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Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 25. A nurse providing care for the antepartum woman should understand that the contraction stress test (CST):

A) Sometimes uses vibroacoustic stimulation.
B) Is more effective than nonstress test (NST) if the membranes have already been ruptured.
C) Is considered to have a negative result if no late decelerations are observed with the contractions.
D) Is an invasive test; however. contractions are stimulated.

2. 39. The maternity nurse promoting parental-infant attachment should incorporate which appropriate cultural beliefs into the plan of care? (Select all that apply.)

A) Japanese mothers rest for the first 2 months after childbirth.
B) Jordanian mothers have a 40-day lying-in after birth.
C) Encourage Hispanics to eat plenty of fish and pork to increase vitamin intake.
D) Asian mothers are encouraged to return to work as soon as possible.
E) Encourage Vietnamese mothers to cuddle with the newborn.

3. 1. 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) 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.
B) exhibit a reduced attention span, limiting readiness to learn.
C) have reestablished her role as a spouse/partner.
D) express a strong need to review events and her behavior during the process of labor and birth.

4. 63. 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: Which of the following common problems during pregnancy would NOT significantly affect Aliya's sleep?

A) Increased blood pressure
B) Restless Legs Syndrome (RLS)
C) Increased thirst during the night
D) Vivid dreams

5. 55. When compared to mothers who are not anxious or depressed, mothers with PMADs are more likely to describe their babies as:

A) unattractive
B) happy and even-tempered
C) fussy and difficult to soothe.
D) good sleepers.

Solutions: