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Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 39. The maternity nurse promoting parental-infant attachment should incorporate which appropriate cultural beliefs into the plan of care? (Select all that apply.)

A) Japanese mothers rest for the first 2 months after childbirth.
B) Encourage Vietnamese mothers to cuddle with the newborn.
C) Jordanian mothers have a 40-day lying-in after birth.
D) Asian mothers are encouraged to return to work as soon as possible.
E) Encourage Hispanics to eat plenty of fish and pork to increase vitamin intake.

2. 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

3. 23. Which of the following is the most common kind of placental adherence seen in pregnant women?

A) Percreta
B) Increta
C) Placenta previa
D) Accreta

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

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

5. 73. Lesbian and gay couples transitioning to parenthood after adoption are at increased risk for depression.
Which of the following is NOT a protective measure?

A) Living in a gay-friendly neighborhood
B) Relationship quality
C) High socio-economic status
D) Perceived workplace support

Solutions: