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Postpartum Support International Perinatal Mental Health Certification Sample Questions (Q69-Q74):
NEW QUESTION # 69
52. 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: After a thorough discussion, Jackie becomes receptive to considering medication but is adamant that she does not want to see a psychiatrist. Which of the following is the BEST option for meeting Jackie's needs?
- A. Inform her she has to see a psychiatrist because psychotropic medications during pregnancy are high- risk.
- B. Ask her to sign a release so you can communicate with her Obstetrical provider's office to assess his or her comfort level prescribing medication and work collaboratively to monitor Jackie's mood
- C. Ask her to let you know if she changes her mind about seeing a psychiatrist and not pursue the issue any further for the time being.
- D. Recommend that she have a consultation with a reproductive psychiatrist if she wants to continue in therapy with you and give her the name and number of a psychiatrist that you collaborate with regularly.
Answer: B
NEW QUESTION # 70
80. What important psychosocial issues affect pregnancy outcomes'?
- A. Whether or not a pregnant person expects a male or female child
- B. Whether or not a pregnant person planned the current pregnancy
- C. Whether or not a pregnant person has chosen possible names for her baby
- D. Whether or not a pregnant person has other children
Answer: B
NEW QUESTION # 71
57. Which of the following can interfere with patient engagement and collaboration? (Select all that apply.)
- A. Lack of family support
- B. Low-cost therapy
- C. Telemental health providers
- D. Stigma and poor self-worth
- E. Childcare provided at the treatment site
Answer: A,D
NEW QUESTION # 72
76. What is a known adverse developmental effect of perinatal malnutrition for an infant?
- A. Fragile X syndrome
- B. Compromised autoimmune outcomes
- C. Poor neuro-cognitive outcomes
- D. Cerebral palsy
Answer: C
NEW QUESTION # 73
28. What is an appropriate indicator for performing a contraction stress test?
- A. Increased fetal movement and small for gestational age
- B. Maternal diabetes mellitus and postmaturity
- C. History of preterm labor and intrauterine growth restriction
- D. Adolescent pregnancy and poor prenatal care
Answer: B
NEW QUESTION # 74
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