Postpartum Support International PSI-PMHC PMHC

Postpartum Support International PSI-PMHC PMHC Perinatal Mental Health Certification Exams

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

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

3. 6. In follow-up appointments or visits with parents and their new baby, it may be useful if the nurse can identify parental behaviors that can either facilitate or inhibit attachment. What is a facilitating behavior?

A) The parents hover around the infant, directing attention to and pointing at the infant.
B) The parents do not move from fingertip touch to palmar contact and holding.
C) The parents have difficulty naming the infant.
D) The parents make no effort to interpret the actions or needs of the infant.

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

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

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

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

Solutions: