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PMH-C Medications Exam Questions and Complete Solutions Graded A+.

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PMH-C Medications Exam Questions and Complete Solutions Graded A+.

Vista previa 2 fuera de 12  páginas

  • 31 de diciembre de 2024
  • 12
  • 2024/2025
  • Examen
  • Preguntas y respuestas
  • PMH-C
  • PMH-C
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PMH-C Medications Exam Questions
and Complete Solutions Graded A+
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



Golden rules of pharmacological tx - Answer: Keep it simple - monotherapy where possible, don't
change what's working

Ask about and document all known exposure to medications/supplements/herbals/OTC

Encourage psychotherapy & social support



Parental concerns around perinatal medication - Answer: Miscarriage

congenital malformation

preterm delivery / low birth weight

NAS - Neonatal Abstinence/Adaptation Syndrome

PPHN - Persistent Pulmonary Hypertension of the Newborn

Long term neurobehavioural effects

Autism



Risk of miscarriage - Answer: not a true risk when adequate controls are utilized - no increased risk with
SSRIs

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