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Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 70. What is the relationship between miscarriage and exposure to selective serotonin reuptake inhibitors (SSRI) during pregnancy?

A) An increased risk of miscarriage
B) Little research has been conducted
C) A decreased risk of miscarriage
D) Likely do not increase the risk

2. 33. Parents can facilitate the adjustment of their other children to a new baby by:

A) emphasizing activities that keep the new baby and other children together.
B) having the mother carry the new baby into the home so she can show him or her to the other children.
C) having the children choose or make a gift to give to the new baby on its arrival home.
D) reducing stress on other children by limiting their involvement in the care of the new baby.

3. 66. Which of the following mood stabilizing medications is associated with the GREATEST risk of congenital malformations in exposed fetuses?

A) olanzapine (Zyprexa)
B) lamotngine (Lamictal)
C) valproate (Depakote)
D) quetiapine (Seroquel)

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

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

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

Solutions: