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Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 15. Why is postpartum depression commonly a missed or under diagnosed problem?

A) None of the above
B) Symptoms are masked by common experiences of new mothers (lack of sleep, etc.)
C) A, C
D) B, C
E) Women do not report symptoms
F) A, B
G) All of the above
H) Providers do not take reports from patients seriously

2. 66. Which of the following mood stabilizing medications is associated with the GREATEST risk of congenital malformations in exposed fetuses?

A) lamotngine (Lamictal)
B) valproate (Depakote)
C) olanzapine (Zyprexa)
D) quetiapine (Seroquel)

3. 35. The nurse observes several interactions between a postpartum woman and her new son. What behavior, if exhibited by this woman, does the nurse identify as a possible maladaptive behavior regarding parent-infant attachment?

A) Seldom makes eye contact with her son
B) Cuddles her son close to her
C) Tells visitors how well her son is feeding
D) Talks and coos to her son

4. 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 completes a routine depression screen in her doctors office and indicates that she
"sometimes" has thoughts of harming herself.
B) 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.
C) 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.
D) 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.

5. 103. Electroconvulsive Therapy (ECT) during pregnancy:

A) has no associated risks.
B) is less risky than taking medication.
C) should not be considered as a treatment option.
D) is considered to be relatively safe.

Solutions: