Postpartum Depression Lecture Quiz

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Questions and Answers

What proportion of women experience some type of mood disturbance during the postpartum period?

  • 70%
  • 85% (correct)
  • 90%
  • 95%

What percentage of women develop more significant symptoms of depression or anxiety during the postpartum period?

  • 5-10%
  • 20-25%
  • 15-20%
  • 10-15% (correct)

Why is it necessary for physicians to recognize emotional difficulties in pregnancy and the postpartum period?

  • To prevent physical health problems
  • To avoid legal implications
  • To maintain professional credibility
  • To ensure maternal well-being (correct)

What is the primary focus of antenatal assessment in relation to psychiatric morbidity?

<p>Identifying risk factors for psychiatric morbidity (B)</p> Signup and view all the answers

When are depressive symptoms as common as in the postpartum period?

<p>During the antepartum period (D)</p> Signup and view all the answers

What is the significance of recognizing psychiatric problems during pregnancy and postpartum?

<p>It is essential for preventing maternal mortality and morbidity (D)</p> Signup and view all the answers

What is the most significant factor in the duration of postpartum depression (PPD)?

<p>Delay in receiving treatment (D)</p> Signup and view all the answers

Which of the following symptoms is commonly associated with postpartum depression?

<p>Generalized anxiety and panic attacks (C)</p> Signup and view all the answers

What is the recommended first-line medication for more severe postpartum depression?

<p>Antidepressants (SSRI's) (D)</p> Signup and view all the answers

What is the purpose of the Edinburgh Postnatal Depression Scale mentioned in the lecture?

<p>To identify women who have PPD (C)</p> Signup and view all the answers

According to the lecture, which hormonal changes are proposed to play a role in the emergence of postpartum affective illness?

<p>Decrease in estrogen and progesterone concentrations after delivery (C)</p> Signup and view all the answers

What is a common feature of postpartum obsessive-compulsive disorder as mentioned in the lecture?

<p>Disturbing and intrusive thoughts of harming the infant (A)</p> Signup and view all the answers

Which factor is identified as increasing the likelihood of postpartum depression according to the lecture?

<p>Recent stressful life events during pregnancy or near delivery (C)</p> Signup and view all the answers

What may be used to detect women who have PPD based on a specific score or affirmative answer?

<p>'EPDS' questionnaire (C)</p> Signup and view all the answers

What type of therapy is recommended for mild to moderate postpartum depression?

<p>'Psychotherapy''Bright light therapy'exercise,omega 3 fatty acid (D)</p> Signup and view all the answers

What population of women may be more vulnerable to PPD according to the lecture?

<p>Women with histories of major depression or bipolar disorder. (B)</p> Signup and view all the answers

What is a significant consequence of failing to receive treatment for PPD according to the lecture?

<p>Lingering effects on physical and psychological functioning. (D)</p> Signup and view all the answers

How does PPD usually develop, as mentioned in the lecture?

<p>It develops slowly over the first three months, often beginning within the first 4 weeks. (C)</p> Signup and view all the answers

What is the synthetic version of a steroid called allopregnanolone?

<p>Brexanolone [Zulresso] (A)</p> Signup and view all the answers

What is the most severe form of postpartum psychiatric illness?

<p>Postpartum psychosis (C)</p> Signup and view all the answers

How is Zulresso administered?

<p>Continuous IV infusion (C)</p> Signup and view all the answers

What are the most common adverse reactions reported by patients treated with Zulresso?

<p>Sleepiness, dry mouth, loss of consciousness, flushing (B)</p> Signup and view all the answers

What is the typical onset of postpartum psychosis?

<p>Within 2 weeks after delivery (C)</p> Signup and view all the answers

What is the treatment of choice for postpartum psychosis?

<p>B and C (D)</p> Signup and view all the answers

What is the concern regarding selective serotonin reuptake inhibitors (SSRIs) in pregnancy?

<p>Risk of cardiovascular defects in the fetus (D)</p> Signup and view all the answers

What is recommended for women on antidepressant medication at conception?

<p>Trial off treatment prior to delivery (B)</p> Signup and view all the answers

What do women with histories of bipolar disorder benefit from as a prophylactic treatment near or at the time of delivery?

<p>(Lithium) Lithium salts (A)</p> Signup and view all the answers

What is the risk associated with lithium in pregnancy?

<p>Increased risk of cardiovascular defects in the fetus (B)</p> Signup and view all the answers

What may be beneficial for patients with depressive disorders of marked or moderate severity?

<p>(ECT) Electroconvulsive therapy (C)</p> Signup and view all the answers

What may sleep problems in mothers suffering from postpartum depression lead to?

<p>Impaired maternal health and safety practices (B)</p> Signup and view all the answers

What is the main differentiating factor between hyperemesis gravidarum and early morning sickness?

<p>Requirement for hospital admission (A)</p> Signup and view all the answers

What is the recommended treatment for hyperemesis gravidarum?

<p>Intravenous rehydration and small light snacks (C)</p> Signup and view all the answers

What is pseudocyesis?

<p>A condition where a woman believes she is pregnant when she is not (A)</p> Signup and view all the answers

What are the common symptoms of cauvade syndrome?

<p>Nausea and morning sickness (D)</p> Signup and view all the answers

What is a characteristic of cryptopregnancy?

<p>There is no genuine pregnancy (A)</p> Signup and view all the answers

Why may a diagnosis of depression be missed in pregnancy?

<p>Because symptoms are often mistaken for normal pregnancy changes (A)</p> Signup and view all the answers

What is the recommended treatment for depression during pregnancy?

<p>Psychotherapy and antidepressants (except in the first trimester) (A)</p> Signup and view all the answers

What are the categories into which postpartum psychiatric illness is typically divided?

<p>(1) Postpartum blues (2) Postpartum depression (3) Postpartum psychosis (A)</p> Signup and view all the answers

What percentage of women experience postpartum blues after delivery?

<p>~50-85% (A)</p> Signup and view all the answers

What are common symptoms of postpartum blues?

<p>Mood lability, tearfulness, anxiety or irritability (A)</p> Signup and view all the answers

What type of medication may be required for women who have a past history of psychotic illness during pregnancy?

<p>Antipsychotic medications (D)</p> Signup and view all the answers

What are some possible treatments for hyperemesis gravidarum?

<p>Intravenous rehydration, corticosteroids, and total parenteral nutrition (B)</p> Signup and view all the answers

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