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Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 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) Exposure to medication was measured on the basis of whether the mother was prescribed antidepressants during her pregnancy according to her medical record.
C) The study used a case-controlled design to control for maternal age, race, socioeconomic status, medical comorbidities, gravidity and parity.
D) 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.

2. 102. You are a mandated reporter for suspected child abuse You have a postpartum mother who describes an incident between her and her child that you are not sure is reportable in response, you should:

A) contact the mother's partner and ask her/him to report the incident.
B) call the protective services line to consult
C) not report it because you don't want to cause undue stress on the mother.
D) report it because you have to keep the child safe

3. 31. When making a visit to the home of a postpartum woman 1 week after birth, the nurse should recognize that the woman would characteristically:

A) have reestablished her role as a spouse/partner.
B) exhibit a reduced attention span, limiting readiness to learn.
C) vacillate between the desire to have her own nurturing needs met and the need to take charge of her own care and that of her newborn.
D) express a strong need to review events and her behavior during the process of labor and birth.

4. 12. Postpartum depression symptoms are similar to ________ symptoms.

A) Depression unrelated to childbirth
B) Anorexia Nervosa
C) Bipolar Disorder
D) Borderline Personality

5. 26. In the past, factors to determine whether a woman was likely to have a high-risk pregnancy were evaluated primarily from a medical point of view. A broader, more comprehensive approach to high-risk pregnancy has been adopted. There are now four categories based on threats to the health of the woman and the outcome of pregnancy. Which of the options listed here is not included as a category?

A) Geographic
B) Environmental
C) Biophysical
D) Psychosocial

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