Maternal Newborn Nursing Test Perinatal Mental Health 3

Question 1

A client scores 14 on the Edinburgh Postnatal Depression Scale at her 6-week postpartum visit. What is the nurse's priority action?

Accepted Answer

Conduct further assessment including evaluation for suicidal ideation

Answer

Reassure the client that this score is within normal limits

Answer

Schedule a routine follow-up appointment in 4 weeks

Answer

Recommend herbal remedies for mood improvement

Question 2

When communicating with a client experiencing postpartum depression, which therapeutic communication technique is most appropriate?

Accepted Answer

What has your experience been like since bringing your baby home?

Answer

You should be happy — you have a beautiful, healthy baby.

Answer

Most women feel this way, so there is really nothing to worry about.

Answer

You need to tell your family how you feel so they can fix things for you.

Question 3

A client with postpartum depression asks the nurse, 'Why does this happen to me?' Which response is most accurate?

Accepted Answer

It results from a combination of hormonal changes, sleep deprivation, and psychosocial stressors.

Answer

Postpartum depression is caused solely by a lack of willpower or motivation.

Answer

It is caused by failure to bond with the baby immediately after birth.

Answer

PPD is a sign that you were not emotionally ready for motherhood.

Question 4

Which finding during a postpartum home visit requires the nurse to immediately contact the healthcare provider?

Accepted Answer

The mother states she has thoughts of harming herself or the infant

Answer

The mother reports feeling tired and overwhelmed by her new role

Answer

The mother cries when discussing her birth experience

Answer

The mother expresses concern about her ability to maintain milk supply

Question 5

A nurse is caring for a client with postpartum depression who is reluctant to take antidepressants. Which approach is most appropriate?

Accepted Answer

Explore the client's concerns and provide accurate information about all treatment options

Answer

Tell the client she must take medication for the safety of her baby

Answer

Document the refusal and take no further action at this visit

Answer

Contact the client's partner to convince her to take the prescribed medication

Question 6

Which cultural consideration is most important when screening for postpartum depression?

Accepted Answer

Use culturally validated screening tools and recognize that some cultures stigmatize mental illness

Answer

Only screen clients who are fluent in English

Answer

Assume all cultures express postpartum depression with identical symptoms

Answer

Skip screening for clients from cultures that traditionally value emotional stoicism

Question 7

A postpartum client diagnosed with depression asks about peer support groups. Which response by the nurse is most appropriate?

Accepted Answer

I can provide you with resources for postpartum support groups, which many women find very helpful.

Answer

Support groups are recommended only for women with severe or treatment-resistant depression.

Answer

Support groups are not evidence-based and are unlikely to provide meaningful benefit.

Answer

You should rely on your immediate family for support rather than sharing with strangers.