2. Four hours after a difficult labor and birth, a primiparous woman refuses to feed her baby, stating that she is too tired and just wants to sleep. The nurse should:

A. tell the woman she can rest after she feeds her baby.

B. recognize this as a behavior of the taking-hold stage.

C. record the behavior as ineffective maternal-newborn attachment.

D. take the baby back to the nursery, reassuring the woman that her rest is a priority at this time.

76. What is a known adverse developmental effect of perinatal malnutrition for an infant?

A. Compromised autoimmune outcomes

B. Poor neuro-cognitive outcomes

C. Fragile X syndrome

D. Cerebral palsy

103. Electroconvulsive Therapy (ECT) during pregnancy:

A. is less risky than taking medication.

B. is considered to be relatively safe.

C. should not be considered as a treatment option.

D. has no associated risks.

3. Parents can facilitate the adjustment of their other children to a new baby by:

A. having the children choose or make a gift to give to the new baby on its arrival home.

B. emphasizing activities that keep the new baby and other children together.

C. having the mother carry the new baby into the home so she can show him or her to the other children.

D. reducing stress on other children by limiting their involvement in the care of the new baby.

30. A nurse is providing instruction for an obstetrical patient to perform a daily fetal movement count (DFMC). Which instructions could be included in the plan of care? Select all that apply. Which one do you like?

A. The fetal alarm signal is reached when there are no fetal movements noted for 5 hours.

B. The patient can monitor fetal activity once daily for a 60-minute period and note activity.

C. Monitor fetal activity two times a day either after meals or before bed for a period of 2 hours or until 10 fetal movements are noted.

D. Count all fetal movements in a 12-hour period daily until 10 fetal movements are noted.

19. Risk factors for postpartum depression include: (CHOOSE ALL THAT APPLY)

A. History of abuse

B. Marriage

C. History of mental illness

D. Concurrent life events

E. Giving birth to a male child

F. Red hair

92. "Postpartum Blues" is distinguished from postpartum depression by severity, duration, and which of the following?

A. Support

B. History

C. Timing

D. Environment

72. Untreated anxiety during pregnancy may lead to which pregnancy outcome?

A. Reduced fetal activity

B. Increased gestational weight

C. Increased fetal head circumference

D. Reduced gestational weight

57. Which of the following can interfere with patient engagement and collaboration? (Select all that apply.)

A. Childcare provided at the treatment site

B. Stigma and poor self-worth

C. Telemental health providers

D. Lack of family support

E. Low-cost therapy

84. In women who have postpartum depression which one of the following areas of functioning is MOST likely to be maintained?

A. Social functioning

B. Infant care

C. Household functioning

D. Self-care

46. Perinatal Obsessive-Compulsive Disorder (OCD):

A. is associated with the "baby blues".

B. involves re-experiencing traumatic events.

C. is often co-morbid with depression

D. results in postpartum psychosis.

21. Which behaviors would be exhibited during the letting-go phase of maternal role adaptation. Select all that apply.

A. Emergence of family unit

B. Dependent behaviors

C. Sexual intimacy relationship continuing

D. Defining one’s individual roles

E. Being talkative and excited about becoming a mother