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Perinatal Mental Health Certification PSI: Questions And Answers (Accurate 100%)
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Perinatal Mental Health Certification PSI: Questions And Answers (Accurate 100%)
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Perinatal Mental Health Certification PSI: QuestionsAnd Answers (Accurate 100%)
Hippocrates Right Ans - father of medicine, 450 BC, postpartum fever,
agitation, paralysis and sensory deficits
Louis Victor Marce Right Ans - 1858, French psychiatrist wrote first
treatise on puerperal mental illness
puerperal Right Ans - 6 weeks after childbirth when organs return to
nonpregnant state
"the lost years" 20th century Right Ans - psychiatry drops the study and
classification of postpartum mood disorders
James A. Hamilton, MD, PhD Right Ans - 20th century's father of
postpartum psychiatric illness; co-founder of the marce society; advocate of
research, treatment and social support movement
when did DSM include postpartum onset specifier? Right Ans - 1994, DSM-
IV
how many infants are born to depressed mothers? Right Ans - 800K
what is the most underdiagnosed obstetric complication in the US? Right
Ans - perinatal mood anxiety disorders (21%)
cost of untreated PMADs (10) Right Ans - 1) impacting medical care
2) child abuse and neglect,
3) discontinuation of breastfeeding,
4) family dysfunction/relationship problems,
5) IPV/separation/divorce,
6) loss of interpersonal and financial resources,
7) disability/unemployment,
8) adversely affects early brain development/developmental delays/behavior
problems,
9) tobacco, alcohol and substance use,
10) infanticide/homicide/suicide,
, what percentage of women with PMADs get the treatment they need? Right
Ans - 50%
biological etiology of PMADs Right Ans - biological sensitivites to hormonal
changes
-increase in estrogen and progesterone
-onset of oxytocin and prolactin at time of birth
-estrogen and progresterone crash down after birth
increase of estrogen in pregnancy Right Ans - to improve formation of
blood vessels, transfer of nutrients, supply fetal development
increase of progesterone in pregnancy Right Ans - uterine development,
ligament and joint flexibility
biological risk factors for PMADs Right Ans - 1) endocrine dysfunction -
diabetes, hx of thyroid imbalance, fertility challenges, other endocrine
disorders (PMDD, PCOS)
2) significant mood reactions to hormonal changes - puberty, PMS, hormonal
birth control; abrupt discontinuation of breast feeding; physical pain and/or
inflammation
3) lack of sleep
psychological etiology for PMADs Right Ans - 1) vulnerability (sleep,
genetic predisposition); 2) psychological (relationship with own mother,
ambivalence to parenthood, self-image/perfectionsm); 3)
social/environmental (history of trauma, poor social support,
institutional/structural racism)
psychological risk factors for PMADs Right Ans - - family or personal
history of previous PMADs
- family or personal history of depression, anxiety, OCD, eating disorder,
bipolar disorder, etc
- hx of CSA
-inadequate partner/social support
-interpersonal violence
-financial stressors/poverty
-childcare stressors
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