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Postpartum Support International PMHC Exam Syllabus Topics:

Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 52. 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: After a thorough discussion, Jackie becomes receptive to considering medication but is adamant that she does not want to see a psychiatrist. Which of the following is the BEST option for meeting Jackie's needs?

A) Ask her to sign a release so you can communicate with her Obstetrical provider's office to assess his or her comfort level prescribing medication and work collaboratively to monitor Jackie's mood
B) Inform her she has to see a psychiatrist because psychotropic medications during pregnancy are high- risk.
C) Recommend that she have a consultation with a reproductive psychiatrist if she wants to continue in therapy with you and give her the name and number of a psychiatrist that you collaborate with regularly.
D) Ask her to let you know if she changes her mind about seeing a psychiatrist and not pursue the issue any further for the time being.

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

A) Relationship functioning declines for most couples after baby is born.
B) Relationship functioning does not tend to decline in same-sex couples after birth of baby
C) Parents with secure attachment patterns have greater post-birth declines in relationship functioning.
D) There are not many helpful interventions for parents experiencing functional declines after baby

3. 79. Untreated prolonged depression and anxiety in pregnancy can have effects on obstetrical outcomes that include:

A) higher rates of vacuum-assisted delivery
B) increased risk of birth defects
C) reduced gestational age
D) reduced infant Apgar scores.

4. 40. When helping a woman cope with postpartum blues, the nurse should offer what appropriate suggestions?
(Select all that apply.)

A) Asking for help will not foster independence.
B) The father should take over care of the baby, because postpartum blues are exclusively a female problem.
C) Get plenty of rest.
D) Plan to get out of the house occasionally.
E) Use La Leche League or community mental health centers.

5. 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?

A) Increased blood pressure
B) Vivid dreams
C) Restless Legs Syndrome (RLS)
D) Increased thirst during the night

Solutions: