Psych

Question 1

List Rubin’s 4 Tasks of the Pregnant Woman

Answer 1

1) SAFE PASSAGE: ensuring a safe, healthy pregnancy and birth
2) ACCEPTANCE BY OTHERS: evaluates personal relationships to develop parenting identity
3) BINDING INTO CHILD: fetus –> baby
4) GIVING OF ONESELF: accepting changes that are in best interest of baby

Question 2

How does the pregnant person achieve Rubin’s 4 tasks?

Answer 2

1) REPLICATION: mimicry to construct maternal identity and values
2) FANTASY COMPONENTS

Question 3

introjection

Answer 3

incorporation of tendencies of someone pregnant person admires/wants to emulate

Question 4

projection

Answer 4

imagines self in situations w/ baby

Question 5

rejection

Answer 5

imagines what will NOT be done

Question 6

grief work

Answer 6

letting go of previous lifestyle to accept new role

Question 7

Lederman’s 7 Dimensions of Maternal Development

Answer 7

1) ACCEPTANCE of pregnancy
2) IDENTIFICATION OF MOTHER AND ROLE
3) relationship w/ MOTHER [FIGURE]
4) relationship w/ PARTNER
5) PREPARATION FOR LABOR: classes, baby shower, worries of unknown
6) FEAR OF LOSS OF CONTROL in labor = feelings, physical rxns, social exchanges
7) FEAR OF LOSS OF SELF-ESTEEM in labor: accepting imperfection, being assertive and persistent

Question 8

couvade

Answer 8

rituals of father during pregnancy; psychosomatic taking on of physical and emotional sx of pregnancy

Question 9

What are the first-line pharm tx for depression?

Answer 9

SSRIs (Cat C) and venlafaxine (SSNRI - Cat C)

Question 10

Which drugs have the lowest and highest amounts in breast milk, respectively?

Answer 10

sertraline (Zoloft)

fluoxetine (Prozac)

Question 11

Why should paroxetine (Paxil) be avoided?

Answer 11

Cat D - risk of cardiac malformation