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Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 32. Four hours after a difficult labor and birth, a primiparous woman refuses to feed her baby, stating that she is too tired and just wants to sleep. The nurse should:

A) take the baby back to the nursery, reassuring the woman that her rest is a priority at this time.
B) recognize this as a behavior of the taking-hold stage.
C) tell the woman she can rest after she feeds her baby.
D) record the behavior as ineffective maternal-newborn attachment.

2. 84. In women who have postpartum depression which one of the following areas of functioning is MOST likely to be maintained?

A) Self-care
B) Social functioning
C) Household functioning
D) Infant care

3. 94. Which of the following medications is an atypical antipsychotic?

A) Sertraline (Zoloft)
B) Alprazolam (Xanax)
C) Fluoxetine (Prozac)
D) Quetiapine (Seroquel)

4. 87. A common FIRST symptom of postpartum psychosis is:

A) compulsions.
B) ego-dystonic intrusive thoughts
C) insomnia without fatigue
D) increased startle response

5. 86. You are working in an outpatient pediatric care setting and encounter a new mother who screens positive for depression and reports symptoms consistent with a depressive episode of moderate severity You provide her with counseling referrals but she says she does not have time to attend counseling and intends to use a self- guided web-based intervention instead. Which of the following statements represents your BEST response?

A) Seek a psychiatric consultation based on concerns that this mother may be delusional for thinking her symptoms can be helped by a self-guided web-based intervention and document your rationale for seeking consultation.
B) Assess the mother to be certain there are no active symptoms of suicidally, mania or psychosis, ask her to identify the web-based intervention she intends to use, advise her to call you if her symptoms worsen, and document these steps
C) Tell the mother she should only use a web-based intervention in conjunction with counseling/therapy, offer to help her set up an initial appointment with a therapist before she leaves your office, and document your concerns.
D) Inform the mother that web-based interventions are unproven and may do more harm than good: advise her that you cannot support her in this decision, and document your concerns

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