NSGl 3500/l NSG3500l Examl 3l (Newl 2026/l
2027l Update)l Maternall Healthl Guidel |l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Galen
QUESTION
Postpartuml depression
Answer:
-l Characterizedl byl al depressedl moodl orl decreasedl interestl orl pleasure
-l Majorl depressivel disorderl thatl developsl withinl 6l monthsl postpartum
-l Canl impactl childcarel andl childl development
-l Obstetricl practicesl shouldl utilizel al validatedl depressionl screeningl tooll @l 6l weeks
QUESTION
Postpartuml depressionl Interventions
Answer:
-l Therapy
-l Medications:l Zoloft,l SSRI'sl (Alll medicationsl passl throughl thel breastmilk
-l Rolel modeling
-l Alwaysl askl probingl questions
-l Herball remediesl mayl notl bel appropriatel whenl breastfeedingl orl onl SSRI'sl (stl johnsl
wortl andl ssril =l serotoninl syndrome)
-l Historyl ofl depressivel disorder,l orl priorl instancel ofl postpartuml depression,l orl
depressionl inl currentl pregnancyl arel significant
QUESTION
postpartuml Psychosis
,Answer:
-l RARE
-l Usuallyl dramaticl withl suddenl onsetl sometimesl withl 24l hoursl ofl givingl birthl (canl
happenl withinl firstl 6l months)
-l Bipolarl disorderl isl thel singlel mostl predisposingl factor
-l First-timel mothers,l womenl withl al familyl ofl psychoticl disorderl orl olderl primiparasl arel
mostl atl risk
QUESTION
Postpartumel Psychosisl Symptoms
Answer:
-l Demonstratesl manicl behavior,l hyperactivity,l andl agitation
-l Reportsl auditoryl hallucinationsl tol inflictl harml tol thel infant
-l Voicesl delusionsl thatl thel infantl isl dead,l defective,l orl thel birthl didl notl occur
-l Voicesl excessivel complaints
-l Exhibitsl obsessivel concernsl aboutl thel baby'sl healthl andl welfare
-l Feelingsl ofl suspicionl orl fear
-l Restlessness
-l Feelingl veryl confusedl orl lossl ofl reality
-l Signsl ofl depression,l lowl mood,l isolation,l withdrawn,l orl lackingl energy
QUESTION
Postpartuml psychosisl intervention
Answer:
MEDICALl EMERGENCY
-l BA52
-l Lithium
-l Valproicl acid
-l Antipsychotics
-l Antianxietyl medication
-l Long-terml psychotherapy
-l Motherl mayl continuel breastfeedingl unlessl onl lithium
,QUESTION
Vulnerablel populations
Answer:
Reviewl thel prenatall record
-l Isl therel homelessnessl documented?
-l Didl thel patientl attendl alll prenatall visits?
-l Whenl didl thel patientl startl prenatall care?
-l Doesl thel prenatall recordl containl demogrpahicl information?
-l Isl thel patientl al likelyl victiml ofl domesticl abuse?
-l Intimatel partnerl violencel usuallyl escalatedl duringl pregnancy
-l Lookl forl historyl ofl substancel abuse,l incarceration,l orl priorl suicidel attempts.
QUESTION
Vulnerablel populationsl -l Abuse
Answer:
-l Thel nursel needsl tol understandl thatl thel patientl mayl notl seel themselvesl asl abused
-l Abusel takesl manyl forms;l physical,l sexual,l emotional,l financial,l social,l andl oftenl
womenl arel exposedl tol manyl timesl ofl abuse
-l Womenl ofl color,l lowerl SES,l limitedl education,l languagel barriers,l religion,l alll
contributel tol abuse
-l Thel nursel mustl followl upl onl suspicionsl ofl abuse,l andl informl sociall services
-l Thel womenl willl mostl likelyl returnl tol thel abusivel situation;l publicl healthl nursesl canl
bel taskedl tol follow-up
-l Thel hospitall mayl performl "follow-up"l phonel callsl tol screenl forl issues
QUESTION
Concisel head-to-toel assessmentl forl thel postpartuml patient:l BUBBLE-E
Answer:
B:l Breasts
U:l Uterus
B:l Bladder
B:l Bowel
L:l Lochia
, E:l Episiotomy
E:l Emotionall Status
QUESTION
BUBBLE-E:l Breasts
Answer:
Inspectionl ofl nipples:l everted,l flat,l inverted,l intactl orl cracked?
Breastl tissue:l Soft,l filling,l firm?
Temperaturel andl color:l warm,l pink,l cool,l redl streaked?
QUESTION
BUBBLE-E:l Uterus
Answer:
Location:l midlinel rol deviatedl tol rightl orl leftl side
Fingerl breathsl froml thel umbilicus
Tone:l firm,l firml withl massage,l boggy
QUESTION
BUBBLE-E:l Bladder
Answer:
Lastl timel thel patientl emptiedl herl bladder:l spontaneouslyl orl vial catheter?
Palpablel orl nonpalpable?
Color,l odor,l andl amountl ofl urine??
QUESTION
BUBBLE-E:l Bowels
Answer:
Date/timel ofl thel lastl BM
Cesareanl patients
Bowell soundsl ofl flatus?
