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NR 606 MID TERM EXAM TEST BANK | ALL POSSIBLE QUESTIONS WITH A STUDY GUIDE AND KNOWLEDGE CHECK FLASHCARDS | ACCURATE AND VERIFIED FOR GUARANTEED PASS| LATEST UPDATE
NR 606 MID TERM EXAM TEST BANK | ALL POSSIBLE
QUESTIONS WITH A STUDY GUIDE AND KNOWLEDGE
CHECK FLASHCARDS | ACCURATE AND VERIFIED FOR
GUARANTEED PASS| LATEST UPDATE
NR 606 MID TERM EXAM TEST BANK | ALL POSSIBLE QUESTIONS WITH A STUDY GUIDE A ND KNOW LEDGE CHECK FLASHCARDS | ACCURATE AND VERIFIED FOR GUARANTEED PASS | LATEST UPDATE When is inpatient treatment recommended for alcohol use disorder in pregnant women? - CORRECT ANSWER for clients at risk for moderate, severe, or complicated alcohol withdrawal as indicated by a score of more than 10 on the CIWA Meds for tobacco use disorder that are safe in pregnancy - CORRECT ANSWER nicotine replacement therapy (NRT), bupropion, or a combination Why use IR over ER in pregnancy - CORRECT ANSWER an help minimize infant exposure during pregnancy and breastfeeding. OUD meds that are safe during pregnancy - CORRECT ANSWER methadone and buprenorphine OUD meds that are safe during breastfeeding - CORRECT ANSWER methadone, buprenorphine, and naltrexone Neurological condition characterized by persistent, uncontrollable worrying that causes emotional distress + symptoms on most days, for a period of at least six months. - CORRECT ANSWER GAD Mood disorder characterized by depressive symptoms that last longer than two weeks + 5 or more of the following: irritable mood, diminished interest in activities, significant weight or appetite changes, fatigue, feelings of worthlessness, sleep disturbances, a nd the diminished ability to concentrate - CORRECT ANSWER MDD Untreated mmhds can have long -term negative impact on mother including - CORRECT ANSWER Have poor nutrition Use substances such as alcohol, tobacco, or drugs Experience physical, emotional, or sexual abuse Be less responsive to baby's cues Have fewer positive interactions with baby Experience breastfeeding challenges Question their competence as mothers Untreated mmhds can have long -term negative impact on the child including - CORRECT ANSWER Low birth weight or small head size Pre-term birth Longer stay in the NICU Excessive crying Impaired parent -child interactions Social -emotional, cognitive, language, motor, and adaptive behavior development Adverse Childhood Experience Risk Factors for mmhds - CORRECT ANSWER Smoking Lack of social support Poor relationship quality Pregnancy complications Personal or family history of depression History of physical or sexual abuse Unintended pregnancy Life stress Chronic physical conditions Prior pregnancy with fetal/infant loss History of mental illness Pathophysiology of the baby blues - CORRECT ANSWER The abrupt change in hormones that occurs when the placenta is delivered may contribute to the development of symptoms and may be exacerbated by fatigue, pain, overstimulation, lack of support, or insecurity Baby blues symptoms - CORRECT ANSWER Poor concentration Moody Feeling sad Fatigue Easily angered Insomnia Anxiety Crying without reason Poor concentration Baby blues causes - CORRECT ANSWER Drastic hormonal changes Fatigue after giving birth and breastfeeding Sudden changes in routine caring for baby Lack of support from partner or family Transition to being a mother The most common maternal mood disorder - CORRECT ANSWER depression When can the specifier "with peripartum onset" be applied - CORRECT ANSWER can be applied to depressive disorders if the onset of mood symptoms occurs during pregnancy or in the four weeks following childbirth. Criteria for perinatal psychosis as a "brief psychotic disorder with peripartum onset" - CORRECT ANSWER when symptoms present suddenly during pregnancy or within the first 4 weeks after birth and last at least one day but no more than one month. Who has the highest risk of a postpartum psychotic episode - CORRECT ANSWER preexisting bipolar disorder Current recommendations from the American College of Obstetricians and Gynecologists (ACOG) include screening how often? - CORRECT ANSWER at least once during the perinatal period using a validated instrument, increasing the frequency of visits when symptoms are identified, and referring clients for appropriate pharmacotherapy and psychotherapy treatments The American Academy of Pediatrics (AAP) recommends incorporating the Edinburgh Postnatal Depression Scale (EPDS) how often - CORRECT ANSWER into infants' 1, 2, 4, and 6 -month well check visits using a cutoff score of 10 as an indicator that maternal depression may be present What must be ruled out before starting ssris for perinatal depression - CORRECT ANSWER bipolar II Medications for perinatal bipolar disorder - CORRECT ANSWER lithium, lamotrigine First line therapy for perinatal PTSD - CORRECT ANSWER first line= psychotherapy Ssris may be used for comorbid depression Screening tool used for bipolar disorder - CORRECT ANSWER MDQ Screening tool used for depression - CORRECT ANSWER PHQ -9 Tool used to monitor symptoms of bipolar disorder after diagnosis - CORRECT ANSWER young mania rating scale Tool used to assess clients who present with symptoms of psychosis - CORRECT ANSWER brief psychiatric rating scale How can maternal depression and anxiety can impact fetal development in utero - CORRECT ANSWER increase the risk for preterm birth and low birth weight, and lead to an insecure attachment between the mother and infant as well as suboptimal breastfeeding practices
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