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Postpartum Support International PMHC Exam Syllabus Topics:

Postpartum Support International Perinatal Mental Health Certification Sample Questions:

Question 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 let you know if she changes her mind about seeing a psychiatrist and not pursue the issue any further for the time being.
B. 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.
C. 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
D. Inform her she has to see a psychiatrist because psychotropic medications during pregnancy are high- risk.

Question 2

88. Prenatal massage has been shown to:

A. increase incidences of prematurity and low birth weight
B. decrease estrogen levels in pregnant women
C. reduce depression and anxiety
D. increase prenatal complications.

Question 3

25. A nurse providing care for the antepartum woman should understand that the contraction stress test (CST):

A. Is considered to have a negative result if no late decelerations are observed with the contractions.
B. Sometimes uses vibroacoustic stimulation.
C. Is an invasive test; however. contractions are stimulated.
D. Is more effective than nonstress test (NST) if the membranes have already been ruptured.

Question 4

82. Which of the following infant outcomes can result from untreated antepartum depression?

A. Jaundice
B. Large for gestational age
C. Elevated heart rate
D. Low birth weight

Question 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. Exposure to medication was measured on the basis of whether the mother was prescribed antidepressants during her pregnancy according to her medical record.
B. The study used a case-controlled design to control for maternal age, race, socioeconomic status, medical comorbidities, gravidity and parity.
C. 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
D. 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.

Solutions: