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NEW QUESTION # 56
102. You are a mandated reporter for suspected child abuse You have a postpartum mother who describes an incident between her and her child that you are not sure is reportable in response, you should:
- A. report it because you have to keep the child safe
- B. not report it because you don't want to cause undue stress on the mother.
- C. call the protective services line to consult
- D. contact the mother's partner and ask her/him to report the incident.
Answer: C
NEW QUESTION # 57
38. When working with parents who have some form of sensory impairment, nurses should consider which information when writing a plan of care?
- A. One of the major difficulties visually impaired parents experience is the skepticism of health care professionals
- B. Childbirth education and other materials are available in Braille.
- C. Technologic advances, including the Internet, can provide deaf parents with a full range of parenting activities and information
- D. The best approach for the nurse is to assess the parents' capabilities rather than focusing on their disabilities
- E. Visually impaired mothers cannot overcome the infant's need for eye-to-eye contact
Answer: A,B,C,D
NEW QUESTION # 58
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. High socio-economic status
- C. Perceived workplace support
- D. Relationship quality
Answer: B
NEW QUESTION # 59
28. What is an appropriate indicator for performing a contraction stress test?
- A. Adolescent pregnancy and poor prenatal care
- B. History of preterm labor and intrauterine growth restriction
- C. Increased fetal movement and small for gestational age
- D. Maternal diabetes mellitus and postmaturity
Answer: D
NEW QUESTION # 60
57. Which of the following can interfere with patient engagement and collaboration? (Select all that apply.)
- A. Lack of family support
- B. Stigma and poor self-worth
- C. Low-cost therapy
- D. Telemental health providers
- E. Childcare provided at the treatment site
Answer: A,B
NEW QUESTION # 61
36. In follow-up appointments or visits with parents and their new baby, it may be useful if the nurse can identify parental behaviors that can either facilitate or inhibit attachment. What is a facilitating behavior?
- A. The parents hover around the infant, directing attention to and pointing at the infant.
- B. The parents do not move from fingertip touch to palmar contact and holding.
- C. The parents make no effort to interpret the actions or needs of the infant.
- D. The parents have difficulty naming the infant.
Answer: A
NEW QUESTION # 62
59. Pregnancy alters a woman's physiology including the way that medications are utilized and distributed in the body Why is this important?
- A. To minimize drug exposure until the second trimester
- B. To monitor symptoms and adjust medication as needed
- C. To increase the dose of all medications in the 3rd trimester
- D. To continue the same dose of medication that was effective prior to pregnancy
Answer: B
NEW QUESTION # 63
22. While making a visit to the home of a postpartum woman 1 week after birth, the nurse should recognize that the woman would characteristically:
- A. Exhibit a reduced attention span. limiting readiness to learn.
- B. Express a strong need to review the events and her behavior during the process of labor and birth.
- C. Vacillate between the desire to have her own nurturing needs met and the need to take charge of her own care and that of her newborn.
- D. Have reestablished her role as a spouse or partner.
Answer: C
NEW QUESTION # 64
8. When working with parents who have some form of sensory impairment, nurses should consider which information when writing a plan of care?
- A. One of the major difficulties visually impaired parents experience is the skepticism of health care professionals
- B. Childbirth education and other materials are available in Braille.
- C. Technologic advances, including the Internet, can provide deaf parents with a full range of parenting activities and information
- D. The best approach for the nurse is to assess the parents' capabilities rather than focusing on their disabilities
- E. Visually impaired mothers cannot overcome the infant's need for eye-to-eye contact
Answer: A,B,C,D
NEW QUESTION # 65
54. Postpartum psychosis:
- A. usually begins after three months postpartum.
- B. is a medical emergency.
- C. can be managed in an outpatient clinic.
- D. usually resolves quickly without treatment.
Answer: B
NEW QUESTION # 66
14. Many nurses find it easy to speak with patients regarding postpartum depression.
- A. True
- B. False
Answer: B
NEW QUESTION # 67
41. Which of the following screening tools would be helpful to determine trauma history as part of perinatal mood disorder risk assessment?
