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NEW QUESTION # 33
24. A 40-year-old woman with a high body mass index (BMI) is 10 weeks pregnant. Which diagnostic tool is appropriate to suggest to her at this time?
- A. Maternal serum alpha-fetoprotein (MSAFP)
- B. Biophysical profile
- C. Transvaginal ultrasound
- D. Amniocentesis
Answer: C
NEW QUESTION # 34
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 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.
- 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 completes a routine depression screen in her doctors office and indicates that she
"sometimes" has thoughts of harming herself.
Answer: B
NEW QUESTION # 35
33. Parents can facilitate the adjustment of their other children to a new baby by:
- A. having the mother carry the new baby into the home so she can show him or her to the other children.
- B. having the children choose or make a gift to give to the new baby on its arrival home.
- C. emphasizing activities that keep the new baby and other children together.
- D. reducing stress on other children by limiting their involvement in the care of the new baby.
Answer: B
NEW QUESTION # 36
48. Which of the following statements BEST defines bibliotherapy as a form of treatment for perinatal depression?
- A. Using structured books for guided self-help
- B. Reading fictionalized accounts of perinatal depression in support groups
- C. Using selected passages from the Bible for spiritual support
- D. Reading books as a distraction from depressing thoughts
Answer: A
NEW QUESTION # 37
81. Which of the following screening tools is MOST commonly used to assess perinatal individuals?
- A. The EPDS (Edinburgh Postnatal Depression Scale)
- B. The Ham-D (Hamilton Depression Rating Scale)
- C. MADRS (Montgomery-Asberg Depression Rating Scale)
- D. The BPRS (Brief Psychiatric Rating Scale)
Answer: A
NEW QUESTION # 38
98. Helplines provide support in what capacity?
- A. Assessment and diagnosis
- B. Social support and connection to resources
- C. Crisis intervention and case management
- D. Medication management
Answer: B
NEW QUESTION # 39
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. Ask questions about family history of mental health or substance abuse
- C. Ask if there have been any thoughts about self-harm
- D. Complete clinical interviews with the father and partner if applicable
Answer: B
NEW QUESTION # 40
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. 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.
- B. 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
- C. 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.
- D. 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
Answer: D
NEW QUESTION # 41
56. What percentage of fathers experience moderate to severe postpartum depression?
- A. 10%
- B. 25%
- C. 5%
- D. 1%
Answer: A
NEW QUESTION # 42
16. What best describe Baby Blues?
- A. Symptoms requiring immediate treatment
- B. More serious problem requiring followup and treatment from provider
- C. Feelings of sadness during the first two weeks postpartum
Answer: C
NEW QUESTION # 43
78. Which of the following components is necessary in an informed consent?
- A. Decisions made based on provider knowledge
- B. Confirmed understanding of risks and benefits of treatment option
- C. A thorough list of all available treatment options
- D. Decisions made about treatment option based on personal preference
Answer: B
NEW QUESTION # 44
69. franscranial Magnetic Stimulation (TMS) falls into which category as a treatment for mood disorders?
- A. Emerging
- B. Common
- C. High Risk
- D. First line
Answer: A
NEW QUESTION # 45
72. Untreated anxiety during pregnancy may lead to which pregnancy outcome?
- A. Increased gestational weight
- B. Increased fetal head circumference
- C. Reduced gestational weight
- D. Reduced fetal activity
Answer: C
NEW QUESTION # 46
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. unattractive
- C. fussy and difficult to soothe.
- D. happy and even-tempered
Answer: C
NEW QUESTION # 47
45. Which of these factors has been found to have the MOST impact on whether screening for perinatal depression improves materna mental health?
- A. Screening at least once every trimester of pregnancy and once within six weeks postpartum
- B. Selecting women to screen who have known risk factors for perinatal depression
- C. Developing a systematic follow-up of all positive screens with assessment and access to treatment
- D. Using the Edinburgh Postnatal Depression Scale (EPDS) rather than other screening tools
Answer: C
NEW QUESTION # 48
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. Exposure to medication was measured on the basis of whether the mother was prescribed antidepressants during her pregnancy according to her medical record.
- C. The study used a case-controlled design to control for maternal age, race, socioeconomic status, medical comorbidities, gravidity and parity.
- 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 # 49
37. Which statement regarding postpartum depression (PPD) is essential for the nurse to be aware of when attempting to formulate a plan of care?
- A. Only mental health professionals should teach new parents about this condition.
- B. PPD symptoms are consistently severe.
- C. PPD can easily go undetected.
- D. This syndrome affects only new mothers.
Answer: C
NEW QUESTION # 50
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 Depression
- C. Perinatal Psychosis Disorder
- D. Perinatal Bipolar Disorder
Answer: A
NEW QUESTION # 51
57. Which of the following can interfere with patient engagement and collaboration? (Select all that apply.)
- A. Childcare provided at the treatment site
- B. Low-cost therapy
- C. Stigma and poor self-worth
- D. Lack of family support
- E. Telemental health providers
Answer: C,D
NEW QUESTION # 52
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