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Postpartum Support International Perinatal Mental Health Certification Sample Questions (Q90-Q95):
NEW QUESTION # 90
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. Psychomotor retardation
- B. Anhedonia
- C. Excessive guilt
- D. Suicidal ideation
Answer: B
NEW QUESTION # 91
71. A reliable web-based support for a mother who is struggling with perinatal mental health is:
- A. web search for "perinatal mood disorders".
- B. joining a general online mothers group.
- C. participating in an unmoderated online chat room for new moms
- D. completing an online Cognitive-Behavioral Therapy (CBT) intervention.
Answer: D
NEW QUESTION # 92
55. When compared to mothers who are not anxious or depressed, mothers with PMADs are more likely to describe their babies as:
- A. good sleepers.
- B. unattractive
- C. fussy and difficult to soothe.
- D. happy and even-tempered
Answer: C
NEW QUESTION # 93
25. A nurse providing care for the antepartum woman should understand that the contraction stress test (CST):
- A. Is considered to have a negative result if no late decelerations are observed with the contractions.
- B. Is an invasive test; however. contractions are stimulated.
- C. Is more effective than nonstress test (NST) if the membranes have already been ruptured.
- D. Sometimes uses vibroacoustic stimulation.
Answer: A
NEW QUESTION # 94
15. Why is postpartum depression commonly a missed or under diagnosed problem?
- A. A, C
- B. A, B
- C. Providers do not take reports from patients seriously
- D. Symptoms are masked by common experiences of new mothers (lack of sleep, etc.)
- E. Women do not report symptoms
- F. All of the above
- G. None of the above
- H. B, C
Answer: A
NEW QUESTION # 95
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