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Postpartum Support International PMHC Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Prevention and Early Intervention | 5% | - Universal and targeted prevention - Early identification and intervention |
| Topic 2: Special Populations and Circumstances | 8% | - Substance use and co-occurring conditions - Pregnancy loss, infertility, perinatal grief - High-risk pregnancies and complications |
| Topic 3: Psychopharmacology | 9% | - Breastfeeding and medication use - Risks vs benefits of treatment - Medication safety in pregnancy and postpartum |
| Topic 4: Care Coordination and Systems of Care | 6% | - Referral pathways and care transitions - Public health and policy - Interprofessional collaboration |
| Topic 5: Family and Partner Support | 7% | - Involving family in treatment - Impact on partners and family - Support systems and community resources |
| Topic 6: Recovery and Wellness | 5% | - Self-care and provider wellness - Relapse prevention and maintenance |
| Topic 7: Evidence-Based Psychotherapy Approaches | 9% | - Trauma-informed care - Interventions for specific disorders - CBT, IPT, psychodynamic therapies |
| Topic 8: Cultural and Diversity Considerations | 8% | - LGBTQ+ and marginalized populations - Cultural beliefs and practices - Disparities in access and care |
| Topic 9: Screening, Assessment and Diagnosis | 12% | - Validated screening tools - Clinical interview and assessment methods - Differential diagnosis and comorbidity |
| Topic 10: Legal, Ethical and Professional Issues | 7% | - Mandatory reporting and liability - Confidentiality and informed consent - Scope of practice and boundaries |
| Topic 11: Perinatal Mental Health Disorders | 14% | - Differentiate typical vs atypical presentations - Typical emotional, cognitive, behavioral changes - Diagnostic criteria and classification |
| Topic 12: Risk Factors and Etiology | 10% | - Biological and hormonal factors - Trauma and history of mental illness - Psychosocial and environmental factors |
Postpartum Support International Perinatal Mental Health Certification Sample Questions:
44. What is the MOST comprehensive way to diagnose for the presence of paternal Perinatal Mood and Anxiety Disorders (PMADs)?
- A. Ask questions about family history of mental health or substance abuse
- B. Ask if there have been any thoughts about self-harm
- C. Administer the Edinburgh Postnatal Depression Scale (EPDS).
- D. Complete clinical interviews with the father and partner if applicable
Correct Answer: A 🗳️
49. Jenny is eight months postpartum. She reports feeling agitated and irritable with difficulty falling asleep; racing thoughts, and excessive concerns about the baby She statesr ""Sometimes, it feels like I can't breathe with chest pams; rapid heart rate, numbness or tingling. I feel like I'm going crazy" Which perinatal mental health disorder does the clinical presentation and features demonstrate?
- A. Perinatal Bipolar Disorder
- B. Perinatal Anxiety Disorder
- C. Perinatal Psychosis Disorder
- D. Perinatal Depression
Correct Answer: B 🗳️
40. When helping a woman cope with postpartum blues, the nurse should offer what appropriate suggestions?
(Select all that apply.)
- A. Get plenty of rest.
- B. The father should take over care of the baby, because postpartum blues are exclusively a female problem.
- C. Plan to get out of the house occasionally.
- D. Asking for help will not foster independence.
- E. Use La Leche League or community mental health centers.
Correct Answer: A,C,E 🗳️
43. Which of the following situations would require a referral to the nearest emergency department for urgent psychiatric evaluation of suspected postpartum psychosis?
- A. A new mother discloses that her life has been so stressful since the baby's arrival that she has thoughts of wanting to "escape'1 and get her old. pre-motherhood life back.
- B. A new mother reports she spends a great deal of time worrying that she will accidentally drop or otherwise harm her baby and is fearful of being left home alone with him.
- C. A new mother's partner states she has become increasingly paranoid and accusatory toward him and others and on several occasions has called the baby by the wrong name.
- D. A new mother completes a routine depression screen in her doctors office and indicates that she
"sometimes" has thoughts of harming herself.
Correct Answer: C 🗳️
27. A woman who is at 36 weeks of gestation is having a nonstress test. Which statement indicates her correct understanding of the test?
- A. "This test will help to determine whether the baby has Down syndrome or a neural tube defect."
- B. "I will need to have a full bladder for the test to be done accurately."
- C. "I should have my husband drive me home after the test because I may be nauseated."
- D. "This test observes for fetal activity and an acceleration of the fetal heart rate to determine the well- being of the baby."
Correct Answer: D 🗳️
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Vicky 
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Christopher 
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Amy 
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