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

• A.History
• B.Timing
• C.Support
• D.Environment

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35. The nurse observes several interactions between a postpartum woman and her new son. What behavior, if exhibited by this woman, does the nurse identify as a possible maladaptive behavior regarding parent-infant attachment?

• A.Tells visitors how well her son is feeding
• B.Cuddles her son close to her
• C.Talks and coos to her son
• D.Seldom makes eye contact with her son

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86. You are working in an outpatient pediatric care setting and encounter a new mother who screens positive for depression and reports symptoms consistent with a depressive episode of moderate severity You provide her with counseling referrals but she says she does not have time to attend counseling and intends to use a self- guided web-based intervention instead. Which of the following statements represents your BEST response?

• A.Seek a psychiatric consultation based on concerns that this mother may be delusional for thinking her symptoms can be helped by a self-guided web-based intervention and document your rationale for seeking consultation.
• B.Inform the mother that web-based interventions are unproven and may do more harm than good: advise her that you cannot support her in this decision, and document your concerns
• C.Assess the mother to be certain there are no active symptoms of suicidally, mania or psychosis, ask her to identify the web-based intervention she intends to use, advise her to call you if her symptoms worsen, and document these steps
• D.Tell the mother she should only use a web-based intervention in conjunction with counseling/therapy, offer to help her set up an initial appointment with a therapist before she leaves your office, and document your concerns.

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103. Electroconvulsive Therapy (ECT) during pregnancy:

• A.is less risky than taking medication.
• B.should not be considered as a treatment option.
• C.has no associated risks.
• D.is considered to be relatively safe.

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87. A common FIRST symptom of postpartum psychosis is:

• A.insomnia without fatigue
• B.ego-dystonic intrusive thoughts
• C.increased startle response
• D.compulsions.

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