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| Section | Weight | Objectives |
|---|---|---|
| Risk Factors and Etiology | 10% | - Biological and hormonal factors - Psychosocial and environmental factors - Trauma and history of mental illness |
| Perinatal Mental Health Disorders | 14% | - Typical emotional, cognitive, behavioral changes - Differentiate typical vs atypical presentations - Diagnostic criteria and classification |
| Prevention and Early Intervention | 5% | - Universal and targeted prevention - Early identification and intervention |
| Screening, Assessment and Diagnosis | 12% | - Clinical interview and assessment methods - Validated screening tools - Differential diagnosis and comorbidity |
| Evidence-Based Psychotherapy Approaches | 9% | - Interventions for specific disorders - CBT, IPT, psychodynamic therapies - Trauma-informed care |
| Special Populations and Circumstances | 8% | - High-risk pregnancies and complications - Pregnancy loss, infertility, perinatal grief - Substance use and co-occurring conditions |
| Family and Partner Support | 7% | - Involving family in treatment - Support systems and community resources - Impact on partners and family |
| Cultural and Diversity Considerations | 8% | - Cultural beliefs and practices - Disparities in access and care - LGBTQ+ and marginalized populations |
| Psychopharmacology | 9% | - Risks vs benefits of treatment - Breastfeeding and medication use - Medication safety in pregnancy and postpartum |
| Legal, Ethical and Professional Issues | 7% | - Confidentiality and informed consent - Scope of practice and boundaries - Mandatory reporting and liability |
| Recovery and Wellness | 5% | - Relapse prevention and maintenance - Self-care and provider wellness |
| Care Coordination and Systems of Care | 6% | - Interprofessional collaboration - Referral pathways and care transitions - Public health and policy |
1. 106. Bonding between a mother and her newborn:
A) can be helped with support for the mother-infant dyad
B) is best if the mother is alone with the baby for the first hour after birth.
C) must happen within the first 12 hours after birth
D) is not affected by a traumatic birth
2. 6. In follow-up appointments or visits with parents and their new baby, it may be useful if the nurse can identify parental behaviors that can either facilitate or inhibit attachment. What is a facilitating behavior?
A) The parents hover around the infant, directing attention to and pointing at the infant.
B) The parents do not move from fingertip touch to palmar contact and holding.
C) The parents have difficulty naming the infant.
D) The parents make no effort to interpret the actions or needs of the infant.
3. 53. Case Study Question
You are a perinatal therapist in a community-based private practice Jackie comes to see you early in the second trimester of her pregnancy after screening at-risk for depression on a routine mood screen in her obstetrician's office. When you assess her she meets diagnostic criteria for depression She has a history of depression that has responded well to selective serotonin reuptake inhibitors (SSRIs) in the past She does not want to take medication now, though, because she says she does not want to do anything that might harm her baby. She says she recently heard a radio news story describing a research study that found "high risks of birth defects" among babies whose mothers took SSRIs while they were pregnant.
Question: You are not familiar with the study Jackie mentioned so you later locate the article online and read it Which of the following would increase your confidence that the study's claim of "high risks of birth defects'" among babies whose mothers took antidepressants while they were pregnant is valid?
A) The study examined 100 different possible birth defects and found an increased risk of one of these birth defects among babies whose mothers took antidepressants during pregnancy.
B) The study used a case-controlled design to control for maternal age, race, socioeconomic status, medical comorbidities, gravidity and parity.
C) Risk of a particular birth defect was doubled -2:10,000 among babies in the study whose mothers took antidepressants during pregnancy vs 1:10.000 among babies whose mothers did not take antidepressants during pregnancy
D) Exposure to medication was measured on the basis of whether the mother was prescribed antidepressants during her pregnancy according to her medical record.
4. 11. Mothers that have experienced postpartum depression in the past have a decreased risk for postpartum depression in the future.
A) True
B) False
5. 73. Lesbian and gay couples transitioning to parenthood after adoption are at increased risk for depression.
Which of the following is NOT a protective measure?
A) High socio-economic status
B) Perceived workplace support
C) Living in a gay-friendly neighborhood
D) Relationship quality
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: A |
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