- A. ACES Questionnaire
- B. C-SSRS Questionnaire
- C. CAGE-AID Questionnaire
- D. Healthy Living Questionnaire
Answer: A
NEW QUESTION # 68
16. What best describe Baby Blues?
- A. Feelings of sadness during the first two weeks postpartum
- B. Symptoms requiring immediate treatment
- C. More serious problem requiring followup and treatment from provider
Answer: A
NEW QUESTION # 69
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. 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
- B. 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.
- C. 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
- D. 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.
Answer: C
NEW QUESTION # 70
77. As a healthcare provider what is an important factor in integrating cultural humility within your practice with mothers'?
- A. Ongoing self-reflection to better understand your own biases
- B. Using your own values to guide your work with mothers
- C. Reviewing everything about your client's cultural experiences
- D. Basing your understanding of the client's worldview on her race, ethnicity and nationality
Answer: A
NEW QUESTION # 71
72. Untreated anxiety during pregnancy may lead to which pregnancy outcome?
- A. Reduced gestational weight
- B. Reduced fetal activity
- C. Increased fetal head circumference
- D. Increased gestational weight
Answer: A
NEW QUESTION # 72
26. In the past, factors to determine whether a woman was likely to have a high-risk pregnancy were evaluated primarily from a medical point of view. A broader, more comprehensive approach to high-risk pregnancy has been adopted. There are now four categories based on threats to the health of the woman and the outcome of pregnancy. Which of the options listed here is not included as a category?
- A. Psychosocial
- B. Environmental
- C. Biophysical
- D. Geographic
Answer: D
Explanation:
The fourth category is correctly referred to as the sociodemographic risk category.
NEW QUESTION # 73
33. Parents can facilitate the adjustment of their other children to a new baby by:
- A. emphasizing activities that keep the new baby and other children together.
- B. having the mother carry the new baby into the home so she can show him or her to the other children.
- C. having the children choose or make a gift to give to the new baby on its arrival home.
- D. reducing stress on other children by limiting their involvement in the care of the new baby.
Answer: C
NEW QUESTION # 74
6. In follow-up appointments or visits with parents and their new baby, it may be useful if the nurse can identify parental behaviors that can either facilitate or inhibit attachment. What is a facilitating behavior?
- A. The parents hover around the infant, directing attention to and pointing at the infant.
- B. The parents do not move from fingertip touch to palmar contact and holding.
- C. The parents make no effort to interpret the actions or needs of the infant.
- D. The parents have difficulty naming the infant.
Answer: A
NEW QUESTION # 75
91. Healthcare providers have a professional responsibility to uphold personal and professional ethics Which of the following situations presents an ethical dilemma for a healthcare provider?
- A. Allowing your experiences to inform your interactions with mothers.
- B. You are morally opposed to a client's actions.
- C. Focusing on your own wellbeing before attending to the wellbeing of others
- D. Seeking consultation from other providers.
Answer: B
NEW QUESTION # 76
21. Which behaviors would be exhibited during the letting-go phase of maternal role adaptation. Select all that apply.
- A. Emergence of family unit
- B. Dependent behaviors
- C. Sexual intimacy relationship continuing
- D. Defining one's individual roles
- E. Being talkative and excited about becoming a mother
Answer: A,C,D
NEW QUESTION # 77
92. "Postpartum Blues" is distinguished from postpartum depression by severity, duration, and which of the following?
- A. Timing
- B. Environment
- C. Support
- D. History
Answer: A
NEW QUESTION # 78
105. Which of the following MUST be included in peer support?
- A. A manual-based treatment
- B. An accessible format
- C. A certified health provider
- D. A licensed psychologist
Answer: A
NEW QUESTION # 79
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. Increased blood pressure
- B. Vivid dreams
- C. Restless Legs Syndrome (RLS)
- D. Increased thirst during the night
Answer: A
NEW QUESTION # 80
48. Which of the following statements BEST defines bibliotherapy as a form of treatment for perinatal depression?
- A. Reading books as a distraction from depressing thoughts
- B. Using selected passages from the Bible for spiritual support
- C. Using structured books for guided self-help
- D. Reading fictionalized accounts of perinatal depression in support groups
Answer: C
NEW QUESTION # 81
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