Mental health concerns are pertinent to family/OB patient

Question 1

stress can cause what physical health issues?

Answer 1

elevated HR and BP, slowed digestion, release of NT’s and hormones, tense muscles, and immunosuppression

Question 2

what is Willis-ekbom disease?

Answer 2

restless legs syndrome

Question 2

Sleep disorders are correlated with mental and physical health challenges, such as:

Answer 2

depression, pain and fibromyalgia

Question 3

3-5 days post partum, what percentage of women experience tearfulness, agitation, mood swings, anxiety, sleep disturbances

Answer 3

75

Question 4

what can cause postpartum depression or anxiety?

Answer 4

estrogen fluctuations and postpartum hypogonadism (change from high levels of estrogen and progesterone at the end of pregnancy to the much lower levels of both hormones present after birth)

Question 5

what are complications of Perinatal Mood Disorders?

Answer 5

Mother-infant attachment issues
Depression in the partner
Long term emotional behavioral and cognitive issues in the child
Relationship issues and family breakdown
Social, financial and occupational complications
Self-harm and suicide
Infant and sibling neglect, occasionally infanticide

Question 6

what are common Perinatal Anxiety Disorders?

Answer 6

GAD, OCD, panic disorder / panic attacks, specific phobias, social anxiety and PTSD

Question 7

what prevention methods can be done for Perinatal Anxiety Disorders?

Answer 7

behavioral therapy, psychotherapy and exposure response

Question 8

what is the most common complication of childbirth?

Answer 8

depression
- lasts more than 2 weeks

Question 9

what is not normal with post partum blues?

Answer 9

Intense fears, anger, anxiety and despondency that persist past the baby’s first few weeks

Question 10

what is the distinguishing factor between perinatal and major depression?

Answer 10

irritability
- can flare up to violent outbursts or uncontrollable sobbing

Question 11

what is the onset of Postpartum Psychosis?

Answer 11

within 2 weeks

Question 12

symptoms of Postpartum Psychosis?

Answer 12

hallucinations, paranoid, delusions, delirium, deficits in judgement

Question 13

Pre-existing bipolar disorder is a risk factor for postpartum psychosis. T or F

Answer 13

T

Question 14

how is a mood disorder defined?

Answer 14

presence of one or more episodes of abnormally elevated energy levels, cognition and mood and one or more depressive episodes

Question 15

clinical manifestations of a manic episode must include 3 of the following:

Answer 15

grandiosity, decreased need for sleep, pressured speech, flight of ideas, distractibility, psychomotor agitation

Question 16

difference between baby blues, PP depression, PP psychosis:

Answer 16

baby blues:
sad anxious or overwhelmed feelings
Crying spells
Loss of appetite
Difficulty sleeping

pp depression:
same as above, longer an more severe, thoughts of self harm or harm to baby

pp psychosis:
hallucinations, confusion, mood swings, harming yourself or the baby