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NEW QUESTION # 27
55. When compared to mothers who are not anxious or depressed, mothers with PMADs are more likely to describe their babies as:
- A. happy and even-tempered
- B. unattractive
- C. good sleepers.
- D. fussy and difficult to soothe.
Answer: D
NEW QUESTION # 28
84. In women who have postpartum depression which one of the following areas of functioning is MOST likely to be maintained?
- A. Social functioning
- B. Household functioning
- C. Self-care
- D. Infant care
Answer: D
NEW QUESTION # 29
86. You are working in an outpatient pediatric care setting and encounter a new mother who screens positive for depression and reports symptoms consistent with a depressive episode of moderate severity You provide her with counseling referrals but she says she does not have time to attend counseling and intends to use a self- guided web-based intervention instead. Which of the following statements represents your BEST response?
- A. Assess the mother to be certain there are no active symptoms of suicidally, mania or psychosis, ask her to identify the web-based intervention she intends to use, advise her to call you if her symptoms worsen, and document these steps
- B. Seek a psychiatric consultation based on concerns that this mother may be delusional for thinking her symptoms can be helped by a self-guided web-based intervention and document your rationale for seeking consultation.
- C. Inform the mother that web-based interventions are unproven and may do more harm than good: advise her that you cannot support her in this decision, and document your concerns
- D. Tell the mother she should only use a web-based intervention in conjunction with counseling/therapy, offer to help her set up an initial appointment with a therapist before she leaves your office, and document your concerns.
Answer: A
NEW QUESTION # 30
19. Risk factors for postpartum depression include: (CHOOSE ALL THAT APPLY)
- A. Giving birth to a male child
- B. History of abuse
- C. Marriage
- D. Concurrent life events
- E. History of mental illness
- F. Red hair
Answer: B,D,E
NEW QUESTION # 31
13. Symptoms of postpartum depression include: (choose all that apply)
- A. Changes in Diet
- B. None of these apply
- C. Issues with sleep
- D. Tiredness
- E. Euphoria
Answer: A,C,D
NEW QUESTION # 32
101. Which of the following collaborative care models focuses on adjusting the treatment intensity to the severity and presentation of postpartum depression?
- A. Integrative care
- B. Stepped care
- C. Screen and refer
- D. Motivational interviewing
Answer: B
NEW QUESTION # 33
50. Which of the following conditions describes unpleasant feelings and sadness experienced by lactatmg persons just before and during "let-down"?
- A. Mastitis
- B. Dysphoric milk ejection reflex
- C. Rapid let-down
- D. Overabundant milk supply
Answer: B
NEW QUESTION # 34
63. Case Study
Aliya is currently pregnant with her second child at 25 weeks gestation Her first child is 20 months old. She is coming to you to help her decide if what she is experiencing is normal for pregnancy or if she is having symptoms of a perinatal mood disorder. During her interview, she describes poor sleep, increased tearfulness, low energy, and irritability. She states that her first child sleeps well and is not interrupting her sleep, and that she is not waking up due to increased urination or physical discomforts of pregnancy. She reports that she has not ever been as tearful as she is now, including during her previous postpartum period She states that she has been tested by her obstetrician (OB) care provider for anemia and thyroid dysfunction and her lab results were normal. She is noticing that her irritability is affecting her relationship with her partner She worries that she is
"pushing him away:" even though he is trying to be supportive.
Question: Which of the following common problems during pregnancy would NOT significantly affect Aliya's sleep?
- A. Restless Legs Syndrome (RLS)
- B. Increased blood pressure
- C. Increased thirst during the night
- D. Vivid dreams
Answer: B
NEW QUESTION # 35
73. Lesbian and gay couples transitioning to parenthood after adoption are at increased risk for depression.
Which of the following is NOT a protective measure?
- A. Relationship quality
- B. Perceived workplace support
- C. Living in a gay-friendly neighborhood
- D. High socio-economic status
Answer: D
NEW QUESTION # 36
12. Postpartum depression symptoms are similar to ________ symptoms.
- A. Depression unrelated to childbirth
- B. Bipolar Disorder
- C. Anorexia Nervosa
- D. Borderline Personality
Answer: A
NEW QUESTION # 37
72. Untreated anxiety during pregnancy may lead to which pregnancy outcome?
- A. Increased gestational weight
- B. Reduced gestational weight
- C. Increased fetal head circumference
- D. Reduced fetal activity
Answer: B
NEW QUESTION # 38
30. A nurse is providing instruction for an obstetrical patient to perform a daily fetal movement count (DFMC). Which instructions could be included in the plan of care? Select all that apply.Which one do you like?
- A. Monitor fetal activity two times a day either after meals or before bed for a period of 2 hours or until 10 fetal movements are noted.
- B. Count all fetal movements in a 12-hour period daily until 10 fetal movements are noted.
- C. The fetal alarm signal is reached when there are no fetal movements noted for 5 hours.
- D. The patient can monitor fetal activity once daily for a 60-minute period and note activity.
Answer: A,B,D
NEW QUESTION # 39
25. A nurse providing care for the antepartum woman should understand that the contraction stress test (CST):
- A. Is considered to have a negative result if no late decelerations are observed with the contractions.
- B. Is an invasive test; however. contractions are stimulated.
- C. Is more effective than nonstress test (NST) if the membranes have already been ruptured.
- D. Sometimes uses vibroacoustic stimulation.
Answer: A
NEW QUESTION # 40
40. When helping a woman cope with postpartum blues, the nurse should offer what appropriate suggestions?
(Select all that apply.)
- A. The father should take over care of the baby, because postpartum blues are exclusively a female problem.
- B. Plan to get out of the house occasionally.
- C. Get plenty of rest.
- D. Use La Leche League or community mental health centers.
- E. Asking for help will not foster independence.
Answer: B,C,D
NEW QUESTION # 41
49. Jenny is eight months postpartum. She reports feeling agitated and irritable with difficulty falling asleep; racing thoughts, and excessive concerns about the baby She statesr ""Sometimes, it feels like I can't breathe with chest pams; rapid heart rate, numbness or tingling. I feel like I'm going crazy" Which perinatal mental health disorder does the clinical presentation and features demonstrate?
- A. Perinatal Anxiety Disorder
- B. Perinatal Psychosis Disorder
- C. Perinatal Bipolar Disorder
- D. Perinatal Depression
Answer: A
NEW QUESTION # 42
34. A primiparous woman is in the taking-in stage of psychosocial recovery and adjustment following birth.
Recognizing the needs of women during this stage, the nurse should:
- A. recognize the woman's limited attention span by giving her written materials to read when she gets home rather than doing a teaching session now.
- B. foster an active role in the baby's care.
- C. provide time for the mother to reflect on the events of and her behavior during childbirth.
- D. promote maternal independence by encouraging her to meet her own hygiene and comfort needs.
Answer: C
NEW QUESTION # 43
106. Bonding between a mother and her newborn:
- A. must happen within the first 12 hours after birth
- B. is best if the mother is alone with the baby for the first hour after birth.
- C. is not affected by a traumatic birth
- D. can be helped with support for the mother-infant dyad
Answer: D
NEW QUESTION # 44
61. Case Study
Aliya is currently pregnant with her second child at 25 weeks gestation Her first child is 20 months old. She is coming to you to help her decide if what she is experiencing is normal for pregnancy or if she is having symptoms of a perinatal mood disorder. During her interview, she describes poor sleep, increased tearfulness, low energy, and irritability. She states that her first child sleeps well and is not interrupting her sleep, and that she is not waking up due to increased urination or physical discomforts of pregnancy. She reports that she has not ever been as tearful as she is now, including during her previous postpartum period She states that she has been tested by her obstetrician (OB) care provider for anemia and thyroid dysfunction and her lab results were normal. She is noticing that her irritability is affecting her relationship with her partner She worries that she is
"pushing him away:" even though he is trying to be supportive.
Question: In the scenario. Aliya is describing increased tearfulness. Her symptoms occur daily for the last two weeks and are affecting her functioning. In addition to depressed mood, what other symptom would she need in order to meet the criteria of DSM-5 diagnosis of Major Depressive Disorder, with peripartum onset?
- A. Anhedonia
- B. Psychomotor retardation
- C. Suicidal ideation
- D. Excessive guilt
Answer: A
NEW QUESTION # 45
44. What is the MOST comprehensive way to diagnose for the presence of paternal Perinatal Mood and Anxiety Disorders (PMADs)?
- A. Administer the Edinburgh Postnatal Depression Scale (EPDS).
- B. Complete clinical interviews with the father and partner if applicable
- C. Ask if there have been any thoughts about self-harm
- D. Ask questions about family history of mental health or substance abuse
Answer: D
NEW QUESTION # 46
98. Helplines provide support in what capacity?
- A. Medication management
- B. Social support and connection to resources
- C. Assessment and diagnosis
- D. Crisis intervention and case management
Answer: B
NEW QUESTION # 47
108. A client exhibits the following symptoms fatigue, weight gain, muscle aches: depression, slowed heart rate, and impaired memory Which medical condition is often mislabeled as a Perinatal Mood and Anxiety Disorder (PMAD) and needs to be ruled out?
- A. Gestational diabetes
- B. Preeclampsia
- C. Hypothyroidism
- D. Migraines
Answer: A
NEW QUESTION # 48
103. Electroconvulsive Therapy (ECT) during pregnancy:
- A. is considered to be relatively safe.
- B. should not be considered as a treatment option.
- C. is less risky than taking medication.
- D. has no associated risks.
Answer: C
NEW QUESTION # 49
70. What is the relationship between miscarriage and exposure to selective serotonin reuptake inhibitors (SSRI) during pregnancy?
- A. A decreased risk of miscarriage
- B. Little research has been conducted
- C. An increased risk of miscarriage
- D. Likely do not increase the risk
Answer: D
NEW QUESTION # 50
2. Four hours after a difficult labor and birth, a primiparous woman refuses to feed her baby, stating that she is too tired and just wants to sleep. The nurse should:
- A. record the behavior as ineffective maternal-newborn attachment.
- B. tell the woman she can rest after she feeds her baby.
- C. recognize this as a behavior of the taking-hold stage.
- D. take the baby back to the nursery, reassuring the woman that her rest is a priority at this time.
Answer: D
NEW QUESTION # 51
62. Case Study
Aliya is currently pregnant with her second child at 25 weeks gestation Her first child is 20 months old. She is coming to you to help her decide if what she is experiencing is normal for pregnancy or if she is having symptoms of a perinatal mood disorder. During her interview, she describes poor sleep, increased tearfulness, low energy, and irritability. She states that her first child sleeps well and is not interrupting her sleep, and that she is not waking up due to increased urination or physical discomforts of pregnancy. She reports that she has not ever been as tearful as she is now, including during her previous postpartum period She states that she has been tested by her obstetrician (OB) care provider for anemia and thyroid dysfunction and her lab results were normal. She is noticing that her irritability is affecting her relationship with her partner She worries that she is
"pushing him away:" even though he is trying to be supportive.
Question: After assessing Aliya, you move to treatment planning You seek Aliya's participation in the process, help her explore the treatment options, and assess her values and preferences before reaching a decision together This process is called:
- A. active listening.
- B. strengths-based, stepped-care treatment planning.
- C. patient-centered, collaborative treatment planning.
- D. therapeutic communication.
Answer: C
NEW QUESTION # 52
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