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Postpartum Support International PMHC Exam Syllabus Topics:

Postpartum Support International Perinatal Mental Health Certification Sample Questions:

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

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

2. 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) 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
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) 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

3. 6. In follow-up appointments or visits with parents and their new baby, it may be useful if the nurse can identify parental behaviors that can either facilitate or inhibit attachment. What is a facilitating behavior?

A) The parents do not move from fingertip touch to palmar contact and holding.
B) The parents hover around the infant, directing attention to and pointing at the infant.
C) The parents have difficulty naming the infant.
D) The parents make no effort to interpret the actions or needs of the infant.

4. 78. Which of the following components is necessary in an informed consent?

A) A thorough list of all available treatment options
B) Decisions made about treatment option based on personal preference
C) Confirmed understanding of risks and benefits of treatment option
D) Decisions made based on provider knowledge

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

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

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