Maternal Newborn Nursing Test Perinatal Mental Health

Question 1

The Edinburgh Postnatal Depression Scale (EPDS) is used to screen for postpartum depression. What score indicates a positive screen requiring further clinical evaluation?

Accepted Answer

Score of 10 or above

Answer

Score of 5 or above

Answer

Score of 15 or above

Answer

Score of 20 or above

Question 2

A client delivered 3 days ago and reports crying spells, mood swings, and irritability but states these feelings feel temporary and manageable. Which condition does the nurse recognize?

Accepted Answer

Postpartum blues (baby blues)

Answer

Postpartum depression

Answer

Postpartum psychosis

Answer

Postpartum anxiety disorder

Question 3

A new mother 2 weeks postpartum is brought to the ED by her husband. She reports hearing voices telling her to harm her baby and believes her infant is possessed. Which condition does the nurse recognize?

Accepted Answer

Postpartum psychosis

Answer

Severe postpartum depression

Answer

Postpartum anxiety

Answer

Postpartum PTSD

Question 4

Which of the following is the strongest risk factor for developing postpartum depression?

Accepted Answer

History of depression or mood disorders

Answer

Primiparity

Answer

Cesarean section delivery

Answer

Maternal age over 35

Question 5

A nurse is developing a plan of care for a client diagnosed with postpartum depression. Which intervention is the priority?

Accepted Answer

Assess for suicidal ideation and risk of harm to self or infant

Answer

Encourage exclusive breastfeeding to promote bonding

Answer

Recommend formula feeding to allow the mother more sleep

Answer

Instruct the client to exercise daily to improve mood

Question 6

How is postpartum depression (PPD) distinguished from postpartum blues by timing?

Accepted Answer

PPD symptoms persist beyond 2 weeks postpartum

Answer

PPD symptoms last more than 24 hours after delivery

Answer

PPD symptoms begin only after 6 weeks postpartum

Answer

PPD symptoms occur only during breastfeeding

Question 7

When is the most appropriate time to administer the Edinburgh Postnatal Depression Scale (EPDS) for universal postpartum screening?

Accepted Answer

At the 1-week and 6-week postpartum visits

Answer

Immediately after delivery in the labor and delivery unit

Answer

Only if the client reports feeling sad or depressed

Answer

At the time of newborn discharge only