NM706 EXAM SCRIPT 2026 FULL
QUESTIONS AND CORRECT ANSWERS
◉Treatment for Pregnancy Related Mood Disorders: Develop a Plan.
Answer: -If the woman is deemed to be safe and does not require
immediate evaluation by a psychiatric specialist, the next step is to
determine the severity of the presentation.
-Major depression can be categorized as being mild, moderate, or
severe. Women with mild major depression have the minimum
symptoms to make the diagnosis and generally have minimal
functional impairment; those with moderate depression have five to
six symptoms and more impairment; those with severe
presentations have seven or more symptoms and marked
interference with normal functioning.
-Staging the severity of depression helps in guiding treatment
choices. Those with milder versions of depression usually respond
to whatever treatment modality is chosen. Severe presentations
require more aggressive treatment.
- The goal for treatment is remission: a return to normal functioning
with minimal to no depressive symptoms.
,◉Postpartum Obsessive Compulsive Disorder: Symptoms. Answer: -
Can experience either obsessions or compulsions or both
-Women may have repetitive thoughts of hearing their infants.
Compulsions are repetitive behaviors or mental acts that a woman
performs according to rigid rules. Examples of compulsions can
include changing the baby's diaper or washing hands
-These mothers may be hyper-vigilant in protecting their infants.
Mothers with OCD are aware of their obsessions of harming their
infants and know these are unreasonable. Unlike women with
postpartum psychosis, mothers with OCD do not act on these
terrifying thoughts of intentionally harming their infants
◉Treatment for Pregnancy Related Mood Disorders: Medication.
Answer: -There are many antidepressants from which to choose.
Each antidepressant belongs to a group based on which neuro-
chemical axis it affects in the brain, yet all appear to be about equally
effective.
-Today, the most commonly used medications in primary care are the
newer agents: selective serotonin re-uptake inhibitors (SSRIs),
norepinephrine and dopamine re-uptake inhibitors (NDRIs), and
serotonin-norepinephrine re-uptake inhibitors
,◉Case Study 2:Jillian is a G1P1001 who experienced multiple OB
interventions when terminal bradycardia resulted in a failed vacuum
extraction followed by a forceps delivery. After delivery room
newborn resuscitation interventions where successful the
healthcare teams response was "Alls well that ends well". Jillian
reports to the nurse midwife during a visit at 6 months postpartum
she is afraid to go to sleep because she continues to have nightmares
of the delivering doctor as a rapist, knocking on her door and
ripping her sons head off during delivery
What is the likely Diagnosis:. Answer: post-traumatic stress disorder
◉Case Study 2:Jillian is a G1P1001 who experienced multiple OB
interventions when terminal bradycardia resulted in a failed vacuum
extraction followed by a forceps delivery. After delivery room
newborn resuscitation interventions where successful the
healthcare teams response was "Alls well that ends well". Jillian
reports to the nurse midwife during a visit at 6 months postpartum
she is afraid to go to sleep because she continues to have nightmares
of the delivering doctor as a rapist, knocking on her door and
ripping her sons head off during delivery
What are helpful ways to uncover women with this disorder:.
Answer: ask PP how they felt about the birth before they send them
home and at each PP visit, they have a difficult time celebrating
child's birthday and bonding with their child
, ◉Post-Traumatic Stress Disorder Symptoms Scale. Answer: -Is a
survey that can be used to screen mothers. PSS-SR is a 17-item
Likert scale whose items correspond with the DSM-IV diagnostic
criteria for PTSD.
-Each item is rated on 4 point scale from 0 =not at all to 3 = very
much.
-Is a diagnostic criteria for PTSD.
The symptoms assessed by the PSS-SR are grouped into three
clusters: intrusion, avoidance, and arousal.
-An example of one of these adapted items is as follows: "In the past
few weeks have you had upsetting thoughts or images about
childbirth that come into your head when you do not want them to?"
Total scores on the PSS-SR range from 0 to 51. A total score of 12 or
more indicates a mother is experiencing some post-traumatic stress
symptoms
◉Case Study 2:Jillian is a G1P1001 who experienced multiple OB
interventions when terminal bradycardia resulted in a failed vacuum
extraction followed by a forceps delivery. After delivery room
newborn resuscitation interventions where successful the
healthcare teams response was "Alls well that ends well". Jillian
reports to the nurse midwife during a visit at 6 months postpartum
QUESTIONS AND CORRECT ANSWERS
◉Treatment for Pregnancy Related Mood Disorders: Develop a Plan.
Answer: -If the woman is deemed to be safe and does not require
immediate evaluation by a psychiatric specialist, the next step is to
determine the severity of the presentation.
-Major depression can be categorized as being mild, moderate, or
severe. Women with mild major depression have the minimum
symptoms to make the diagnosis and generally have minimal
functional impairment; those with moderate depression have five to
six symptoms and more impairment; those with severe
presentations have seven or more symptoms and marked
interference with normal functioning.
-Staging the severity of depression helps in guiding treatment
choices. Those with milder versions of depression usually respond
to whatever treatment modality is chosen. Severe presentations
require more aggressive treatment.
- The goal for treatment is remission: a return to normal functioning
with minimal to no depressive symptoms.
,◉Postpartum Obsessive Compulsive Disorder: Symptoms. Answer: -
Can experience either obsessions or compulsions or both
-Women may have repetitive thoughts of hearing their infants.
Compulsions are repetitive behaviors or mental acts that a woman
performs according to rigid rules. Examples of compulsions can
include changing the baby's diaper or washing hands
-These mothers may be hyper-vigilant in protecting their infants.
Mothers with OCD are aware of their obsessions of harming their
infants and know these are unreasonable. Unlike women with
postpartum psychosis, mothers with OCD do not act on these
terrifying thoughts of intentionally harming their infants
◉Treatment for Pregnancy Related Mood Disorders: Medication.
Answer: -There are many antidepressants from which to choose.
Each antidepressant belongs to a group based on which neuro-
chemical axis it affects in the brain, yet all appear to be about equally
effective.
-Today, the most commonly used medications in primary care are the
newer agents: selective serotonin re-uptake inhibitors (SSRIs),
norepinephrine and dopamine re-uptake inhibitors (NDRIs), and
serotonin-norepinephrine re-uptake inhibitors
,◉Case Study 2:Jillian is a G1P1001 who experienced multiple OB
interventions when terminal bradycardia resulted in a failed vacuum
extraction followed by a forceps delivery. After delivery room
newborn resuscitation interventions where successful the
healthcare teams response was "Alls well that ends well". Jillian
reports to the nurse midwife during a visit at 6 months postpartum
she is afraid to go to sleep because she continues to have nightmares
of the delivering doctor as a rapist, knocking on her door and
ripping her sons head off during delivery
What is the likely Diagnosis:. Answer: post-traumatic stress disorder
◉Case Study 2:Jillian is a G1P1001 who experienced multiple OB
interventions when terminal bradycardia resulted in a failed vacuum
extraction followed by a forceps delivery. After delivery room
newborn resuscitation interventions where successful the
healthcare teams response was "Alls well that ends well". Jillian
reports to the nurse midwife during a visit at 6 months postpartum
she is afraid to go to sleep because she continues to have nightmares
of the delivering doctor as a rapist, knocking on her door and
ripping her sons head off during delivery
What are helpful ways to uncover women with this disorder:.
Answer: ask PP how they felt about the birth before they send them
home and at each PP visit, they have a difficult time celebrating
child's birthday and bonding with their child
, ◉Post-Traumatic Stress Disorder Symptoms Scale. Answer: -Is a
survey that can be used to screen mothers. PSS-SR is a 17-item
Likert scale whose items correspond with the DSM-IV diagnostic
criteria for PTSD.
-Each item is rated on 4 point scale from 0 =not at all to 3 = very
much.
-Is a diagnostic criteria for PTSD.
The symptoms assessed by the PSS-SR are grouped into three
clusters: intrusion, avoidance, and arousal.
-An example of one of these adapted items is as follows: "In the past
few weeks have you had upsetting thoughts or images about
childbirth that come into your head when you do not want them to?"
Total scores on the PSS-SR range from 0 to 51. A total score of 12 or
more indicates a mother is experiencing some post-traumatic stress
symptoms
◉Case Study 2:Jillian is a G1P1001 who experienced multiple OB
interventions when terminal bradycardia resulted in a failed vacuum
extraction followed by a forceps delivery. After delivery room
newborn resuscitation interventions where successful the
healthcare teams response was "Alls well that ends well". Jillian
reports to the nurse midwife during a visit at 6 months postpartum
