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1. Pregnancy is associated with a lot of physical changes. Which of the following are not related to pregnancy?
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2. Unintended pregnancy is associated with:
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3. Unintended pregnancy infers the pregnancy is:
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4. Of the following, which is the most common response to an unintended pregnancy
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5. Domestic violence and pregnancy are linked in a range of ways. Which of the following statements are not true
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6. Which of the following is correct?
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7. Which of the following statements about teenage pregnancy is true?
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8. Which of the following is a non-directive therapy style?
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9. Which of the following is required in taking a non-directive approach?
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10. What is reflection?
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11. Rogers identified 3 necessary and sufficient qualities required of a non-directive, or client-centred therapist. What are they?
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12. Which of the following is not true for both genetic counselling and pregnancy related counselling?
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13. At times, a counsellor may mistakenly come to believe s/he bears some responsibility for a client's problem, which of the following may indicate that this is happening?
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14. The importance of reflecting on your own practice relating to pregnancy beliefs and values includes:
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15. Which of the following is not a significant risk factor for antenatal depression?
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16. Which of the following is the most significant risk factor for postnatal depression?
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17. Benefits to counselling a woman about pregnancy could include:

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18. Which of the following statements is TRUE?
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YOUR ANSWER FOR QUESTION 18 IS INCORRECT
19.Which of the following statements is FALSE?
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Within 14 days of successfully completing this Assessment Quiz you will be emailed a Certificate of Participation, including 3 CPD Points.

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Congratulations on successfully completing the Perinatal Mental Health for Nurses & Midwives online CPD Program!

pregnancy2We hope you have enjoyed the program and that you will assist us by completing the Program Evaluation (link below).

If you are a Credentialed Mental Health Nurse and registered with Medicare (with a medicare provider number) you are now eligible to apply to use the MBS Item Number 81010 (Non-Directive Pregnancy Counselling) for up to three sessions on referral from a General Practitioner. If you wish to do this, you will need to request that the ACMHN advise medicare you have completed the program.

All participants will receive a Certificate of Completion, including CPD Points Allocation (3 Points), via email within 14 days of completing the Assessment Quiz. That's it! Thank you again for completing this course - we would really appreciate it if you could spare a few minutes to give us some feedback via our Program Evaluation or click here to return to the The Australian College of Mental Health Nurses Homepage

NDPC Program Evaluation

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Welcome to the beginning of the Perinatal Mental Health for Nurses & Midwives online CPD program.

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InfoWindow


Table 1
  Incidence (Per 1,000 deliveries) Onset Characterised by Comments
Postnatal 'blues' 500–800 (Cox 1994) 3–5 days Emotional lability Tearfulness Self-limiting, but be vigilant for underlying depression
Postnatal depression 100–150 (Cox 1994) Gradual: 50% cent by 3 months post-partum; 75% by 6 months Clinical depression (diagnosable by psychiatric interview) in first postnatal year Possible long term negative effects on childlsibling development

Possible long term effects on family functioning

Risk of subsequent postnatal depressive episode (1:5)
Puerperal psychosis 1–2 (Cox et al 1993) Typically rapid – within 14 days postpartum Dramatic presentation -delusional, confused, depressed Postnatal women have nine times increased risk of episode over non-puerperal women

Requires urgent psychiatric
referral

Usually responds well to
treatment

Risk of subsequent postnatal
episode (1 :2)

Ref: Poustie, A., Drumm, E., (1997) Co-ordinated care for women with postnatal depression’ Nursing Standard Vol.11(16), 8 January:34–37

Various theories for explaining the occurrence of PND exist, including rapid hormonal changes after the birth (Dalton 1980), difficulties in role adjustment, lack of social support, and difficult or distressing birth experiences (Green et al. 1990, Kitzinger S 1992, Small et al. 1994, Fisher et al. 1997) (Gamble et al 2002 pp72–73).