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Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 17. Which best describe Postpartum Depression?

A) More serious problem requiring followup and treatment from provider
B) Symptoms requiring immediate treatment
C) Feelings of sadness during the first two weeks postpartum

2. 72. Untreated anxiety during pregnancy may lead to which pregnancy outcome?

A) Reduced fetal activity
B) Reduced gestational weight
C) Increased fetal head circumference
D) Increased gestational weight

3. 6. In follow-up appointments or visits with parents and their new baby, it may be useful if the nurse can identify parental behaviors that can either facilitate or inhibit attachment. What is a facilitating behavior?

A) The parents have difficulty naming the infant.
B) The parents make no effort to interpret the actions or needs of the infant.
C) The parents hover around the infant, directing attention to and pointing at the infant.
D) The parents do not move from fingertip touch to palmar contact and holding.

4. 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?

A) Risk of a particular birth defect was doubled -2:10,000 among babies in the study whose mothers took antidepressants during pregnancy vs 1:10.000 among babies whose mothers did not take antidepressants during pregnancy
B) The study used a case-controlled design to control for maternal age, race, socioeconomic status, medical comorbidities, gravidity and parity.
C) The study examined 100 different possible birth defects and found an increased risk of one of these birth defects among babies whose mothers took antidepressants during pregnancy.
D) Exposure to medication was measured on the basis of whether the mother was prescribed antidepressants during her pregnancy according to her medical record.

5. 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:

A) therapeutic communication.
B) patient-centered, collaborative treatment planning.
C) strengths-based, stepped-care treatment planning.
D) active listening.

Solutions: