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Postpartum Support International PMHC Exam Syllabus Topics:

Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 52. 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: After a thorough discussion, Jackie becomes receptive to considering medication but is adamant that she does not want to see a psychiatrist. Which of the following is the BEST option for meeting Jackie's needs?

A) Ask her to sign a release so you can communicate with her Obstetrical provider's office to assess his or her comfort level prescribing medication and work collaboratively to monitor Jackie's mood
B) Ask her to let you know if she changes her mind about seeing a psychiatrist and not pursue the issue any further for the time being.
C) Inform her she has to see a psychiatrist because psychotropic medications during pregnancy are high- risk.
D) Recommend that she have a consultation with a reproductive psychiatrist if she wants to continue in therapy with you and give her the name and number of a psychiatrist that you collaborate with regularly.

2. 103. Electroconvulsive Therapy (ECT) during pregnancy:

A) has no associated risks.
B) is less risky than taking medication.
C) is considered to be relatively safe.
D) should not be considered as a treatment option.

3. 14. Many nurses find it easy to speak with patients regarding postpartum depression.

A) False
B) True

4. 90. Which topics are MOST critical to the initial discussion regarding adding medication to a treatment plan?
(Select two)

A) Potential side effects
B) Cost of medication
C) Risks of untreated illness
D) Medication risks
E) Family support

5. 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 make no effort to interpret the actions or needs of the infant.
C) The parents have difficulty naming the infant.
D) The parents do not move from fingertip touch to palmar contact and holding.

Solutions: