Support and Training to Enhance Primary Care for Postpartum Depression

PPD Quiz

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Understanding PPD

1. A woman enters the clinic 3 months after delivery presenting with low mood and poor energy over the last 3 weeks. She is most likely experiencing:
2. When determining whether or not a woman has PPD, you should rule out all of the following EXCEPT:
3. Which of the following is NOT a risk factor for PPD?
4. Which of the following statements are true about the relations among postpartum blues, postpartum depression, and postpartum psychosis?
5. The peak time of onset of postpartum depression is:
6. Which of the following is a consequence of postpartum depression?

Assessing PPD

1. Identify the unique advantage of the Edinburgh Postnatal Depression Scale
2. Identify the unique advantage of the Postpartum Depression Screening Scale
3. Under which circumstance is further assessment NOT necessary?
4. When developing a screening and assessment protocol, you should avoid:
5. Which of the following is NOT necessarily an indication for referral?
6. Following a positive screen, your clinical assessment determines that your patient is probably not experiencing a major depression. Which of the following options might be your best course of action?
7. Some patients do not acknowledge their depression to their primary care physician. What is a common reason?
8. In making a diagnosis of postpartum depression, it is important to:

Treating PPD

1. Which of the following statements is true about the empirical support for the use of antidepressant medication and psychotherapy in the treatment of postpartum depression?
2. Which of the following treatments should NOT be considered as first-line treatment for a breastfeeding mother with moderate levels of depression? (Check all that apply)
3. Which of the following is NOT a method to engage women in treatment?
4. A risk assessment is required in all but which of the following cases?
5. Place the following medication consideration in order of importance, from most important to least: 1) Use a selective serotonin reuptake inhibitor 2) Use a medication that the woman used successfully to treat previous episodes of depression 3) Use the medication preferred by the patient 4) Use the medication that the woman’s mother is using successfully to treat her depression
6. Which of the following is NOT a primary treatment for PPD?
7. When conducting follow-up in primary care…
8. Your patient is currently on an adequate dose of an SSRI, but she is still socially isolated and very unsure of her parenting skills. Which of the following non-pharmacological treatments would you recommend to supplement her use of medication?