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

Sertraline (Zoloft) is the preferred SSRI for breastfeeding mothers with PPD due to minimal transfer into breast milk and the most extensive infant safety data.

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 anxiety is characterized by excessive worry, intrusive thoughts, and inability to relax, and is clinically distinct from postpartum depression.

Question 3

Which client is at highest risk for postpartum psychosis?

Accepted Answer

A woman with a history of bipolar disorder

Answer

Women with bipolar disorder have a 25–50% risk of developing postpartum psychosis, making it the strongest known risk factor for this condition.

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

Persistent sadness or overwhelm lasting more than 2 weeks warrants contacting a healthcare provider as it may indicate PPD requiring treatment.

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

Intrusive memories, avoidance behaviors, and hypervigilance following a traumatic birth experience are hallmark diagnostic symptoms of postpartum PTSD.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Perinatal Mental Health 2