Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Exam 2 NUR113
Postpartum Depression
| Question | Answer |
|---|---|
| What is Postpartum blues/baby blues? | common occurrence after childbirth; usually resolves w/i 10-14 days |
| What is postpartum depression? | major depressive disorder with peripartum onset; may begin during pregnancy or in first 4 weeks following delivery; may or may not be accompanied by psychotic symptoms |
| What factors interfere with development of family attathment? | How she feels about herself, how she feels about her ability to be a mother; how they felt about their pregnancy |
| What cultural influences should be taken into account in the postpartum period? | -Western cultures focus on the baby -Other cultures emphasize mom and postpartum period -Recognize own preference and individualize care for mother and familial preferences |
| What are the clinical manifestations of Postpartum Blues? | Mood swings, anger, anorexia Difficulty sleeping, weepiness, feeling let down |
| When should a mom be evaluated for postpartum depression? | During antepartum care; postpartum; and if baby blues persist beyond 10-14 days |
| What scales are used to screen/diagnose women for postpartum depression? | Edinburgh Postnatal Depression Scale and Postpartum Depression Predictor Inventory |
| What is a key feature of Postpartum Blues? | Episodic tearfulness (crying without identifiable cause) |
| What factors can contribute to Postpartum Blues? | -Emotional letdown that follows labor/birth -Physical discomfort typical in early postpartum period -Fatigue -Anxiety about caring for newborn at home -Depression during pregnancy or previous depression |
| What are the risk factors for Postpartum Depression? | Primiparity, Ambivalence about pregnancy, Hx of postpartum depression or Bipolar Disorder, Lack of social support, lack of supportive relationship w/ parents or partner, woman's dissatisfaction with self |
| Why does Postpartum Depression matter? | Moms are at risk for suicide (esp. if they are entering or exiting deeply depressed state) |
| True or False: Genetic predisposition to depression/postpartum depression increases risk | True |
| What is Postpartum Psychosis? | postpartum mood disorder with psychotic features? |
| Why is Postpartum Psychosis an emergency? | High risk for suicide and infanticide; mom cannot be alone with baby |
| What are risk factors for Postpartum Psychosis? | Primiparity, Prior postpartum depression, Hx of depressive or bipolar disorder |
| What collaborative interventions can be done to treat postpartum mood disorders? | Referral to mental health professional esp. around 2-6 wk postpartum; treatment is similar to depression; therapy; support groups |
| What is the pharmacological treatment for postpartum mood disorders? | Antidepressant medication; may be started before birth of baby; Sertraline (Zoloft) or Paroxetine (Paxil), use is controversial for breastfeeding moms |
| What medications/treatments are specifically used for psychotic symptoms? | lithium, antipsychotics, ECT; removal of infant; social support |
| What are the main goals of treatment for a mom with a postpartum mood disorder? | Maintain safety of both client and family; assessing patient for risk of self harm or harm to others |
| What should be assessed in a postpartum patient? | Presence of risk factors, rating on depression scale; listen to woman's feeling about transition to motherhood; objective signs of depression; family input and observations; identify women at risk for suicide |
| What are possible goals for postpartum patients at risk for mood disorders? | The client and family will remain free of injury Support persons will provide care for the newborn The client will articulate feelings and concerns The client will adhere to the plan of care The client will integrate newborn into the family |
| What should the nurse do to implement goals of treatment? | - Educate mom and support system about possibility of postpartum blues and reassure of short-term nature -Educate on s/s of postpartum depression -Encourage mom to make a plan on how to manage at home |
| What are expected outcomes of treatment? | Client's signs of depression are identified, receives prompt intervention Newborn is effectively cared for by father, other support persons until mother able to provide care Mother and newborn remain safe Newborn is successfully integrated into family |
| What is a key sign of postpartum depression? | Not sleeping/obsessive behavior over baby (anxious behavior over baby) |
Created by:
failingstudent88
Popular Nursing sets