無料Postpartum Support International PMHCテスト練習問題試験問題集 [Q36-Q60]

無料Postpartum Support International PMHCテスト練習問題試験問題集

試験準備には欠かさない！トップクラスのPostpartum Support International PMHC試験最新版アプリ学習ガイドで練習

質問 # 36
103. Electroconvulsive Therapy (ECT) during pregnancy:

A. should not be considered as a treatment option.
B. has no associated risks.
C. is less risky than taking medication.
D. is considered to be relatively safe.

正解：C

質問 # 37
29. The nurse sees a woman for the first time when she is 30 weeks pregnant. The woman has smoked throughout the pregnancy, and fundal height measurements now are suggestive of growth restriction in the fetus. In addition to ultrasound to measure fetal size, what would be another tool useful in confirming the diagnosis?

A. Contraction stress test (CST)
B. Amniocentesis
C. Daily fetal movement counts
D. Doppler blood flow analysis

正解：D

質問 # 38
49. Jenny is eight months postpartum. She reports feeling agitated and irritable with difficulty falling asleep; racing thoughts, and excessive concerns about the baby She statesr ""Sometimes, it feels like I can't breathe with chest pams; rapid heart rate, numbness or tingling. I feel like I'm going crazy" Which perinatal mental health disorder does the clinical presentation and features demonstrate?

A. Perinatal Bipolar Disorder
B. Perinatal Depression
C. Perinatal Psychosis Disorder
D. Perinatal Anxiety Disorder

正解：D

質問 # 39
73. Lesbian and gay couples transitioning to parenthood after adoption are at increased risk for depression.
Which of the following is NOT a protective measure?

A. Perceived workplace support
B. Living in a gay-friendly neighborhood
C. Relationship quality
D. High socio-economic status

正解：D

質問 # 40
70. What is the relationship between miscarriage and exposure to selective serotonin reuptake inhibitors (SSRI) during pregnancy?

A. Likely do not increase the risk
B. An increased risk of miscarriage
C. A decreased risk of miscarriage
D. Little research has been conducted

正解：A

質問 # 41
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. 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
B. 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.
C. Inform her she has to see a psychiatrist because psychotropic medications during pregnancy are high- risk.
D. 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.

正解：A

質問 # 42
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 make no effort to interpret the actions or needs of the infant.
B. The parents do not move from fingertip touch to palmar contact and holding.
C. The parents hover around the infant, directing attention to and pointing at the infant.
D. The parents have difficulty naming the infant.

正解：C

質問 # 43
77. As a healthcare provider what is an important factor in integrating cultural humility within your practice with mothers'?

A. Reviewing everything about your client's cultural experiences
B. Using your own values to guide your work with mothers
C. Basing your understanding of the client's worldview on her race, ethnicity and nationality
D. Ongoing self-reflection to better understand your own biases

正解：D

質問 # 44
94. Which of the following medications is an atypical antipsychotic?

A. Sertraline (Zoloft)
B. Fluoxetine (Prozac)
C. Quetiapine (Seroquel)
D. Alprazolam (Xanax)

正解：C

質問 # 45
96. Mary Rose delivered her daughter 3 days ago and her milk has just come in. She has noticed that each time she begins to breastfeed she is overcome with sadness and extreme anxiety She finds herself tearful and is unsure what is happening Mary Rose is MOST likely experiencing:

A. D-MER
B. PMD.
C. POCD
D. PMAD.

正解：A

質問 # 46
37. Which statement regarding postpartum depression (PPD) is essential for the nurse to be aware of when attempting to formulate a plan of care?

A. PPD symptoms are consistently severe.
B. Only mental health professionals should teach new parents about this condition.
C. This syndrome affects only new mothers.
D. PPD can easily go undetected.

正解：D

質問 # 47
23. Which of the following is the most common kind of placental adherence seen in pregnant women?

A. Increta
B. Percreta
C. Placenta previa
D. Accreta

正解：D

質問 # 48
101. Which of the following collaborative care models focuses on adjusting the treatment intensity to the severity and presentation of postpartum depression?

A. Motivational interviewing
B. Screen and refer
C. Stepped care
D. Integrative care

正解：C

質問 # 49
57. Which of the following can interfere with patient engagement and collaboration? (Select all that apply.)

A. Childcare provided at the treatment site
B. Low-cost therapy
C. Lack of family support
D. Stigma and poor self-worth
E. Telemental health providers

正解：C、D

質問 # 50
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. Talks and coos to her son
B. Cuddles her son close to her
C. Tells visitors how well her son is feeding
D. Seldom makes eye contact with her son

正解：D

質問 # 51
16. What best describe Baby Blues?

A. Symptoms requiring immediate treatment
B. Feelings of sadness during the first two weeks postpartum
C. More serious problem requiring followup and treatment from provider

正解：B

質問 # 52
64. Which of the following statements about the transition to parenthood is correct?

A. There are not many helpful interventions for parents experiencing functional declines after baby
B. Parents with secure attachment patterns have greater post-birth declines in relationship functioning.
C. Relationship functioning does not tend to decline in same-sex couples after birth of baby
D. Relationship functioning declines for most couples after baby is born.

正解：D

質問 # 53
100. Which of the following screening tools would be helpful to determine trauma history as part of perinatal mood disorder risk assessment?

A. C-SSRS Questionnaire
B. ACES Questionnaire
C. CAGE-AID Questionnaire
D. Healthy Living Questionnaire

正解：B

質問 # 54
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?

A. The study examined 100 different possible birth defects and found an increased risk of one of these birth defects among babies whose mothers took antidepressants during pregnancy.
B. Exposure to medication was measured on the basis of whether the mother was prescribed antidepressants during her pregnancy according to her medical record.
C. Risk of a particular birth defect was doubled -2:10,000 among babies in the study whose mothers took antidepressants during pregnancy vs 1:10.000 among babies whose mothers did not take antidepressants during pregnancy
D. The study used a case-controlled design to control for maternal age, race, socioeconomic status, medical comorbidities, gravidity and parity.

正解：C

質問 # 55
59. Pregnancy alters a woman's physiology including the way that medications are utilized and distributed in the body Why is this important?

A. To minimize drug exposure until the second trimester
B. To monitor symptoms and adjust medication as needed
C. To increase the dose of all medications in the 3rd trimester
D. To continue the same dose of medication that was effective prior to pregnancy

正解：B

質問 # 56
47. Which of the following statements about the impact of stillbirth is supported by the research literature?

A. Complicated grief is not observed among parents following stillbirth.
B. Attending a support group has no effect on symptoms of psychological distress following a stillbirth.
C. Stillbirth is associated with increased psychological distress in a subsequent pregnancy
D. There has been no demonstrated effect of stillbirth on older, surviving siblings within the family

正解：C

質問 # 57
95. Which of the following describe psychological interventions developed and empirically validated specifically for the perinatal population? (Select all that apply.)