23. Which of the following is the most common kind of placental adherence seen in pregnant women?

A. Accreta

B. Placenta previa

C. Percreta

D. Increta

33. 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.

27. A woman who is at 36 weeks of gestation is having a nonstress test. Which statement indicates her correct understanding of the test?

A. “I will need to have a full bladder for the test to be done accurately.”

B. “I should have my husband drive me home after the test because I may be nauseated.”

C. “This test will help to determine whether the baby has Down syndrome or a neural tube defect.”

D. “This test observes for fetal activity and an acceleration of the fetal heart rate to determine the well-being of the baby.”

8. When working with parents who have some form of sensory impairment, nurses should consider which information when writing a plan of care?

A. One of the major difficulties visually impaired parents experience is the skepticism of health care professionals

B. Visually impaired mothers cannot overcome the infant’s need for eye-to-eye contact

C. The best approach for the nurse is to assess the parents’ capabilities rather than focusing on their disabilities

D. Technologic advances, including the Internet, can provide deaf parents with a full range of parenting activities and information

E. Childbirth education and other materials are available in Braille.

89. Which of the following factors carries the highest risk for developing perinatal depression?

A. The "baby blues"

B. Unintended pregnancy

C. Mother's birth order

D. Personal history of depression

79. Untreated prolonged depression and anxiety in pregnancy can have effects on obstetrical outcomes that include:

A. higher rates of vacuum-assisted delivery

B. reduced gestational age

C. increased risk of birth defects

D. reduced infant Apgar scores.

53. Case Study Question
You are a perinatal therapist in a community-based private practice Jackie comes to see you early in the second trimester of her pregnancy after screening at-risk for depression on a routine mood screen in her obstetrician's office. When you assess her she meets diagnostic criteria for depression She has a history of depression that has responded well to selective serotonin reuptake inhibitors (SSRIs) in the past She does not want to take medication now, though, because she says she does not want to do anything that might harm her baby. She says she recently heard a radio news story describing a research study that found "high risks of birth defects" among babies whose mothers took SSRIs while they were pregnant.
Question: You are not familiar with the study Jackie mentioned so you later locate the article online and read it Which of the following would increase your confidence that the study's claim of "high risks of birth defects'" among babies whose mothers took antidepressants while they were pregnant is valid?

A. Exposure to medication was measured on the basis of whether the mother was prescribed antidepressants during her pregnancy according to her medical record.

B. Risk of a particular birth defect was doubled -2:10,000 among babies in the study whose mothers took antidepressants during pregnancy vs 1:10.000 among babies whose mothers did not take antidepressants during pregnancy

C. The study examined 100 different possible birth defects and found an increased risk of one of these birth defects among babies whose mothers took antidepressants during pregnancy.

D. The study used a case-controlled design to control for maternal age, race, socioeconomic status, medical comorbidities, gravidity and parity.

16. What best describe Baby Blues?

A. Feelings of sadness during the first two weeks postpartum

B. More serious problem requiring followup and treatment from provider

C. Symptoms requiring immediate treatment

28. What is an appropriate indicator for performing a contraction stress test?

A. Increased fetal movement and small for gestational age

B. Maternal diabetes mellitus and post maturity

C. Adolescent pregnancy and poor prenatal care

D. History of preterm labor and intrauterine growth restriction

49. Jenny is eight months postpartum. She reports feeling agitated and irritable with difficulty falling asleep; racing thoughts, and excessive concerns about the baby She statesr ""Sometimes, it feels like I can't breathe with chest pams; rapid heart rate, numbness or tingling. I feel like I'm going crazy" Which perinatal mental health disorder does the clinical presentation and features demonstrate?

A. Perinatal Anxiety Disorder

B. Perinatal Bipolar Disorder

C. Perinatal Depression

D. Perinatal Psychosis Disorder

87. A common FIRST symptom of postpartum psychosis is:

A. ego-dystonic intrusive thoughts

B. insomnia without fatigue

C. compulsions.

D. increased startle response

88. Prenatal massage has been shown to:

A. decrease estrogen levels in pregnant women

B. reduce depression and anxiety

C. increase incidences of prematurity and low birth weight

D. increase prenatal complications.