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PMH-C Medications Exam Questions & Answers 100% Correct!! $14.99   Add to cart

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PMH-C Medications Exam Questions & Answers 100% Correct!!

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There are two patients - ANSWER-Treatment can benefit both mom and baby No treatment poses risk to both mom and baby "Exposure always occurs, be it to treatment or illness" Prevalence - ANSWER-13% of pg women were prescribed antidepressants 50% of pregnancies are unplanned - early exposure ha...

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  • August 9, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • PMH-C Medications
  • PMH-C Medications
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PMH-C Medications Exam Questions & Answers
100% Correct!!

There are two patients - ANSWER-Treatment can benefit both mom and baby

No treatment poses risk to both mom and baby

"Exposure always occurs, be it to treatment or illness"



Prevalence - ANSWER-13% of pg women were prescribed antidepressants

50% of pregnancies are unplanned - early exposure has often occurred



PMAD tx guidelines (APA & ACOG) - ANSWER-Mild - moderate:

- psychotherapy first line

- continue meds if needed



Severe/Recurrent

- continue meds



Suicidal/Psychotic

- immediate referral to hospital or psychiatric care provider

- medications



First option for medication - ANSWER-Is often Sertraline/Zoloft



No single med is "safest" or "best" for use during pregnancy/postpartum/lactation



Why so much conflicting data on meds in perinatal - ANSWER-No randomized, double-blind, placebo-
controlled trials

Many studies are retrospective database and case-control studies

- may involve voluntary reporting

- confounds (esp illness exposure)

, Confounding variables in assessing risk - ANSWER-Other prescription/non-prescription meds

Nutrition

ETOH/cigarettes

Genetics

Obesity

Method of delivery

Environmental toxins

Maternal/paternal age

Length of gestation

Stress

Socioeconomic status



(Commonly used for Bipolar and MDD)



Paxil was thought to produce a risk of cardiac malformation but this has been refuted



Preterm/Low birth weight - ANSWER-Slight increased risk - same as untreated depression

~average = 5-7 early

- less than 97grams below average



NAS - ANSWER-10-30% incidence

sx: jitters, irritability, hypertonia, feeding difficulties, tremor, GI/Sleep disturbance, high pitched cry,
tachypnea



sx are transient/self-limited, last ≤2 wks

BFing may be protective

Not dose dependent

*No benefit in changing does or discontinuing meds in 3T



PPHN - ANSWER-Very low increased risk

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