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Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 15. Why is postpartum depression commonly a missed or under diagnosed problem?

A) All of the above
B) A, C
C) Women do not report symptoms
D) Symptoms are masked by common experiences of new mothers (lack of sleep, etc.)
E) None of the above
F) B, C
G) Providers do not take reports from patients seriously
H) A, B

2. 5. The nurse observes several interactions between a postpartum woman and her new son. What behavior, if exhibited by this woman, does the nurse identify as a possible maladaptive behavior regarding parent-infant attachment?

A) Cuddles her son close to her
B) Talks and coos to her son
C) Seldom makes eye contact with her son
D) Tells visitors how well her son is feeding

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

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

5. 108. A client exhibits the following symptoms fatigue, weight gain, muscle aches: depression, slowed heart rate, and impaired memory Which medical condition is often mislabeled as a Perinatal Mood and Anxiety Disorder (PMAD) and needs to be ruled out?

A) Migraines
B) Hypothyroidism
C) Gestational diabetes
D) Preeclampsia

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