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Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 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) not report it because you don't want to cause undue stress on the mother.
C) report it because you have to keep the child safe
D) call the protective services line to consult

2. 89. Which of the following factors carries the highest risk for developing perinatal depression?

A) Personal history of depression
B) Unintended pregnancy
C) Mother's birth order
D) The "baby blues"

3. 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) 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.
B) Inform her she has to see a psychiatrist because psychotropic medications during pregnancy are high- risk.
C) 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
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.

4. 39. The maternity nurse promoting parental-infant attachment should incorporate which appropriate cultural beliefs into the plan of care? (Select all that apply.)

A) Encourage Hispanics to eat plenty of fish and pork to increase vitamin intake.
B) Jordanian mothers have a 40-day lying-in after birth.
C) Japanese mothers rest for the first 2 months after childbirth.
D) Asian mothers are encouraged to return to work as soon as possible.
E) Encourage Vietnamese mothers to cuddle with the newborn.

5. 37. Which statement regarding postpartum depression (PPD) is essential for the nurse to be aware of when attempting to formulate a plan of care?

A) PPD can easily go undetected.
B) PPD symptoms are consistently severe.
C) Only mental health professionals should teach new parents about this condition.
D) This syndrome affects only new mothers.

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