are blamed on pregnancy
, Risk factors for developing depression IN pregnancy Right Ans - -single
status
-marital instability
-poor social support
-adverse life events
-unplanned pregnancy
-ambivalence towards pregnancy
-low socioeconomic status
-uninsured status
-personal/family history of depression
-discontinuing or decreasing antidepressant meds
African Americans and Hispanic people have a ___________ chance of developing
depression in pregnancy Right Ans - INCREASED
Untreated depression in pregnancy can lead to Right Ans - -pain/suffering
-"robbed of joy"
-poor appetite/nutrition
-weight gain/loss
-self medication
-impaired judgement
-noncompliance with prenatal care (LBW and preterm labor/birth
-anxiety
-insomnia
When is the optimal time for screening for depression in pregnancy Right
Ans - -early, frequent contact with healthcare providers
Does research show that women want or don't want to have their care
provider ask how they are emotionally? Right Ans - WANT
What type of questions can you ask? Right Ans - -How have you been
feeling?
-what's been your general mood?
-how are you feeling about becoming a mom?
-How are you eating/sleeping?
-Are you able to enjoy our usual activities?
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