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NEW QUESTION # 39
5. The nurse observes several interactions between a postpartum woman and her new son. What behavior, if exhibited by this woman, does the nurse identify as a possible maladaptive behavior regarding parent-infant attachment?
- A. Talks and coos to her son
- B. Tells visitors how well her son is feeding
- C. Seldom makes eye contact with her son
- D. Cuddles her son close to her
Answer: C
NEW QUESTION # 40
89. Which of the following factors carries the highest risk for developing perinatal depression?
- A. The "baby blues"
- B. Mother's birth order
- C. Personal history of depression
- D. Unintended pregnancy
Answer: C
NEW QUESTION # 41
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 # 42
17. Which best describe Postpartum Depression?
- A. Feelings of sadness during the first two weeks postpartum
- B. More serious problem requiring followup and treatment from provider
- C. Symptoms requiring immediate treatment
Answer: B
NEW QUESTION # 43
29. The nurse sees a woman for the first time when she is 30 weeks pregnant. The woman has smoked throughout the pregnancy, and fundal height measurements now are suggestive of growth restriction in the fetus. In addition to ultrasound to measure fetal size, what would be another tool useful in confirming the diagnosis?
- A. Amniocentesis
- B. Doppler blood flow analysis
- C. Daily fetal movement counts
- D. Contraction stress test (CST)
Answer: B
NEW QUESTION # 44
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. Vivid dreams
- B. Increased thirst during the night
- C. Restless Legs Syndrome (RLS)
- D. Increased blood pressure
Answer: D
NEW QUESTION # 45
85. Which of (he following examples shows how a peer support specialist provides assistance?
- A. Suggesting appropriate referrals
- B. Giving advice to a new mother
- C. Facilitating therapy groups
- D. Being available for 24-hour emergency support
Answer: A
NEW QUESTION # 46
18. Including the support person in postpartum depression education creates a barrier to recognizing postpartum depression.
- A. True
- B. False
Answer: B
NEW QUESTION # 47
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. take the baby back to the nursery, reassuring the woman that her rest is a priority at this time.
- C. tell the woman she can rest after she feeds her baby.
- D. recognize this as a behavior of the taking-hold stage.
Answer: B
NEW QUESTION # 48
43. Which of the following situations would require a referral to the nearest emergency department for urgent psychiatric evaluation of suspected postpartum psychosis?
- A. A new mother completes a routine depression screen in her doctors office and indicates that she
"sometimes" has thoughts of harming herself. - B. A new mother's partner states she has become increasingly paranoid and accusatory toward him and others and on several occasions has called the baby by the wrong name.
- C. A new mother discloses that her life has been so stressful since the baby's arrival that she has thoughts of wanting to "escape'1 and get her old. pre-motherhood life back.
- D. A new mother reports she spends a great deal of time worrying that she will accidentally drop or otherwise harm her baby and is fearful of being left home alone with him.
Answer: B
NEW QUESTION # 49
10. When helping a woman cope with postpartum blues, the nurse should offer what appropriate suggestions?
(Select all that apply.)
- A. Asking for help will not foster independence.
- B. Use La Leche League or community mental health centers.
- C. Get plenty of rest.
- D. Plan to get out of the house occasionally.
- E. The father should take over care of the baby, because postpartum blues are exclusively a female problem.
Answer: B,C,D
NEW QUESTION # 50
95. Which of the following describe psychological interventions developed and empirically validated specifically for the perinatal population? (Select all that apply.)
- A. Group interventions for pregnant and postpartum mothers
- B. Dyadic interventions focused on mother and infant
- C. Couples interventions focused on mother and her partner
- D. Psychodynamic interventions focused on mother and her family of origin
Answer: A,B,C
NEW QUESTION # 51
79. Untreated prolonged depression and anxiety in pregnancy can have effects on obstetrical outcomes that include:
- A. increased risk of birth defects
- B. higher rates of vacuum-assisted delivery
- C. reduced gestational age
- D. reduced infant Apgar scores.
