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

2. 101. Which of the following collaborative care models focuses on adjusting the treatment intensity to the severity and presentation of postpartum depression?

A) Screen and refer
B) Integrative care
C) Stepped care
D) Motivational interviewing

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. 13. Symptoms of postpartum depression include: (choose all that apply)

A) Euphoria
B) Issues with sleep
C) Tiredness
D) Changes in Diet
E) None of these apply

5. 2. Four hours after a difficult labor and birth, a primiparous woman refuses to feed her baby, stating that she is too tired and just wants to sleep. The nurse should:

A) tell the woman she can rest after she feeds her baby.
B) recognize this as a behavior of the taking-hold stage.
C) record the behavior as ineffective maternal-newborn attachment.
D) take the baby back to the nursery, reassuring the woman that her rest is a priority at this time.

Solutions: