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Perinatal Anxiety and Depression in Minority Women

Author Information
MCN, The American Journal of Maternal/Child Nursing: May/June 2020 - Volume 45 - Issue 3 - p E9-E10
doi: 10.1097/NMC.0000000000000635
  • Free

Perinatal Anxiety and Depression in Minority Women


  • Read the article. The test for this CE activity can only be taken online at Tests can no longer be mailed or faxed.
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The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.


LPD will award 1.5 contact hours for this continuing nursing education activity.

LPD is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP11749 for 1.5 contact hours. LPD is also an approved provider of continuing nursing education by the District of Columbia, Georgia, Florida, West Virginia, New Mexico, and South Carolina, CE Broker #50-1223.


The registration fee for this test is $17.95.


General Purpose:

To provide information about perinatal anxiety and depression among women in racial and ethnic minorities.

Learning Objectives/Outcomes:

After completing this continuing education activity, you should be able to:

  1. Describe the incidence of anxiety and depression among minority pregnant women as well as the outcomes for the women and their infants.
  2. Evaluate the various methods of screening pregnant women for depression and anxiety, and the interventions for addressing these mental health issues in this population.
  1. According to Katz and colleagues, up to 19% of pregnant women
    1. of racial and ethnic minorities experience anxiety.
    2. of racial and ethnic minorities experience depressive symptoms.
    3. experience depressive symptoms regardless of race and ethnicity.
  2. Lara-Cinisomo and colleagues reported higher rates of perinatal depression in which of the following groups of minority women in the United States?
    1. Black
    2. Asian
    3. Latina
  3. According to Fonseca and colleagues, pregnant women report that which of the following is among the greatest barriers they have to receiving mental health care?
    1. stigma associated with receiving mental health services
    2. no nearby mental health services or providers
    3. lack of trust in the effectiveness of mental health services
  4. Regarding mental health, primary health, and obstetric care, the US Preventative Services Task Force recommends care that is
    1. inexpensive.
    2. collaborative.
    3. easily accessible.
  5. According to Borrell Rodriguez-Alvarez and colleagues, women in ethnic and racial minorities have up to a 50% greater risk of having a
    1. miscarriage.
    2. preterm baby.
    3. low birth weight baby.
  6. Henrichs and colleagues reported that prenatal anxiety has been related to which of the following outcomes for the infant?
    1. poorer temperament
    2. respiratory illnesses
    3. inadequate weight gain
  7. According to Gentile, prenatal depression is associated with
    1. recurrences of mastitis.
    2. exclusive formula feeding.
    3. a shorter breastfeeding duration.
  8. Coburn and colleagues stated that infants of depressed mothers are susceptible to developing several health concerns, such as
    1. sepsis.
    2. vomiting.
    3. otitis media.
  9. According to Perlen and colleagues, pregnant women who are depressed are more likely to develop
    1. anemia.
    2. neuropathies.
    3. incontinence.
  10. One of the eight states that have mandatory screening laws is
    1. Texas.
    2. Indiana.
    3. Connecticut.
  11. Which of these states has health care policies that address peripartum mental health?
    1. Ohio
    2. New York
    3. Wisconsin
  12. System-wide barriers to the provision of adequate treatment include
    1. cost and reimbursement concerns.
    2. inadequate time on the part of providers.
    3. inadequate funding for peripartal mental health treatment.
  13. The American College of Obstetricians and Gynecologists supports the use of which of the following as a depression screening tool for pregnant women because of its brevity, scoring ease and assessment of women at risk for self-harm?
    1. Beck Depression Inventory
    2. Edinburgh Postnatal Depression Scale
    3. Center for Epidemiologic Studies Depression Scale
  14. Previti and colleagues reported that, compared with newborns without exposure to antidepressants, those who are exposed to them have
    1. poorer psychomotor development outcomes.
    2. a greater risk for gastrointestinal disorders.
    3. prolonged sleep issues.
  15. In cognitive behavioral therapy (CBT), individuals learn the “ABCs,” with the A standing for
    1. Accepting the benefits of positive thoughts.
    2. Assessing the cause of stressful events.
    3. Activating or stressful events.
  16. CBT-based programs support the development of
    1. problem-solving skills.
    2. engaging relationships.
    3. complementary modalities.
  17. Which of the following practices specifically involves being attentive to one's thoughts, feelings, and physical sensations without judgment, and developing tolerance for stress?
    1. gratitude
    2. mindfulness
    3. self-affirmation
  18. Milgrom and Gemmill stated that using which of the following screening tools identifies women at high-risk of self-harm and suicide ideation who can be referred for appropriate mental health assessment and care immediately?
    1. The Patient Health Questionnaire 9
    2. Edinburgh Postnatal Depression Scale
    3. Center for Epidemiologic Studies Depression Scale
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