PMH-C Maternal Well-being & Emotional Support 3

Question 1

A client with a history of bipolar I disorder becomes pregnant. What is the primary clinical concern regarding her perinatal risk?

Accepted Answer

High risk of postpartum psychosis and mood episode recurrence

Answer

Increased risk of gestational diabetes due to mood stabilizers

Answer

Guaranteed relapse requiring hospitalization during pregnancy

Answer

Risk is identical to the general population with proper monitoring

Question 2

Which of the following is a recognized risk factor for developing perinatal anxiety disorders specifically (not depression)?

Accepted Answer

History of miscarriage or pregnancy loss

Answer

Low socioeconomic status

Answer

Multiparity

Answer

Advanced maternal age without complications

Question 3

During a postpartum home visit, a provider observes a mother who appears disheveled, speaks rapidly about receiving special messages from the television, and has not slept in 3 days. The priority intervention is:

Accepted Answer

Arrange immediate psychiatric evaluation and ensure infant safety

Answer

Schedule outpatient psychiatric follow-up in one week

Answer

Provide psychoeducation about postpartum blues

Answer

Recommend sleep hygiene strategies and reassess in 48 hours

Question 4

A client at 10 weeks postpartum discloses she experienced sexual trauma prior to pregnancy. How might this history specifically affect her postpartum experience?

Accepted Answer

It may increase risk of PTSD symptoms, particularly if birth felt out of her control

Answer

It has no specific impact if the birth was uncomplicated

Answer

It only affects her relationship with female providers

Answer

Trauma history is irrelevant after the postpartum period begins

Question 5

Interpersonal therapy (IPT) adapted for postpartum depression primarily targets which domain?

Accepted Answer

Role transitions and relationship changes associated with new parenthood

Answer

Cognitive distortions about parenting adequacy

Answer

Unconscious conflicts about maternal identity

Answer

Behavioral activation and pleasant event scheduling

Question 6

A perinatal mental health specialist is counseling a couple where the birthing parent has postpartum depression. What is the evidence-based recommendation regarding the non-birthing partner?

Accepted Answer

Partners should also be screened as they have elevated rates of depression

Answer

Partners are not at risk and need no screening

Answer

Partner support is helpful but formal partner screening is unnecessary

Answer

Only partners who are primary caregivers need assessment

Question 7

Which statement best describes the relationship between breastfeeding difficulties and postpartum mental health?

Accepted Answer

Breastfeeding difficulties are associated with increased postpartum depression risk

Answer

Breastfeeding always protects against postpartum depression due to oxytocin release

Answer

The relationship between breastfeeding and mood is not clinically significant

Answer

Bottle-feeding universally worsens maternal mental health outcomes