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Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 84. In women who have postpartum depression which one of the following areas of functioning is MOST likely to be maintained?

A) Household functioning
B) Self-care
C) Social functioning
D) Infant care

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

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

3. 49. Jenny is eight months postpartum. She reports feeling agitated and irritable with difficulty falling asleep; racing thoughts, and excessive concerns about the baby She statesr ""Sometimes, it feels like I can't breathe with chest pams; rapid heart rate, numbness or tingling. I feel like I'm going crazy" Which perinatal mental health disorder does the clinical presentation and features demonstrate?

A) Perinatal Bipolar Disorder
B) Perinatal Anxiety Disorder
C) Perinatal Psychosis Disorder
D) Perinatal Depression

4. 34. A primiparous woman is in the taking-in stage of psychosocial recovery and adjustment following birth.
Recognizing the needs of women during this stage, the nurse should:

A) promote maternal independence by encouraging her to meet her own hygiene and comfort needs.
B) foster an active role in the baby's care.
C) provide time for the mother to reflect on the events of and her behavior during childbirth.
D) recognize the woman's limited attention span by giving her written materials to read when she gets home rather than doing a teaching session now.

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

Solutions: