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Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 74. Clients may express concerns about taking medications during pregnancy because the research can have conflicting data. Which statement is MOST accurate?

A) There are no randomized double-blindr placebo-controlled trials during pregnancy
B) Pregnant subjects are more likely to participate in research.
C) There are no methods of assessing medication use during pregnancy
D) All published pregnancy research studies should be considered equally.

2. 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 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) The study used a case-controlled design to control for maternal age, race, socioeconomic status, medical comorbidities, gravidity and parity.

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

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

4. 47. Which of the following statements about the impact of stillbirth is supported by the research literature?

A) There has been no demonstrated effect of stillbirth on older, surviving siblings within the family
B) Complicated grief is not observed among parents following stillbirth.
C) Stillbirth is associated with increased psychological distress in a subsequent pregnancy
D) Attending a support group has no effect on symptoms of psychological distress following a stillbirth.

5. 43. Which of the following situations would require a referral to the nearest emergency department for urgent psychiatric evaluation of suspected postpartum psychosis?

A) A new mother reports she spends a great deal of time worrying that she will accidentally drop or otherwise harm her baby and is fearful of being left home alone with him.
B) A new mother's partner states she has become increasingly paranoid and accusatory toward him and others and on several occasions has called the baby by the wrong name.
C) A new mother discloses that her life has been so stressful since the baby's arrival that she has thoughts of wanting to "escape'1 and get her old. pre-motherhood life back.
D) A new mother completes a routine depression screen in her doctors office and indicates that she
"sometimes" has thoughts of harming herself.

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