Deck 32: Mental Health Disorders and Substance Abuse in Pregnancy

Question 1

Of all pregnant women being treated for depression,approximately one third have a first occurrence during pregnancy.All pregnant and postpartum women should be screened for perinatal mood disorders by using the _________________ Postnatal Depression Scale.

Answer 1

Edinburgh
The 10-item Edinburgh Postnatal Depression Scale accurately identifies depression in pregnant and postpartum women.

Question 2

During inpatient psychiatric hospitalization,it is important for the new mother to have:

A)Contact with her significant other
B)Supervised and guided visits with her infant
C)No contact with anyone who annoys her
D)The infant with her at all times

Answer 2

Supervised and guided visits with her infant

Question 3

According to Beck's studies,what risk factor for postpartum depression (PPD)is likely to have the greatest effect on the woman's condition?

A)Prenatal depression
B)Single-mother status
C)Low socioeconomic status
D)Unplanned or unwanted pregnancy

Answer 3

Prenatal depression

Question 4

When a woman is diagnosed with postpartum depression (PPD)with psychotic features,one of the main concerns is that she may:

A)Have outbursts of anger
B)Neglect her hygiene
C)Harm her infant
D)Lose interest in her husband

Question 5

To date the U.S.Food and Drug Administration (FDA)has approved several specific categories of psychotropic medications as safe for use during pregnancy.Is this statement true or false?

Question 6

_____ use/abuse during pregnancy causes vasoconstriction and decreased placental perfusion,resulting in maternal and neonatal complications.

A)Alcohol
B)Caffeine
C)Tobacco
D)Chocolate

Question 7

Possible alternative and complementary therapies for postpartum depression (PPD)for breastfeeding mothers include (choose all that apply):

A)Acupressure
B)Aromatherapy
C)St.John's wort
D)Wine consumption
E)Yoga

Question 8

With shortened hospital stays,new mothers are often discharged before they begin to experience symptoms of the baby blues or postpartum depression.As part of the discharge teaching,the nurse can prepare the mother for this adjustment to her new role by instructing her regarding self-care activities to help prevent postpartum depression.The most accurate statement as related to these activities is to:

A)Stay home and avoid outside activities to ensure adequate rest
B)Be certain that you are the only caregiver for your baby in order to facilitate infant attachment
C)Keep feelings of sadness and adjustment to your new role to yourself
D)Realize that this is a common occurrence that affects many women

Question 9

As a powerful central nervous system (CNS)stimulant,which of these substances can lead to miscarriage,preterm labor,placental separation (abruption),and stillbirth?

A)Heroin
B)Alcohol
C)PCP
D)Cocaine

Question 10

To provide adequate postpartum care,the nurse should be aware that postpartum depression (PPD)without psychotic features:

A)Is the "baby blues" plus the woman has a visit with a counselor or psychologist
B)Is more common among older Caucasian women because they have higher expectations
C)Is distinguished by pervasive sadness along with mood swings
D)Will disappear on its own without outside help

Question 11

Despite warnings,prenatal exposure to alcohol continues to far exceed exposure to illicit drugs.A diagnosis of fetal alcohol syndrome (FAS)is made when there are visible markers in each of three categories.Which is not a recognized category for diagnosis of FAS?

A)Respiratory conditions
B)Impaired growth
C)Central nervous system (CNS)abnormality
D)Craniofacial dysmorphologies

Question 12

The standard of care for women who are dependent on heroin or other narcotics is ____________________ maintenance treatment (MMT).

Question 13

Anxiety disorders are the most common mental disorders that affect women.While providing care to the maternity client,a nurse should be aware that one of these disorders is likely to be triggered by the process of labor and birth.This disorder is:

A)Phobias
B)Panic disorder
C)Posttraumatic stress disorder (PTSD)
D)Obsessive-compulsive disorder (OCD)

Question 14

Less than 10% of women who are substance abusers receive treatment for their addiction during pregnancy.Is this statement true or false?

Question 15

Clinical manifestations of a manic episode in the pregnant woman include all except:

A)Psychomotor agitation and lack of sleep
B)Increased appetite and lack of interest in activities
C)Hyperactivity and distractibility
D)Pressured speech and grandiosity