Postpartum Depression Flashcards
7 cards from real PMH-C practice questions. Tap to flip, then mark Knew It or Still Learning โ missed cards come back until you master them.
Read the first 7 Postpartum Depression flashcards as text
Edinburgh Postnatal Depression Scale (EPDS) question 10 asks about self-harm thoughts. A patient scores 2 on this item. What is the MOST appropriate immediate action?
Answer: Conduct a full suicide risk assessment immediately
Any positive response on EPDS item 10 regarding self-harm requires immediate comprehensive suicide risk assessment before any other clinical decision is made.
Which of the following factors has been shown to be MOST protective against developing postpartum depression?
Answer: High perceived social support
High perceived social support is one of the strongest protective factors against PPD, buffering the psychological and physiological stress of the postpartum period.
Brexanolone (Zulresso) was FDA-approved specifically for postpartum depression. What is its mechanism of action?
Answer: Positive allosteric modulation of GABA-A receptors
Brexanolone is a synthetic form of allopregnanolone that acts as a positive allosteric modulator of GABA-A receptors, directly targeting the neurological mechanism underlying PPD.
A mother at 3 months postpartum discloses she feels like a 'failure as a mother' and has been avoiding taking her newborn out in public. Which cognitive distortion is MOST evident?
Answer: All-or-nothing thinking
All-or-nothing (black-and-white) thinking is evident when the mother views herself as a complete failure based on imperfect maternal performance, without acknowledging successes.
Which finding from the infant's perspective is a documented consequence of maternal postpartum depression if left untreated?
Answer: Higher rates of cognitive and language delays
Children of mothers with untreated PPD show higher rates of cognitive, language, and socioemotional developmental delays due to disruptions in early caregiving interactions.
A perinatal mental health clinician is working with a Latina postpartum client who attributes her symptoms to 'nervios.' What is the MOST culturally competent approach?
Answer: Explore her cultural explanatory model while integrating it with evidence-based assessment
Culturally competent care involves exploring the client's explanatory model and integrating cultural understanding with evidence-based assessment to build therapeutic alliance.
What distinguishes postpartum blues from postpartum depression in terms of duration?
Answer: Baby blues resolves within 2 weeks; PPD persists beyond 2 weeks
Postpartum blues typically self-resolves within the first 2 weeks postpartum, while postpartum depression is defined by symptoms persisting beyond 2 weeks and meeting MDD criteria.