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Mental Health Disorders During Pregnancy Sherpath
Terms in this set (14)
The neonate born to a woman with depression is at risk for which outcome?
Studies have shown that babies born to mothers with depression have increased episodes of crying.
Which conditions are eating disorders that can affect pregnancy?
- Anorexia nervosa
- Bulimia nervosa
Up to ______% of patients with bipolar depression who stop taking their medication will have an exacerbation in pregnancy.
Cessation of medication during pregnancy or switching to a safer medication for a fetus during pregnancy can cause symptom exacerbation in women who are diagnosed with bipolar depression. This is a very real and dangerous time for these patients. The health care provider should be aware of this.
Place the actions of the stages of the Maternal Mental Health Safety Bundle in order.
- Establish a response protocol and identify screening tools for use based on local resources.
- Provide appropriately timed perinatal depression and anxiety awareness education to women and family members or other support persons.
- Initiate a stage-based response protocol for a positive mental health screen.
- Perform a multidisciplinary review of adverse mental health outcomes.
Match the medication to the correct information regarding its use in pregnancy.
Newborn effects are hypothyroid, poor feeding, and developmental issues
High alert and should not be used in pregnancy due to teratogenicity
Serum levels are monitored in 2nd and 3rd trimesters due to increased renal clearance
Considered to be moderately safe in pregnancy
- Selective serotonin reuptake inhibitors
Which screening should be performed on a pregnant woman with a suspected eating disorder?
Bone mineral density screening
All eating disorders have the potential for decreased bone mineral density, but anorexia nervosa has the most increased prevalence with up to 85% of women having decreased bone mineral density. This places individuals at increased risk for pain and fracture.
Which laboratory data should the nurse utilize to determine the severity of an eating disorder in a pregnant patient?
- Complete blood count (CBC)
- Liver function tests
- Magnesium level
- Calcium level
- Metabolic panel
Which statement by the nurse is an appropriate response when the pregnant patient asks about the safety of psychiatric medication during pregnancy?
"Your mental wellness is an important part of pregnancy wellness, and continuing your medication is sometimes necessary."
Many patients are encouraged to continue their medications throughout pregnancy under the guidance of a health care provider.
A patient is prescribed lamotrigine for bipolar depression. Which patient teaching statement made by the nurse is accurate regarding lamotrigine and pregnancy?
"Serum levels should be monitored in the second and third trimesters."
The statement "Serum levels should be monitored in the second and third trimesters" is accurate regarding lamotrigine due to increased renal clearance.
Which adverse maternal effect can be caused when a patient experiences anxiety disorders in pregnancy?
Increased risk for forceps delivery
Women with anxiety disorders have an increased risk for operative delivery (forceps/vacuum/episiotomy).
A patient with bipolar depression and bulimia nervosa who is homeless enters care at 30 weeks' gestation. Which health care providers should be a part of the interdisciplinary team when developing a plan of care for this patient?
- Social worker
- Legal aid
Which signs and symptoms would a patient with pica demonstrate?
- Uncontrollable urge to eat toothpaste
- Increased levels of blood toxins
- Intestinal parasites
Which action would the nurse take after calculating a score of five on the Edinburgh Postpartum Depression scale for a pregnant patient with a history of depression?
Nothing; this is a normal score.
A score of less than eight is not suggestive of current depressive symptoms or exacerbation.
Which action should the nurse take when a pregnant patient with bulimia nervosa presents to the office with tachycardia and orthostatic hypotension?
Alert the health care provider and consider hospitalization.
Tachycardia and orthostatic hypotension are indicative of severe malnutrition and dehydration requiring hospitalization.
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