Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 108. A client exhibits the following symptoms fatigue, weight gain, muscle aches: depression, slowed heart rate, and impaired memory Which medical condition is often mislabeled as a Perinatal Mood and Anxiety Disorder (PMAD) and needs to be ruled out?

A) Hypothyroidism
B) Preeclampsia
C) Migraines
D) Gestational diabetes

2. 89. Which of the following factors carries the highest risk for developing perinatal depression?

A) Unintended pregnancy
B) Mother's birth order
C) The "baby blues"
D) Personal history of depression

3. 27. A woman who is at 36 weeks of gestation is having a nonstress test. Which statement indicates her correct understanding of the test?

A) "This test observes for fetal activity and an acceleration of the fetal heart rate to determine the well- being of the baby."
B) "This test will help to determine whether the baby has Down syndrome or a neural tube defect."
C) "I will need to have a full bladder for the test to be done accurately."
D) "I should have my husband drive me home after the test because I may be nauseated."

4. 57. Which of the following can interfere with patient engagement and collaboration? (Select all that apply.)

A) Childcare provided at the treatment site
B) Telemental health providers
C) Stigma and poor self-worth
D) Lack of family support
E) Low-cost therapy

5. 53. Case Study Question
You are a perinatal therapist in a community-based private practice Jackie comes to see you early in the second trimester of her pregnancy after screening at-risk for depression on a routine mood screen in her obstetrician's office. When you assess her she meets diagnostic criteria for depression She has a history of depression that has responded well to selective serotonin reuptake inhibitors (SSRIs) in the past She does not want to take medication now, though, because she says she does not want to do anything that might harm her baby. She says she recently heard a radio news story describing a research study that found "high risks of birth defects" among babies whose mothers took SSRIs while they were pregnant.
Question: You are not familiar with the study Jackie mentioned so you later locate the article online and read it Which of the following would increase your confidence that the study's claim of "high risks of birth defects'" among babies whose mothers took antidepressants while they were pregnant is valid?

A) Risk of a particular birth defect was doubled -2:10,000 among babies in the study whose mothers took antidepressants during pregnancy vs 1:10.000 among babies whose mothers did not take antidepressants during pregnancy
B) The study used a case-controlled design to control for maternal age, race, socioeconomic status, medical comorbidities, gravidity and parity.
C) The study examined 100 different possible birth defects and found an increased risk of one of these birth defects among babies whose mothers took antidepressants during pregnancy.
D) Exposure to medication was measured on the basis of whether the mother was prescribed antidepressants during her pregnancy according to her medical record.

Solutions: