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Postpartum Support International Perinatal Mental Health Certification Sample Questions:

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

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

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

3. 24. A 40-year-old woman with a high body mass index (BMI) is 10 weeks pregnant. Which diagnostic tool is appropriate to suggest to her at this time?

A) Transvaginal ultrasound
B) Amniocentesis
C) Biophysical profile
D) Maternal serum alpha-fetoprotein (MSAFP)

4. 38. When working with parents who have some form of sensory impairment, nurses should consider which information when writing a plan of care?

A) Technologic advances, including the Internet, can provide deaf parents with a full range of parenting activities and information
B) Visually impaired mothers cannot overcome the infant's need for eye-to-eye contact
C) Childbirth education and other materials are available in Braille.
D) One of the major difficulties visually impaired parents experience is the skepticism of health care professionals
E) The best approach for the nurse is to assess the parents' capabilities rather than focusing on their disabilities

5. 88. Prenatal massage has been shown to:

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

Solutions: