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Last Updated: Jun 15, 2026

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Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 99. Which of the following is a normal change during pregnancy?

A) Water retention decreases
B) Respiratory rate decreases
C) Blood pressure remains constant
D) Plasma volume increases


2. 97. Which of the following represents an effect of untreated mood disorder on the mother-infant dyad?

A) Increased bonding with the infant
B) Cognitive changes in the infant
C) Extended breastfeeding of the infant
D) Preference for father by infant


3. 89. Which of the following factors carries the highest risk for developing perinatal depression?

A) Unintended pregnancy
B) Mother's birth order
C) Personal history of depression
D) The "baby blues"


4. 71. A reliable web-based support for a mother who is struggling with perinatal mental health is:

A) participating in an unmoderated online chat room for new moms
B) completing an online Cognitive-Behavioral Therapy (CBT) intervention.
C) web search for "perinatal mood disorders".
D) joining a general online mothers group.


5. 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) 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.
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) Inform her she has to see a psychiatrist because psychotropic medications during pregnancy are high- risk.


Solutions:

Question # 1
Answer: D
Question # 2
Answer: B
Question # 3
Answer: C
Question # 4
Answer: B
Question # 5
Answer: A

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