NM706 CERTIFICATION EVALUATION 2026
COMPLETE QUESTIONS AND ANSWERS
◉Case Study 4: Andy is a 21 y.o single mother of a difficult to soothe
3-month-old baby girl. She is living with her parents who are also
stressed by the frequently crying bouts. Andy admits during the
interview that she no longer has any interest or pleasure in doing
things she used to and has been feeling sad and angry a lot. She feels
like she is just going through the motions and has lost herself. Andy
completes the Edinburgh Postnatal depression scale (EPDS) with a
score of 15.
What are her treatment options:. Answer: Cognitive Behavioral
Therapy, Interpersonal Therapy- these are now available online
◉Case Study 4: Andy is a 21 y.o single mother of a difficult to soothe
3-month-old baby girl. She is living with her parents who are also
stressed by the frequently crying bouts. Andy admits during the
interview that she no longer has any interest or pleasure in doing
things she used to and has been feeling sad and angry a lot. She feels
like she is just going through the motions and has lost herself. Andy
completes the Edinburgh Postnatal depression scale (EPDS) with a
score of 15.
,What is a first line PPD medication:. Answer: SSRIs-most common
1st line-Zoloft more common for depression and anxiety
◉Case Study 4: Andy is a 21 y.o single mother of a difficult to soothe
3-month-old baby girl. She is living with her parents who are also
stressed by the frequently crying bouts. Andy admits during the
interview that she no longer has any interest or pleasure in doing
things she used to and has been feeling sad and angry a lot. She feels
like she is just going through the motions and has lost herself. Andy
completes the Edinburgh Postnatal depression scale (EPDS) with a
score of 15.
What dosage of SSRI would you start her on:. Answer: low dose 25
mg, increase to 50 mg after 4-7 days if she did not have an adverse
reaction
◉Case Study 4: Andy is a 21 y.o single mother of a difficult to soothe
3-month-old baby girl. She is living with her parents who are also
stressed by the frequently crying bouts. Andy admits during the
interview that she no longer has any interest or pleasure in doing
things she used to and has been feeling sad and angry a lot. She feels
like she is just going through the motions and has lost herself. Andy
completes the Edinburgh Postnatal depression scale (EPDS) with a
score of 15.
How often would you increase the SSRI and why. Answer: increase
dosage every 2 weeks if she does not hit the criteria of improvement.
, ◉Case Study 4: Andy is a 21 y.o single mother of a difficult to soothe
3-month-old baby girl. She is living with her parents who are also
stressed by the frequently crying bouts. Andy admits during the
interview that she no longer has any interest or pleasure in doing
things she used to and has been feeling sad and angry a lot. She feels
like she is just going through the motions and has lost herself. Andy
completes the Edinburgh Postnatal depression scale (EPDS) with a
score of 15.
How would you reevaluate her PPD symptoms. Answer: use the
same screening tool when screening for PPD
◉Case Study 4: Andy is a 21 y.o single mother of a difficult to soothe
3-month-old baby girl. She is living with her parents who are also
stressed by the frequently crying bouts. Andy admits during the
interview that she no longer has any interest or pleasure in doing
things she used to and has been feeling sad and angry a lot. She feels
like she is just going through the motions and has lost herself. Andy
completes the Edinburgh Postnatal depression scale (EPDS) with a
score of 15.
How would you counsel her on breastfeeding with SSRI's. Answer:
most part all is very compatible with breastfeeding. These are
undetectable in moms breast milk. Prozac and Celexa found in
breast milk but very small dosages. Very small possibility but can't
completely predict it- monitor baby for sedation like side effects and
COMPLETE QUESTIONS AND ANSWERS
◉Case Study 4: Andy is a 21 y.o single mother of a difficult to soothe
3-month-old baby girl. She is living with her parents who are also
stressed by the frequently crying bouts. Andy admits during the
interview that she no longer has any interest or pleasure in doing
things she used to and has been feeling sad and angry a lot. She feels
like she is just going through the motions and has lost herself. Andy
completes the Edinburgh Postnatal depression scale (EPDS) with a
score of 15.
What are her treatment options:. Answer: Cognitive Behavioral
Therapy, Interpersonal Therapy- these are now available online
◉Case Study 4: Andy is a 21 y.o single mother of a difficult to soothe
3-month-old baby girl. She is living with her parents who are also
stressed by the frequently crying bouts. Andy admits during the
interview that she no longer has any interest or pleasure in doing
things she used to and has been feeling sad and angry a lot. She feels
like she is just going through the motions and has lost herself. Andy
completes the Edinburgh Postnatal depression scale (EPDS) with a
score of 15.
,What is a first line PPD medication:. Answer: SSRIs-most common
1st line-Zoloft more common for depression and anxiety
◉Case Study 4: Andy is a 21 y.o single mother of a difficult to soothe
3-month-old baby girl. She is living with her parents who are also
stressed by the frequently crying bouts. Andy admits during the
interview that she no longer has any interest or pleasure in doing
things she used to and has been feeling sad and angry a lot. She feels
like she is just going through the motions and has lost herself. Andy
completes the Edinburgh Postnatal depression scale (EPDS) with a
score of 15.
What dosage of SSRI would you start her on:. Answer: low dose 25
mg, increase to 50 mg after 4-7 days if she did not have an adverse
reaction
◉Case Study 4: Andy is a 21 y.o single mother of a difficult to soothe
3-month-old baby girl. She is living with her parents who are also
stressed by the frequently crying bouts. Andy admits during the
interview that she no longer has any interest or pleasure in doing
things she used to and has been feeling sad and angry a lot. She feels
like she is just going through the motions and has lost herself. Andy
completes the Edinburgh Postnatal depression scale (EPDS) with a
score of 15.
How often would you increase the SSRI and why. Answer: increase
dosage every 2 weeks if she does not hit the criteria of improvement.
, ◉Case Study 4: Andy is a 21 y.o single mother of a difficult to soothe
3-month-old baby girl. She is living with her parents who are also
stressed by the frequently crying bouts. Andy admits during the
interview that she no longer has any interest or pleasure in doing
things she used to and has been feeling sad and angry a lot. She feels
like she is just going through the motions and has lost herself. Andy
completes the Edinburgh Postnatal depression scale (EPDS) with a
score of 15.
How would you reevaluate her PPD symptoms. Answer: use the
same screening tool when screening for PPD
◉Case Study 4: Andy is a 21 y.o single mother of a difficult to soothe
3-month-old baby girl. She is living with her parents who are also
stressed by the frequently crying bouts. Andy admits during the
interview that she no longer has any interest or pleasure in doing
things she used to and has been feeling sad and angry a lot. She feels
like she is just going through the motions and has lost herself. Andy
completes the Edinburgh Postnatal depression scale (EPDS) with a
score of 15.
How would you counsel her on breastfeeding with SSRI's. Answer:
most part all is very compatible with breastfeeding. These are
undetectable in moms breast milk. Prozac and Celexa found in
breast milk but very small dosages. Very small possibility but can't
completely predict it- monitor baby for sedation like side effects and
