Midterm Exam: NR606 / NR 606
(Latest 2024 / 2025 Update) Diagnosis & Management in Psychiatric-Mental Health II Practicum | Questions & Verified Answers | 100% Correct | Grade A - Chamberlain
Question:
The most common adverse effect associated with SSRI and SNRI
Answer:
neonatal withdrawal syndrome impacts up to 30% of babies born to mothers who take antidepressants
Question:
SSRI withdrawal symptoms in newborns with maternal exposure
Answer:
neonatal withdrawal syndrome
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Question:
SSRI withdrawal symptoms in newborns with maternal exposure
Answer:
neonatal withdrawal syndrome
-Symptoms: tremors, high-pitched crying, disturbed sleep
--peaks between 2-4 days after birth -No evidence that discontinuing/tapering dosages in the last trimester reduces risk to the infant --Paroxetine may increase risk of atrial septal defects!! *
Question:
Depression symptoms in pregnancy
Answer:
Low mood Fatigue Anxiety Negative thoughts Feelings of guilt Avoiding people Lack of focus
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Question:
Risk factors for maternal mental health disorders
Answer:
Smoking Lack of social support Poor relationship quality Pregnancy complications Personal or family history of depression History of physical or sexual abuse Unintended pregnancy Life stress Chronic physical conditions Prior pregnancy with fetal/infant loss History of mental illness
Question:
most used substance in the perinatal period
Answer:
tobacco, followed by alcohol, cannabis, and other illicit drugs
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Question:
ETOH in preg
Answer:
-Exposure within the 1st trimester correlates with the most significant alcohol-related birth outcomes.--increased risk for miscarriage, stillbirth, congenital anomalies, low birth weight, small for gestational age, and preterm delivery
-Lifelong effects of alcohol use disorder on children:
--fetal alcohol spectrum disorders (FASDs), neurodevelopmental and central nervous system deficits, speech and language challenges, cognitive and behavioral deficits, impaired executive functioning, and psychosocial difficulties in adulthood
Question:
OUD tx in preg
Answer:
-Methadone and buprenorphine-the most prescribed MAT for OUD in pregnancy.-Dosing may be increased during the 2nd/3rd trimesters d/t increased blood volume/ metabolism.-Naltrexone- NOT usually recommended -Clients who initiate treatment during pregnancy/ become pregnant while using MAT should continue treatment through pregnancy and the postpartum period.
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