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Postpartum Support International Perinatal Mental Health Certification Sample Questions (Q108-Q113):

NEW QUESTION # 108
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. Exposure to medication was measured on the basis of whether the mother was prescribed antidepressants during her pregnancy according to her medical record.
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.

Answer: C

NEW QUESTION # 109
28. What is an appropriate indicator for performing a contraction stress test?

A. Adolescent pregnancy and poor prenatal care
B. Maternal diabetes mellitus and postmaturity
C. Increased fetal movement and small for gestational age
D. History of preterm labor and intrauterine growth restriction

Answer: B

NEW QUESTION # 110
99. Which of the following is a normal change during pregnancy?

A. Blood pressure remains constant
B. Water retention decreases
C. Plasma volume increases
D. Respiratory rate decreases

Answer: C

NEW QUESTION # 111
4. A primiparous woman is in the taking-in stage of psychosocial recovery and adjustment following birth.
Recognizing the needs of women during this stage, the nurse should:

A. promote maternal independence by encouraging her to meet her own hygiene and comfort needs.
B. provide time for the mother to reflect on the events of and her behavior during childbirth.
C. recognize the woman's limited attention span by giving her written materials to read when she gets home rather than doing a teaching session now.
D. foster an active role in the baby's care.

Answer: B

NEW QUESTION # 112
92. "Postpartum Blues" is distinguished from postpartum depression by severity, duration, and which of the following?

A. History
B. Timing
C. Support
D. Environment

Answer: B

NEW QUESTION # 113
......

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