Answer: C
NEW QUESTION # 52
103. Electroconvulsive Therapy (ECT) during pregnancy:
- A. should not be considered as a treatment option.
- B. is less risky than taking medication.
- C. is considered to be relatively safe.
- D. has no associated risks.
Answer: B
NEW QUESTION # 53
72. Untreated anxiety during pregnancy may lead to which pregnancy outcome?
- A. Increased gestational weight
- B. Increased fetal head circumference
- C. Reduced fetal activity
- D. Reduced gestational weight
Answer: D
NEW QUESTION # 54
53. Case Study Question
You are a perinatal therapist in a community-based private practice Jackie comes to see you early in the second trimester of her pregnancy after screening at-risk for depression on a routine mood screen in her obstetrician's office. When you assess her she meets diagnostic criteria for depression She has a history of depression that has responded well to selective serotonin reuptake inhibitors (SSRIs) in the past She does not want to take medication now, though, because she says she does not want to do anything that might harm her baby. She says she recently heard a radio news story describing a research study that found "high risks of birth defects" among babies whose mothers took SSRIs while they were pregnant.
Question: You are not familiar with the study Jackie mentioned so you later locate the article online and read it Which of the following would increase your confidence that the study's claim of "high risks of birth defects'" among babies whose mothers took antidepressants while they were pregnant is valid?
- A. Risk of a particular birth defect was doubled -2:10,000 among babies in the study whose mothers took antidepressants during pregnancy vs 1:10.000 among babies whose mothers did not take antidepressants during pregnancy
- B. The study used a case-controlled design to control for maternal age, race, socioeconomic status, medical comorbidities, gravidity and parity.
- C. Exposure to medication was measured on the basis of whether the mother was prescribed antidepressants during her pregnancy according to her medical record.
- D. The study examined 100 different possible birth defects and found an increased risk of one of these birth defects among babies whose mothers took antidepressants during pregnancy.
Answer: A
NEW QUESTION # 55
77. As a healthcare provider what is an important factor in integrating cultural humility within your practice with mothers'?
- A. Using your own values to guide your work with mothers
- B. Reviewing everything about your client's cultural experiences
- C. Ongoing self-reflection to better understand your own biases
- D. Basing your understanding of the client's worldview on her race, ethnicity and nationality
Answer: C
NEW QUESTION # 56
42. Which of the following collaborative care models focuses on adjusting the treatment intensity to the severity and presentation of postpartum depression?
- A. Screen and refer
- B. Motivational interviewing
- C. Stepped care
- D. Integrative care
Answer: C
NEW QUESTION # 57
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. Living in a gay-friendly neighborhood
- B. Perceived workplace support
- C. High socio-economic status
- D. Relationship quality
Answer: C
NEW QUESTION # 58
50. Which of the following conditions describes unpleasant feelings and sadness experienced by lactatmg persons just before and during "let-down"?
- A. Overabundant milk supply
- B. Mastitis
- C. Dysphoric milk ejection reflex
- D. Rapid let-down
Answer: C
NEW QUESTION # 59
14. Many nurses find it easy to speak with patients regarding postpartum depression.
- A. True
- B. False
Answer: B
NEW QUESTION # 60
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. provide time for the mother to reflect on the events of and her behavior during childbirth.
- B. promote maternal independence by encouraging her to meet her own hygiene and comfort needs.
- C. 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.
- D. foster an active role in the baby's care.
Answer: A
NEW QUESTION # 61
55. When compared to mothers who are not anxious or depressed, mothers with PMADs are more likely to describe their babies as:
- A. good sleepers.
- B. happy and even-tempered
- C. fussy and difficult to soothe.
- D. unattractive
Answer: C
NEW QUESTION # 62
60. Prenatal anxiety:
- A. affects up to 20% of women.
- B. is more common in higher socio-economic groups.
- C. does not affect the fetus.
- D. is most effectively treated with increased physical activity.
Answer: A
NEW QUESTION # 63
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