EMT Practice Test

1. Question Content...

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Question1: 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?

Question2: 20. Removal of the child from the home is a common response to PPD diagnosis.

Question3: 62. Case Study
Aliya is currently pregnant with her second child at 25 weeks gestation Her first child is 20 months old. She is coming to you to help her decide if what she is experiencing is normal for pregnancy or if she is having symptoms of a perinatal mood disorder. During her interview, she describes poor sleep, increased tearfulness, low energy, and irritability. She states that her first child sleeps well and is not interrupting her sleep, and that she is not waking up due to increased urination or physical discomforts of pregnancy. She reports that she has not ever been as tearful as she is now, including during her previous postpartum period She states that she has been tested by her obstetrician (OB) care provider for anemia and thyroid dysfunction and her lab results were normal. She is noticing that her irritability is affecting her relationship with her partner She worries that she is
"pushing him away:" even though he is trying to be supportive.
Question: After assessing Aliya, you move to treatment planning You seek Aliya's participation in the process, help her explore the treatment options, and assess her values and preferences before reaching a decision together This process is called:

Question4: 88. Prenatal massage has been shown to:

Question5: 85. Which of (he following examples shows how a peer support specialist provides assistance?

Question6: 5. 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?

Question7: 14. Many nurses find it easy to speak with patients regarding postpartum depression.

Question8: 83. A clinic would like to provide Interpersonal Psychotherapy (IPT) to mothers with postpartum depression What would be the focus of this type of treatment?\

Question9: 61. Case Study
Aliya is currently pregnant with her second child at 25 weeks gestation Her first child is 20 months old. She is coming to you to help her decide if what she is experiencing is normal for pregnancy or if she is having symptoms of a perinatal mood disorder. During her interview, she describes poor sleep, increased tearfulness, low energy, and irritability. She states that her first child sleeps well and is not interrupting her sleep, and that she is not waking up due to increased urination or physical discomforts of pregnancy. She reports that she has not ever been as tearful as she is now, including during her previous postpartum period She states that she has been tested by her obstetrician (OB) care provider for anemia and thyroid dysfunction and her lab results were normal. She is noticing that her irritability is affecting her relationship with her partner She worries that she is
"pushing him away:" even though he is trying to be supportive.
Question: In the scenario. Aliya is describing increased tearfulness. Her symptoms occur daily for the last two weeks and are affecting her functioning. In addition to depressed mood, what other symptom would she need in order to meet the criteria of DSM-5 diagnosis of Major Depressive Disorder, with peripartum onset?

Question10: 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?

Question11: 78. Which of the following components is necessary in an informed consent?

Question12: 18. Including the support person in postpartum depression education creates a barrier to recognizing postpartum depression.

Question13: 90. Which topics are MOST critical to the initial discussion regarding adding medication to a treatment plan?
(Select two)

Question14: 56. What percentage of fathers experience moderate to severe postpartum depression?

Question15: 23. Which of the following is the most common kind of placental adherence seen in pregnant women?

Question16: 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?

Question17: 3. Parents can facilitate the adjustment of their other children to a new baby by:

Question18: 95. Which of the following describe psychological interventions developed and empirically validated specifically for the perinatal population? (Select all that apply.)

Question19: 30. A nurse is providing instruction for an obstetrical patient to perform a daily fetal movement count (DFMC). Which instructions could be included in the plan of care? Select all that apply.Which one do you like?

Question20: 63. Case Study
Aliya is currently pregnant with her second child at 25 weeks gestation Her first child is 20 months old. She is coming to you to help her decide if what she is experiencing is normal for pregnancy or if she is having symptoms of a perinatal mood disorder. During her interview, she describes poor sleep, increased tearfulness, low energy, and irritability. She states that her first child sleeps well and is not interrupting her sleep, and that she is not waking up due to increased urination or physical discomforts of pregnancy. She reports that she has not ever been as tearful as she is now, including during her previous postpartum period She states that she has been tested by her obstetrician (OB) care provider for anemia and thyroid dysfunction and her lab results were normal. She is noticing that her irritability is affecting her relationship with her partner She worries that she is
"pushing him away:" even though he is trying to be supportive.
Question: Which of the following common problems during pregnancy would NOT significantly affect Aliya's sleep?

Question21: 54. Postpartum psychosis:

Question22: 42. Which of the following collaborative care models focuses on adjusting the treatment intensity to the severity and presentation of postpartum depression?

Question23: 101. Which of the following collaborative care models focuses on adjusting the treatment intensity to the severity and presentation of postpartum depression?

Question24: 76. What is a known adverse developmental effect of perinatal malnutrition for an infant?

Question25: 93. Which of the following statements is true for the Edinburgh Postnatal Depression Scale (EPDS)?

Question26: 50. Which of the following conditions describes unpleasant feelings and sadness experienced by lactatmg persons just before and during "let-down"?

Question27: 67. Which evidence based brief screening tool has been proven valid in identifying perinatal depression in adolescent mothers?

Question28: 57. Which of the following can interfere with patient engagement and collaboration? (Select all that apply.)

Question29: 98. Helplines provide support in what capacity?

Question30: 9. The maternity nurse promoting parental-infant attachment should incorporate which appropriate cultural beliefs into the plan of care? (Select all that apply.)

Question31: 60. Prenatal anxiety:

Question32: 7. Which statement regarding postpartum depression (PPD) is essential for the nurse to be aware of when attempting to formulate a plan of care?

Question33: 27. A woman who is at 36 weeks of gestation is having a nonstress test. Which statement indicates her correct understanding of the test?

Question34: 73. Lesbian and gay couples transitioning to parenthood after adoption are at increased risk for depression.
Which of the following is NOT a protective measure?

Question35: 2. Four hours after a difficult labor and birth, a primiparous woman refuses to feed her baby, stating that she is too tired and just wants to sleep. The nurse should:

Question36: 105. Which of the following MUST be included in peer support?

Question37: 97. Which of the following represents an effect of untreated mood disorder on the mother-infant dyad?

Question38: 99. Which of the following is a normal change during pregnancy?

Question39: 68. Which one of the following is correct regarding the link between Adverse Childhood Events (ACEs) and postpartum depression?

Question40: 96. Mary Rose delivered her daughter 3 days ago and her milk has just come in. She has noticed that each time she begins to breastfeed she is overcome with sadness and extreme anxiety She finds herself tearful and is unsure what is happening Mary Rose is MOST likely experiencing:

Question41: 77. As a healthcare provider what is an important factor in integrating cultural humility within your practice with mothers'?

Question42: 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?

Question43: 64. Which of the following statements about the transition to parenthood is correct?

Question44: 70. What is the relationship between miscarriage and exposure to selective serotonin reuptake inhibitors (SSRI) during pregnancy?

Question45: 81. Which of the following screening tools is MOST commonly used to assess perinatal individuals?

Question46: 100. Which of the following screening tools would be helpful to determine trauma history as part of perinatal mood disorder risk assessment?

Question47: 41. Which of the following screening tools would be helpful to determine trauma history as part of perinatal mood disorder risk assessment?

Question48: 108. A client exhibits the following symptoms fatigue, weight gain, muscle aches: depression, slowed heart rate, and impaired memory Which medical condition is often mislabeled as a Perinatal Mood and Anxiety Disorder (PMAD) and needs to be ruled out?

Question49: 44. What is the MOST comprehensive way to diagnose for the presence of paternal Perinatal Mood and Anxiety Disorders (PMADs)?

Question50: 87. A common FIRST symptom of postpartum psychosis is:

Question51: 39. The maternity nurse promoting parental-infant attachment should incorporate which appropriate cultural beliefs into the plan of care? (Select all that apply.)

Question52: 25. A nurse providing care for the antepartum woman should understand that the contraction stress test (CST):