Homework: Complicated Pregnancy
Introduction
You are caring for a 37-year-old female who is pregnant with her second child. The first pregnancy was traumatic as the woman experienced a pelvic fracture during delivery causing excruciating pain. The anxiety from this memory plagues her into this pregnancy. She has been managed on an anti-depressant/anti-anxiety. Her husband is a pharmacist and has attended most visits with the psychiatric-mental health NP for counseling and psychopharmaceutical drug management.
1) What would be your initial approach to assessment with this woman/family?
2) Would you prescribe an antidepressant? If so, why and which one? Explain the pharmacodynamics, pharmacokinetics, contraindications, pregnancy related issues, legal/ethical considerations, testing (if applicable), side effects and relationship to trimester.
3) What would be your overall plan of care? (Be succinct.) Consider supervision/collaboration/type of psychotherapy or complementary modality you might use.
Format your homework according to the following formatting requirements:
(1) The answer should be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
(2) The response also includes a cover page containing the title of the homework, the student's name, the course title, and the date. The cover page is not included in the required page length.
(3) Also include a reference page. The Citations and references should follow APA format. The reference page is not included in the required page length.