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NURS 4500: Final Material > Class 8: Postpartum Depression > Flashcards

Class 8: Postpartum Depression Flashcards

1
Q

psychosocial complications in the PP period have implications for the… (3)

A
  • mother
  • newborn
  • entire family
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2
Q

what implications might psychosocial complications have on the mother, newborn, and family?

A
  • may interfere w attachment to newborn and family integration
  • may threaten safety and well-being of mother, newborn, and other children
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3
Q

define: perinatal mood disorders

A
  • includes anxiety or major and minor depressive episodes that occur during pregnancy or in the 1st 12 months after delivery
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4
Q

perinatal mood disorders (PMD) encompass: (5)

A
  • depression
  • anxiety
  • OCD
  • bipolar disorder
  • psychosis
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5
Q

baby blues are considered…. they could be categorized as??

A
  • a normal variant of PMD
  • could be categorized as a “mild depression”
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6
Q

describe the occurrence of baby blues

A
  • common, up to 80% of birthers
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7
Q

PMD can eventually…

A
  • incapacitate birthers to point of being unable to care for themselves and their babies
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8
Q

define: baby blues

A
  • a “normal”, mild, transient condition affecting up to 80% of birthers, all ethnicities
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9
Q

when do baby blues occur?

A
  • begin 3-4 days after childbirth
  • peaks on days 4-5
  • resolves within 2 weeks

= time limited, if beyond = something else

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10
Q

what are signs of baby blues (10)

A
  • emotional lability
  • crying
  • feeling down
  • depressed
  • restless
  • fatigue
  • insomnia
  • headaches
  • anxiety
  • sadness and anger
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11
Q

those w severe symptoms of baby blues may be at greater risk of…

A
  • PPD
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12
Q

baby blues are mild, it does not??

A
  • impair function, resolves on its own
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13
Q

what is included in nursing care for baby blues

A
  • encouraged to rest
  • take care of self
  • discuss feelings
  • it is self limiting
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14
Q

what is included in perinatal mood disorders ? (3)

A
  • perinatal anxiety disorders
  • perinatal depression/postpartum depression
  • postpartum psychosis
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15
Q

perinatal mood disorders occur when?

A
  • during pregnancy or within the 12 months after birth
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16
Q

define: paternal mood disorders

A
  • partner w depression/anxiety in the PP
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17
Q

what are risk factors for perinatal mood disorders? (7)

A
  • depression or anxiety during pregnancy
  • recent stress
  • traumatic birth experience
  • preterm birth/infant admitted to NICU
  • low social support
  • personal history of depression
  • breastfeeding problems
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18
Q

what are major risk factors for perinatal depression (8)

A
  • adolescent birthers
  • low education lvl
  • recent immigration
  • depression or anxiety during pregnancy
  • family hx of depression
  • personal hx of depression
  • lack of social support
  • recent stress
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19
Q

what are other risk factors for perinatal depression (4)

A
  • low self-esteem
  • relationship difficulties
  • lower socioeconomic status
  • obstetric or pregnancy complications
20
Q

PP depression without psychotic features is characterized by: (5)

A
  • low mood
  • lack of interest in activities
  • can be mild to severe
  • functioning impaired
  • SI or HI can be present
21
Q

what is included in treatment for PP depression without psychotic features (5)

A
  • antidepressant/antianxiety meds
  • electroconvulsive therapy (if not responding to meds)
  • supportive care
  • psychotherapy
  • monitoring for suicidal or homicidal thoughts
22
Q

PP anxiety disorders includes: (7)

A
  • GAD
  • OCD
  • panic disorder
  • panic attacks
  • phobias
  • social anxiety disorder
  • PTSD
23
Q

PP anxiety disorders are characterized by.. (6)

A
  • irrational fear & worry r/t newborn
  • trembling
  • NV
  • dizziness
  • dyspnea
  • insomnia
  • OCD in PP w obsession & compulsions toward the infant (checking, washing), thoughts of harm to infant (v. distressing to person)
24
Q

what is included in treatment for PP anxiety disorders (4)

A
  • CBT
  • SSRIs
  • education
  • psychotherapy
25
Q

what is included in dc teaching for PP anxiety disorders

A
  • teach that anxiety can worsen during PP –> may help w coping
26
Q

describe the occurrence of PP psychosis

A
  • rare (0.2%) but recurrence is high (30-50%)
27
Q

what causes an increased risk of PP psychosis

A
  • if pre-existing bipolar disorder
28
Q

PP psychosis is characterized by? (5)

A
  • depression
  • hallucinations
  • delusions
  • thoughts of harming infant or self
  • symptoms of depression may already have been present
29
Q

describe symptoms onset of PP psychosis

A
  • onset sudden , over 24-72h timeframe, within the 1st month PP
30
Q

PP psychosis is a …

A
  • psychiatric emergency
31
Q

PP psychosis often requires

A
  • psychiatric hospitalization
32
Q

what is included in treatment of PP psychosis (2)

A
  • antipsychotics
  • mood stabilizers (ex. lithium)
33
Q

what is included in mngmt of PP psychosis

A
  • cannot be left alone or alone w infant/children
34
Q

what is included in prevention for PP psychosis

A
  • screening for perinatal mood disorder
35
Q

when should screening for perinatal mood disorders occur? (3)

A
  • during pregnancy
  • PP unit
  • in community
36
Q

what is included in nursing care on the PP unit (5)

A
  • review prenatal record
  • look for warning signs
  • assess for supports
  • offer referral to SW and other resources
  • notify provider if concerns
37
Q

what is included in nursing care for PP psychosis in the home & community? (2)

A
  • PHN’s play lrg role in assessing for PP mood disorders
  • may need to refer to resources or contact crisis services if warranted
38
Q

what is key w PP psychosis?

A
  • safety is key –> need to ask about SI and HI
39
Q

what are warning signs of PP psychosis on PP unit (6)

A
  • refers to self as ugly and useless
  • markedly depressed
  • lacks social support
  • refuses to interact w or care for baby –> ex. not responding to criers
  • has difficulty sleeping
  • experiences loss of appetite
40
Q

why is it imp to screen for perinatal mood disorders?

A
  • screening helps to identify & treat earlier
41
Q

what is 1 tool used for screening for perinatal mood disorders? what score indicates requirement for closer monitoring?

A
  • edinburgh postnatal depression scale

> =13 = close monitoring

42
Q

what is included in nursing assessment/role on the PP unit (6)

A
  1. observe infant-mother bonding
  2. discuss perinatal mood disorders w all families, and advise of resources if these concerns arise
  3. give mom & family the resources in a handout
  4. advise about normal baby blues vs abnormal
  5. encourage woman to practice self-care daily
  6. encourage her to reach out to community supports
43
Q

what is included in nursing assessment/role on the PP unit (6)

A
  1. observe infant-mother bonding
  2. discuss perinatal mood disorders w all families, and advise of resources if these concerns arise
  3. give mom & family the resources in a handout
  4. advise about normal baby blues vs abnormal
  5. encourage woman to practice self-care daily
  6. encourage her to reach out to community supports
44
Q

perinatal mood disorders can occur …?

A
  • anytime during pregnancy or up to 12 months PP
45
Q

who should receive info on PP baby blues and what to expect?

A
  • all individuals
46
Q

encourage individuals and their partners to… (2)

A
  • monitor carefully for signs of a mood disorder
  • seek care as soon as possible
47
Q

if there are concerns for self-harm or harming the infant PP, or symptoms of psychosis, what is always required? (2)

A
  • emergent care
  • individual and infant are not to be left alone

NURS 4500: Final Material (16 decks)

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