CERTIFICATION EXAM 2026/2027 | COMPLETE QUESTIONS &
VERIFIED ANSWERS
Which condition is a transient, self-limiting mood disorder that affects
new mothers after childbirth?
a) Postpartum depression
b) Postpartum psychosis
c) Postpartum bipolar disorder
d) Postpartum blues
D) Postpartum Blues
What risk factor for postpartum depression (PPD) is likely to have the
greatest effect on the woman's condition?
a) Prenatal depression
b) Single-mother status
c) Low socioeconomic status
d) Unplanned or unwanted pregnancy
A) Prenatal depression
Identify contributing factors of PP depression (Select all that apply)
a) Fatigue from the work of labor & birth
b) Disappointment in the characteristics of the NB
c) Individual or family socioeconomic factors
d) Anxiety about assuming a new role as a mom
e) Rapid increase in estrogen/progesterone
f) PP physical discomfort and/or pain
g) Supportive family
,A) Fatigue from the work of labor and birth
C) Individual or family socioeconomic factors
D) Anxiety about assuming a new role as a mom
F) PP physical discomfort and pain
An RN is assessing a postpartum woman who is exhibiting tearfulness,
insomnia, lack of appetite and a feeling of letdown. The RN know
these are S&S of:
a) PP Fatigue
b) PP Pyschosis
c) the "Letting Go" phase
d) PP Depression
D) PP Depression
But much more assessment needs to be done.
How far postpartum is she?
What else is going on?
Is the baby OK?
The family OK?
New mothers are often discharged before they begin to experience
symptoms of the baby blues or postpartum depression. The nurse can
prepare the mother for this by instructing her regarding self-care
activities to help prevent postpartum depression. The most accurate
statement as related to these activities is to
a) Stay home and avoid outside activities to ensure adequate rest.
b) Be certain that you are the only caregiver for your baby in order to
facilitate infant attachment.
c) Keep feelings of sadness and adjustment to your new role to
,yourself.
d) Realize that this is a common occurrence that affects many women.
D) Realize that this is a common occurrence that affects many women.
Pregnancy & motherhood are times of increased vulnerability to
psychiatric conditions.
True or False
True
List the common psychiatric disorders of pregnant/post-partum
women.
Baby blues.
Depression
Psychosis
Bipolar Disorder
Panic Disorder
PTSD
OCD
What is the primary prevention of psychiatric conditions?
Preventative education related to depression prior to, during, and after
pregnancy.
Developmental Crisis:
Upheaval/change followed by positive resolution.
*Biologically & emotionally
Origin Issues:
, "Will I be just like my Mom who was a good mom?"
"I will never be like my Mom! She was terrible"
Normal Self Absorption:
Eat right
Exercise
Rest vs. heavy jobs
Career & child care demands
Protector of Fetus:
Family becomes involved
Culture and family dependent may be positive or negative.
Depression: Etiology
UNCLEAR
Hormonal shifts?
Neuroendocrine changes?
Psychosocial adjustments?
Depression: Etiology
Continuation of disease before pregnancy, or new-onset with
pregnancy.
Women view Anxiety as "normal"
Poor sleep seems "normal"
Weight changes can be blamed on pregnancy.
These signs should be recognized as warning signs of PP mental health
problems.
Depression: Risk Factors