2027l Update)l Maternall Healthl Guidel |l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Galen
QUESTION
Postpartuml depression
Answer:
-l Characterizedl byl al depressedl moodl orl decreasedl interestl orl pleasure
-l Majorl depressivel disorderl thatl developsl withinl 6l monthsl postpartum
-l Canl impactl childcarel andl childl development
-l Obstetricl practicesl shouldl utilizel al validatedl depressionl screeningl tooll @l 6l weeks
QUESTION
Postpartuml depressionl Interventions
Answer:
-l Therapy
-l Medications:l Zoloft,l SSRI'sl (Alll medicationsl passl throughl thel breastmilk
-l Rolel modeling
-l Alwaysl askl probingl questions
-l Herball remediesl mayl notl bel appropriatel whenl breastfeedingl orl onl SSRI'sl (stl johnsl
wortl andl ssril =l serotoninl syndrome)
-l Historyl ofl depressivel disorder,l orl priorl instancel ofl postpartuml depression,l orl
depressionl inl currentl pregnancyl arel significant
QUESTION
postpartuml Psychosis
,Answer:
-l RARE
-l Usuallyl dramaticl withl suddenl onsetl sometimesl withl 24l hoursl ofl givingl birthl (canl
happenl withinl firstl 6l months)
-l Bipolarl disorderl isl thel singlel mostl predisposingl factor
-l First-timel mothers,l womenl withl al familyl ofl psychoticl disorderl orl olderl primiparasl arel
mostl atl risk
QUESTION
Postpartumel Psychosisl Symptoms
Answer:
-l Demonstratesl manicl behavior,l hyperactivity,l andl agitation
-l Reportsl auditoryl hallucinationsl tol inflictl harml tol thel infant
-l Voicesl delusionsl thatl thel infantl isl dead,l defective,l orl thel birthl didl notl occur
-l Voicesl excessivel complaints
-l Exhibitsl obsessivel concernsl aboutl thel baby'sl healthl andl welfare
-l Feelingsl ofl suspicionl orl fear
-l Restlessness
-l Feelingl veryl confusedl orl lossl ofl reality
-l Signsl ofl depression,l lowl mood,l isolation,l withdrawn,l orl lackingl energy
QUESTION
Postpartuml psychosisl intervention
Answer:
MEDICALl EMERGENCY
-l BA52
-l Lithium
-l Valproicl acid
-l Antipsychotics
-l Antianxietyl medication
-l Long-terml psychotherapy
-l Motherl mayl continuel breastfeedingl unlessl onl lithium
,QUESTION
Vulnerablel populations
Answer:
Reviewl thel prenatall record
-l Isl therel homelessnessl documented?
-l Didl thel patientl attendl alll prenatall visits?
-l Whenl didl thel patientl startl prenatall care?
-l Doesl thel prenatall recordl containl demogrpahicl information?
-l Isl thel patientl al likelyl victiml ofl domesticl abuse?
-l Intimatel partnerl violencel usuallyl escalatedl duringl pregnancy
-l Lookl forl historyl ofl substancel abuse,l incarceration,l orl priorl suicidel attempts.
QUESTION
Vulnerablel populationsl -l Abuse
Answer:
-l Thel nursel needsl tol understandl thatl thel patientl mayl notl seel themselvesl asl abused
-l Abusel takesl manyl forms;l physical,l sexual,l emotional,l financial,l social,l andl oftenl
womenl arel exposedl tol manyl timesl ofl abuse
-l Womenl ofl color,l lowerl SES,l limitedl education,l languagel barriers,l religion,l alll
contributel tol abuse
-l Thel nursel mustl followl upl onl suspicionsl ofl abuse,l andl informl sociall services
-l Thel womenl willl mostl likelyl returnl tol thel abusivel situation;l publicl healthl nursesl canl
bel taskedl tol follow-up
-l Thel hospitall mayl performl "follow-up"l phonel callsl tol screenl forl issues
QUESTION
Concisel head-to-toel assessmentl forl thel postpartuml patient:l BUBBLE-E
Answer:
B:l Breasts
U:l Uterus
B:l Bladder
B:l Bowel
L:l Lochia
, E:l Episiotomy
E:l Emotionall Status
QUESTION
BUBBLE-E:l Breasts
Answer:
Inspectionl ofl nipples:l everted,l flat,l inverted,l intactl orl cracked?
Breastl tissue:l Soft,l filling,l firm?
Temperaturel andl color:l warm,l pink,l cool,l redl streaked?
QUESTION
BUBBLE-E:l Uterus
Answer:
Location:l midlinel rol deviatedl tol rightl orl leftl side
Fingerl breathsl froml thel umbilicus
Tone:l firm,l firml withl massage,l boggy
QUESTION
BUBBLE-E:l Bladder
Answer:
Lastl timel thel patientl emptiedl herl bladder:l spontaneouslyl orl vial catheter?
Palpablel orl nonpalpable?
Color,l odor,l andl amountl ofl urine??
QUESTION
BUBBLE-E:l Bowels
Answer:
Date/timel ofl thel lastl BM
Cesareanl patients
Bowell soundsl ofl flatus?
