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Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 43. Which of the following situations would require a referral to the nearest emergency department for urgent psychiatric evaluation of suspected postpartum psychosis?

A) A new mother reports she spends a great deal of time worrying that she will accidentally drop or otherwise harm her baby and is fearful of being left home alone with him.
B) A new mother completes a routine depression screen in her doctors office and indicates that she
"sometimes" has thoughts of harming herself.
C) A new mother discloses that her life has been so stressful since the baby's arrival that she has thoughts of wanting to "escape'1 and get her old. pre-motherhood life back.
D) A new mother's partner states she has become increasingly paranoid and accusatory toward him and others and on several occasions has called the baby by the wrong name.

2. 30. A nurse is providing instruction for an obstetrical patient to perform a daily fetal movement count (DFMC). Which instructions could be included in the plan of care? Select all that apply.Which one do you like?

A) The fetal alarm signal is reached when there are no fetal movements noted for 5 hours.
B) Monitor fetal activity two times a day either after meals or before bed for a period of 2 hours or until 10 fetal movements are noted.
C) Count all fetal movements in a 12-hour period daily until 10 fetal movements are noted.
D) The patient can monitor fetal activity once daily for a 60-minute period and note activity.

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

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

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

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

5. 70. What is the relationship between miscarriage and exposure to selective serotonin reuptake inhibitors (SSRI) during pregnancy?

A) An increased risk of miscarriage
B) Little research has been conducted
C) A decreased risk of miscarriage
D) Likely do not increase the risk

Solutions: