Maternal Newborn Nursing Test Perinatal Mental Health 2

Question 1

A client with postpartum depression wishes to continue breastfeeding. Which antidepressant is generally considered the safest first-line choice for breastfeeding mothers?

Accepted Answer

Sertraline (Zoloft)

Answer

Paroxetine (Paxil)

Answer

Fluoxetine (Prozac)

Answer

Venlafaxine (Effexor)

Question 2

A postpartum client reports intense worry about her baby's health, inability to sleep even when the baby sleeps, and uncontrollable catastrophic thoughts. Which condition does the nurse suspect?

Accepted Answer

Postpartum anxiety

Answer

Postpartum blues

Answer

Postpartum depression

Answer

Postpartum psychosis

Question 3

Which client is at highest risk for postpartum psychosis?

Accepted Answer

A woman with a history of bipolar disorder

Answer

A primiparous woman with no psychiatric history

Answer

A woman who experienced gestational diabetes

Answer

A woman who had an unplanned pregnancy

Question 4

A nurse is providing discharge education to a postpartum client. Which statement by the client indicates correct understanding of perinatal mental health warning signs?

Accepted Answer

I should call my provider if I feel sad or overwhelmed for more than 2 weeks.

Answer

I should feel back to normal within 24 hours of delivery.

Answer

It is normal to hear my baby crying when the baby is not crying.

Answer

Mood swings after birth mean I will definitely develop postpartum depression.

Question 5

A client reports intrusive memories of her traumatic delivery, avoids anything that reminds her of the birth, and is hypervigilant 6 weeks postpartum. Which condition does the nurse suspect?

Accepted Answer

Postpartum PTSD

Answer

Postpartum depression

Answer

Postpartum anxiety

Answer

Postpartum psychosis

Question 6

Which nonpharmacological intervention has the strongest evidence for treating mild-to-moderate postpartum depression?

Accepted Answer

Cognitive-behavioral therapy (CBT)

Answer

Yoga and meditation only

Answer

Dietary supplementation with omega-3 fatty acids

Answer

Increased caffeine intake to reduce fatigue

Question 7

A client reports that her partner has become withdrawn, irritable, and disengaged since their baby's birth 8 weeks ago. What should the nurse recognize?

Accepted Answer

Partners can also experience postpartum depression

Answer

This is normal adjustment behavior expected of all new fathers

Answer

This behavior suggests only financial stress related to the new baby

Answer

Partners require no mental health assessment as PPD only affects birthing parents