Pass the Postpartum Support International PSI-PMHC PMHC Questions and answers with ExamsMirror

61. Case Study

Aliya is currently pregnant with her second child at 25 weeks gestation Her first child is 20 months old. She is coming to you to help her decide if what she is experiencing is normal for pregnancy or if she is having symptoms of a perinatal mood disorder. During her interview, she describes poor sleep, increased tearfulness, low energy, and irritability. She states that her first child sleeps well and is not interrupting her sleep, and that she is not waking up due to increased urination or physical discomforts of pregnancy. She reports that she has not ever been as tearful as she is now, including during her previous postpartum period She states that she has been tested by her obstetrician (OB) care provider for anemia and thyroid dysfunction and her lab results were normal. She is noticing that her irritability is affecting her relationship with her partner She worries that she is "pushing him away:" even though he is trying to be supportive.

Question: In the scenario. Aliya is describing increased tearfulness. Her symptoms occur daily for the last two weeks and are affecting her functioning. In addition to depressed mood, what other symptom would she need in order to meet the criteria of DSM-5 diagnosis of Major Depressive Disorder, with peripartum onset?

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:

79. Untreated prolonged depression and anxiety in pregnancy can have effects on obstetrical outcomes that include:

12. Postpartum depression symptoms are similar to ________ symptoms.

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

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?

20. Removal of the child from the home is a common response to PPD diagnosis.

18. Including the support person in postpartum depression education creates a barrier to recognizing postpartum depression.

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?

19. Risk factors for postpartum depression include: (CHOOSE ALL THAT APPLY)