A local OB/GYN calls the PMHNP to refer a 27-year-old pregnant patient in her third trimester who just screened positive for perinatal depression. Which of the following screening tools was used by the OB-GYN?
Postpartum Depression Rating Scale
Patient Health Questionnaire-9 (PHQ-9)
Center for Epidemiologic Studies Depression Scale
Edinburgh Postnatal Depression Scale (EPDS)
The Correct Answer is D
Choice A reason: The Postpartum Depression Rating Scale is less commonly used and not the standard screening tool for perinatal depression.
Choice B reason: PHQ-9 screens for general depression in primary care but is not specifically designed for perinatal populations.
Choice C reason: CES-D is a general depression screening instrument and not validated specifically for perinatal use.
Choice D reason: The Edinburgh Postnatal Depression Scale (EPDS) is a validated, widely used screening tool for perinatal depression, appropriate for use during pregnancy and postpartum.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Emphasis on integrated healthcare services generally facilitates growth by promoting teamwork and expanding the role of NPs.
Choice B reason: Legal and regulatory restrictions requiring supervision or collaboration with physicians limit the autonomy of nurse practitioners and constrain the expansion of their independent practice.
Choice C reason: Acceptance of the advanced practice nursing role encourages growth and is not a limiting factor.
Choice D reason: Consumer demand for services supports growth by increasing the need for NPs rather than constraining it.
Correct Answer is C
Explanation
Choice A reason: A positive M-CHAT-R/F does not confirm a diagnosis of autism. It is a screening tool, not a diagnostic tool.
Choice B reason: While the child may have developmental concerns, a positive screen alone does not definitively indicate a developmental delay. Further assessment is necessary.
Choice C reason: A positive M-CHAT-R/F result indicates that the child is at risk for ASD or developmental delays and should be referred for a comprehensive evaluation to confirm diagnosis and guide early intervention.
Choice D reason: Placement in ABA therapy should only follow a confirmed diagnosis of ASD. Immediate referral to therapy without assessment is premature.
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