93083-4 |
Revised Prenatal Distress Questionnaire (NuPDQ) - Concurrent Self-Administered Version |
|
|
|
Indent93073-5 |
Are you feeling bothered, upset or worried at this point in your pregnancy about taking care of a newborn baby? |
|
|
|
Indent93059-4 |
Are you feeling bothered, upset or worried at this point in your pregnancy about the effect of ongoing health problems such as high blood pressure or diabetes on your pregnancy? |
|
|
|
Indent93060-2 |
Are you feeling bothered, upset or worried at this point in your pregnancy about feeling tired and having low energy during your pregnancy? |
|
|
|
Indent93074-3 |
Are you feeling bothered, upset or worried at this point in your pregnancy about pain during labor and delivery? |
|
|
|
Indent93061-0 |
Are you feeling bothered, upset or worried at this point in your pregnancy about paying for your medical care during pregnancy? |
|
|
|
Indent93062-8 |
Are you feeling bothered, upset or worried at this point in your pregnancy about changes in your weight and body shape during pregnancy? |
|
|
|
Indent93075-0 |
Are you feeling bothered, upset or worried at this point in your pregnancy about whether the baby might come too early? |
|
|
|
Indent93076-8 |
Are you feeling bothered, upset or worried at this point in your pregnancy about physical symptoms of pregnancy such as vomiting, swollen feet, or backaches? |
|
|
|
Indent93077-6 |
IF APPROPRIATE: Which? |
|
|
|
Indent93067-7 |
Are you feeling bothered, upset or worried at this point in your pregnancy about the quality of your medical care during pregnancy? |
|
|
|
Indent93078-4 |
Are you feeling bothered, upset or worried at this point in your pregnancy about changes in your relationships with other people due to having a baby? |
|
|
|
Indent93079-2 |
IF APPROPRIATE: Who in particular? |
|
|
|
Indent93063-6 |
Are you feeling bothered, upset or worried at this point in your pregnancy about whether you might have an unhealthy baby? |
|
|
|
Indent93080-0 |
Are you feeling bothered, upset or worried at this point in your pregnancy about what will happen during labor and delivery? |
|
|
|
Indent93068-5 |
Are you feeling bothered, upset or worried at this point in your pregnancy about working or caring for your family during your pregnancy? |
|
|
|
Indent93072-7 |
Are you feeling bothered, upset or worried at this point in your pregnancy about paying for the baby's clothes, food, or medical care? |
|
|
|
Indent93081-8 |
Are you feeling bothered, upset or worried at this point in your pregnancy about working at a job after the baby comes? |
|
|
|
Indent93082-6 |
Are you feeling bothered, upset or worried at this point in your pregnancy about getting day care, babysitters, or help to watch the baby after it comes? |
|
|
|
Indent93069-3 |
Are you feeling bothered, upset or worried at this point in your pregnancy about whether the baby might be affected by alcohol, cigarettes, or drugs that you have taken? |
|
|
|
Indent93070-1 |
Are there other things that you are bothered, upset or worried about that have to do with your pregnancy, the birth, or the baby? |
|
|
|
Indent93071-9 |
If YES: What things are you bothered, upset, or worried about? |
|
|
|
Indent93087-5 |
Total score [NuPDQ] |
|
|
{score} |