Study with PMHC Actual Test Questions

107. Which of the following is considered a social support intervention?

• A. Dyadic intervention
• B. Partner assisted therapy
• C. Helpline
• D. Light therapy

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. Inform her she has to see a psychiatrist because psychotropic medications during pregnancy are high- risk.
• C. 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.
• 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.

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

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

28. What is an appropriate indicator for performing a contraction stress test?

• A. Increased fetal movement and small for gestational age
• B. History of preterm labor and intrauterine growth restriction
• C. Maternal diabetes mellitus and postmaturity
• D. Adolescent pregnancy and poor prenatal care