Maternal Newborn Nursing Test Perinatal Mental Health 1

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

A score of 10 or above on the EPDS is the accepted threshold indicating a positive screen for postpartum depression and warrants further clinical evaluation.

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 blues typically onset within 3–5 days after delivery, are transient, and resolve within 2 weeks without treatment.

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

Postpartum psychosis presents with hallucinations, delusions, and disorganized thinking, usually within the first 2 weeks postpartum, and is a psychiatric emergency.

Question 4

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

Accepted Answer

History of depression or mood disorders

Answer

A personal or family history of depression or mood disorders is the strongest predictive risk factor for developing postpartum depression.

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

Safety assessment for suicidal ideation or risk of harm to the infant is always the priority intervention when caring for a client with postpartum depression.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Perinatal Mental Health 1