PMH-C Perinatal Loss & Grief 3

Question 1

Which population experiences particularly high rates of stillbirth in the United States, reflecting systemic health disparities?

Accepted Answer

Black/African American women

Answer

Black/African American women experience stillbirth at approximately twice the rate of White non-Hispanic women in the US, reflecting significant racial health disparities.

Question 2

A PMH-C clinician is conducting a bereavement follow-up visit 6 weeks after a patient's stillbirth. Which of the following is the LEAST appropriate action?

Accepted Answer

Telling the patient she should be 'moving on' by now

Answer

Telling a bereaved parent they should be 'moving on' after only 6 weeks is invalidating and clinically inappropriate, as grief after stillbirth typically lasts much longer.

Question 3

Traumatic grief following perinatal loss often includes which of the following PTSD-like symptoms?

Accepted Answer

Intrusive memories, avoidance, and hyperarousal related to the loss

Answer

Traumatic grief can include PTSD-like symptoms such as intrusive memories of the loss, avoidance of reminders, and hyperarousal, especially after sudden or traumatic perinatal deaths.

Question 4

Which of the following best describes the concept of 'continuing bonds' in contemporary grief theory?

Accepted Answer

An ongoing, evolving relationship with the deceased that is compatible with healthy grieving

Answer

Contemporary grief theory recognizes that maintaining an ongoing inner relationship with the deceased—continuing bonds—is compatible with and can support healthy adaptation to loss.

Question 5

A patient terminated a pregnancy due to a fetal anomaly diagnosis and presents with guilt and grief. Which statement best guides the clinician's approach?

Accepted Answer

Termination for medical reasons (TFMR) constitutes a significant loss that deserves the same compassionate grief support as other perinatal losses

Answer

TFMR is a significant perinatal loss associated with profound grief, guilt, and trauma, warranting the same compassionate and evidence-based grief support as other losses.

(PMH-C) Perinatal Mental Health Certification Practice Test

(PMH-C) Perinatal Mental Health Certification Practice Test

PMH-C Perinatal Loss & Grief 3