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wasem
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Concerning puerperal psychosis
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02.24.06 (2 years ago)
#1
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Concerning puerperal psychosis:
(a) It is more common in a first pregnancy than subsequent pregnancies.
True False
(b) It may be treated with lithium in breastfeeding patients.
True False
(c) Treatment may require separation of mother and baby.
True False
(d) Symptoms usually occur within 3 days of birth.
True False
(e) Family history of depression is a risk factor.
True False
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whiteguardian
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Re: Concerning puerperal psychosis
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03.23.06 (2 years ago)
#2
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| wasem wrote: |
Concerning puerperal psychosis:
(a) It is more common in a first pregnancy than subsequent pregnancies.
True False
(b) It may be treated with lithium in breastfeeding patients.
True False
(c) Treatment may require separation of mother and baby.
True False
(d) Symptoms usually occur within 3 days of birth.
True False
(e) Family history of depression is a risk factor.
True False |
(a) False.
Factors that increase the risk of puerperal psychosis include a past history of puerperal psychosis, pre-existing psychotic illness (especially affective psychosis) of severity requiring admission to hospital, and family history of affective psychosis in first or second degree relatives.Women who have had a previous puerperal psychosis are at significant risk of future puerperal and non-puerperal episodes.The risk of a future puerperal episode lies between 25% and 57% and the risk of non-puerperal relapse is even higher.
(b)True
Evidence indicates that lithium is excreted in breast milk at a level of approximately 40% of maternal serum level. Lithium toxicity has been described in a breast-fed infant and lithium is known to impair thyroid and renal function in adults.
In view of the significant risks to the infant of a breast feeding mother taking lithium, mothers should be encouraged to avoid breast feeding. If a decision is made to proceed, close monitoring of the infant, including serum lithium levels, should be provided.
(c)True
There are instances where the mother and infant may be at risk because of the mother's mental illness. Although rare, infanticide and suicide do occur. Multidisciplinary risk assessment and risk management protocols and, if necessary, local child protection procedures should always be followed when there is the potential for serious harm to the mother and/or baby.
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parin
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04.08.06 (2 years ago)
#3
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puerperal psychosis can be:
1. depressive episode- most common
2. schizophrenia
3. manic episode
4. delirium
a) true.
peurperal psychosis is more common in 1st pregnancy d/t recognization of psyche in accordance with new 'mother-role' with recurrence rate of 15-25% in next puerperium.
b) false.
lithium is used in puerperal psychotics with manic episode. as it is secreted in breast milk, judicious decision is to be taken.
c) true.
as lithium, antipsychotics & antidepressants are secreted in breast milk, a judicious decision is to be taken regarding feeding of infant, depending on dose given, social support availabe & risks of keeping mother & infant separate.
d) false.
typically onset of symptoms occurs 3-7 days after delivery. onset before 3rd day post-partum is rare.
e) false.
I think! not mentioned anywhere...
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jabby
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10.20.07 (11 months ago)
#4
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A.T
B.F
C.T
D.F
E.T
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OBAMA
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04.21.08 (5 months ago)
#5
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1.T
2.F
3.T
4.F
5.T
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