PMH-C Perinatal Loss & Grief

Question 1

Which term best describes the death of a fetus at or after 20 weeks of gestation, prior to birth?

Accepted Answer

Stillbirth

Answer

Miscarriage

Answer

Neonatal death

Answer

Perinatal loss

Question 2

According to Kübler-Ross's grief model, which of the following is NOT one of the five stages of grief?

Accepted Answer

Isolation

Answer

Denial

Answer

Bargaining

Answer

Acceptance

Question 3

A patient who experienced a stillbirth 8 months ago continues to have persistent yearning, difficulty accepting the death, and bitterness that impairs daily functioning. This best describes:

Accepted Answer

Prolonged grief disorder

Answer

Major depressive disorder

Answer

Adjustment disorder

Answer

Acute stress reaction

Question 4

When supporting a family after a perinatal loss, which of the following practices is generally recommended by bereavement specialists?

Accepted Answer

Offering parents the choice to see, hold, and name the baby

Answer

Discouraging the parents from seeing or holding the baby

Answer

Removing the baby from the room immediately to minimize distress

Answer

Advising parents to plan another pregnancy as soon as possible

Question 5

A mother in the NICU whose premature infant dies after two weeks describes feeling guilty that she was unable to protect her baby. This reaction is:

Accepted Answer

A common component of perinatal grief that warrants compassionate support

Answer

Abnormal and requires immediate psychiatric referral

Answer

Evidence of underlying personality disorder

Answer

Indicative of postpartum psychosis

Question 6

Which assessment tool is specifically designed to screen for complicated grief or prolonged grief disorder in bereaved individuals?

Accepted Answer

Inventory of Complicated Grief (ICG)

Answer

Edinburgh Postnatal Depression Scale (EPDS)

Answer

Beck Anxiety Inventory (BAI)

Answer

Perinatal Grief Scale (PGS)

Question 7

Which of the following is a key difference between grief and depression in the context of perinatal loss?

Accepted Answer

In grief, mood often fluctuates and positive emotions can coexist; depression tends to involve persistent pervasive low mood

Answer

Grief never includes feelings of sadness, while depression always does

Answer

Depression resolves spontaneously within six weeks; grief does not

Answer

Grief responds to antidepressants while depression does not