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Postpartum Support International Perinatal Mental Health Certification Sample Questions:

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

2. 82. Which of the following infant outcomes can result from untreated antepartum depression?

A) Elevated heart rate
B) Jaundice
C) Large for gestational age
D) Low birth weight

3. 31. When making a visit to the home of a postpartum woman 1 week after birth, the nurse should recognize that the woman would characteristically:

A) exhibit a reduced attention span, limiting readiness to learn.
B) have reestablished her role as a spouse/partner.
C) express a strong need to review events and her behavior during the process of labor and birth.
D) vacillate between the desire to have her own nurturing needs met and the need to take charge of her own care and that of her newborn.

4. 72. Untreated anxiety during pregnancy may lead to which pregnancy outcome?

A) Increased fetal head circumference
B) Reduced gestational weight
C) Reduced fetal activity
D) Increased gestational weight

5. 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 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.
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 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.
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.

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