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INSTRUCTIONS Postpartum depression: Beyond the "baby blues"



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Postpartum depression: Beyond the "baby blues"


GENERAL PURPOSE: To present information about postpartum mood disorders. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing-education activity, you should be able to: 1. Identify risk factors, indicators, and complications of postpartum mood disorders. 2. Outline screening, treatment, and nursing care of women in the perinatal period.


1. According to the CDC,


a. PPD is an infrequent problem in developing countries.


b. 20% of pregnant women develop PPD.


c. one in every nine women experiences depression after childbirth.


2. Peripartum psychiatric mood disorders


a. may begin during pregnancy or after childbirth.


b. by definition don't include episodes with psychotic features.


c. consist of two subclasses, with onsets before and after childbirth.


3. Which statement about "baby blues" isn't accurate?


a. It's the mildest manifestation of postpartum mood disorders.


b. Fewer than half of new mothers experience postpartum blues.


c. This condition is termed adjustment reaction with depressed mood.


4. Your sister delivered a healthy baby 3 weeks ago and is continuing to feel overwhelmed, anxious, and irritable. At this point, you should


a. offer to assist with housekeeping chores on weekends.


b. advise her to seek medical attention.


c. tell her that it's normal for baby blues to continue for 1 to 2 months.


5. Mothers are most vulnerable to PPD


a. shortly after the return of their menses.


b. 2 weeks after weaning their infant from breastfeeding.


c. when the baby is 4 weeks old.


6. Which postpartum mood disorder is a medical emergency?


a. postpartum major mood disorder


b. postpartum psychosis


c. adjustment reaction with depressed mood


7. Which statement about postpartum psychosis is accurate?


a. The clinical features appear a few weeks after childbirth.


b. A family history of schizophrenia is a significant risk factor.


c. A woman with a history of bipolar disorder is at risk for postpartum psychosis.


8. The onset of PPD is thought to be due to


a. a combination of emotional and physical factors.


b. social isolation and poor parenting skills.


c. increased prolactin levels in breastfeeding women.


9. New mothers with sleep impairment and anxiety


a. should be assumed to have PPD.


b. have symptoms of reduced progesterone levels.


c. demonstrate decreased thyroid activity.


10. Which statement about complications of PPD is accurate?


a. Children of mothers treated for PPD will develop language delays.


b. Newborns of mothers untreated for PPD may fail to thrive.


c. Mothers treated for PPD will develop chronic depression.


11. Postpartum Support International recommends universal screening of


a. all mothers throughout pregnancy and until 12 months' postpartum.


b. pregnant women at risk for developing PPD.


c. all neonatal and pediatric patients for perinatal mood disorders.


12. Which self-administered depression screening scale is validated to assess anxiety?




b. PHQ-9




13. Women diagnosed with PPD typically


a. require ECT to relieve their symptoms.


b. respond to antidepressant medication within 1 week.


c. continue taking antidepressants for a year after their symptoms subside.


14. A new mother who's breastfeeding and depressed


a. shouldn't be given pharmacologic treatments.


b. can be assured that antidepressant medications aren't excreted into breast milk.


c. may try a variety of modalities to enhance psychological well-being.


15. What's the goal of the nursing process for patients with PPD?


a. to identify risk factors for PPD


b. to provide therapeutic, evidence-based, family-centered care


c. to enhance the physical well-being of the new mother


16. A pregnant woman at risk for PPD should be scheduled for a


a. formal evaluation for PPD at the 6-week postpartum follow-up visit.


b. first postpartum visit at 2 weeks after delivery.


c. psychiatric evaluation before her delivery date.


17. Which is a proactive approach to developing a care plan?


a. maintaining communication through regular phone calls


b. instructing the patient how to take antidepressant medication


c. collaborating with the patient and family to set goals


18. The main goal of an effective nursing care plan for PPD should be to


a. monitor and adjust antidepressant medication.


b. maintain maternal, infant, and family safety.


c. provide close monitoring by a community health nurse.



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