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Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 61. 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: In the scenario. Aliya is describing increased tearfulness. Her symptoms occur daily for the last two weeks and are affecting her functioning. In addition to depressed mood, what other symptom would she need in order to meet the criteria of DSM-5 diagnosis of Major Depressive Disorder, with peripartum onset?

A) Excessive guilt
B) Suicidal ideation
C) Psychomotor retardation
D) Anhedonia

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

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

3. 50. Which of the following conditions describes unpleasant feelings and sadness experienced by lactatmg persons just before and during "let-down"?

A) Mastitis
B) Rapid let-down
C) Overabundant milk supply
D) Dysphoric milk ejection reflex

4. 21. Which behaviors would be exhibited during the letting-go phase of maternal role adaptation. Select all that apply.

A) Sexual intimacy relationship continuing
B) Being talkative and excited about becoming a mother
C) Dependent behaviors
D) Emergence of family unit
E) Defining one's individual roles

5. 8. When working with parents who have some form of sensory impairment, nurses should consider which information when writing a plan of care?

A) Childbirth education and other materials are available in Braille.
B) The best approach for the nurse is to assess the parents' capabilities rather than focusing on their disabilities
C) Technologic advances, including the Internet, can provide deaf parents with a full range of parenting activities and information
D) Visually impaired mothers cannot overcome the infant's need for eye-to-eye contact
E) One of the major difficulties visually impaired parents experience is the skepticism of health care professionals

Solutions: