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Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 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 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.
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 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.

2. 45. Which of these factors has been found to have the MOST impact on whether screening for perinatal depression improves materna mental health?

A) Screening at least once every trimester of pregnancy and once within six weeks postpartum
B) Using the Edinburgh Postnatal Depression Scale (EPDS) rather than other screening tools
C) Selecting women to screen who have known risk factors for perinatal depression
D) Developing a systematic follow-up of all positive screens with assessment and access to treatment

3. 28. What is an appropriate indicator for performing a contraction stress test?

A) Adolescent pregnancy and poor prenatal care
B) Increased fetal movement and small for gestational age
C) Maternal diabetes mellitus and postmaturity
D) History of preterm labor and intrauterine growth restriction

4. 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) Psychomotor retardation
C) Anhedonia
D) Excessive guilt

5. 47. Which of the following statements about the impact of stillbirth is supported by the research literature?

A) Stillbirth is associated with increased psychological distress in a subsequent pregnancy
B) There has been no demonstrated effect of stillbirth on older, surviving siblings within the family
C) Complicated grief is not observed among parents following stillbirth.
D) Attending a support group has no effect on symptoms of psychological distress following a stillbirth.

Solutions: