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Postpartum Support International PMHC Exam Syllabus Topics:

SectionObjectives
Topic 1: Screening and Assessment- Assessment Methods
  • 1. Clinical interviewing
  • 2. Use of validated screening tools
- Differential Diagnosis
  • 1. Mood and anxiety disorders
  • 2. Psychosis and bipolar disorders
Topic 2: Perinatal Mental Health Risks and Protective Factors- Biological Risk Factors
  • 1. Hormonal and reproductive influences
  • 2. Medical and psychiatric history
- Psychosocial Risk Factors
  • 1. Trauma and adverse experiences
  • 2. Family and relationship stressors
Topic 3: Cultural and Ethical Considerations- Culturally Informed Care
  • 1. Equity and inclusion
  • 2. Cultural humility in treatment
- Professional Practice
  • 1. Ethical standards
  • 2. Scope of practice
Topic 4: Perinatal Mental Health Disorders- Anxiety and Related Disorders
  • 1. Obsessive-compulsive disorders
  • 2. Generalized anxiety and panic disorders
- Mood Disorders
  • 1. Perinatal depression
  • 2. Bipolar spectrum disorders
- Trauma and Loss
  • 1. Perinatal grief and loss
  • 2. Birth trauma
Topic 5: Treatment and Intervention- Pharmacological Treatment
  • 1. Medication considerations during pregnancy
  • 2. Lactation and medication safety
- Psychotherapeutic Approaches
  • 1. Interpersonal psychotherapy
  • 2. Cognitive behavioral interventions
- Care Coordination
  • 1. Crisis intervention and safety planning
  • 2. Referral and multidisciplinary collaboration

Postpartum Support International Perinatal Mental Health Certification Sample Questions:

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 completes a routine depression screen in her doctors office and indicates that she
    "sometimes" has thoughts of harming herself.
  • B. 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.
  • 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 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.
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

9. The maternity nurse promoting parental-infant attachment should incorporate which appropriate cultural beliefs into the plan of care? (Select all that apply.)

  • A. Asian mothers are encouraged to return to work as soon as possible.
  • B. Encourage Vietnamese mothers to cuddle with the newborn.
  • C. Japanese mothers rest for the first 2 months after childbirth.
  • D. Jordanian mothers have a 40-day lying-in after birth.
  • E. Encourage Hispanics to eat plenty of fish and pork to increase vitamin intake.
Reveal Solution  Discussion  0

Correct Answer: C,D  🗳️

22. While making a visit to the home of a postpartum woman 1 week after birth, the nurse should recognize that the woman would characteristically:

  • A. Have reestablished her role as a spouse or partner.
  • B. Exhibit a reduced attention span. limiting readiness to learn.
  • C. Vacillate between the desire to have her own nurturing needs met and the need to take charge of her own care and that of her newborn.
  • D. Express a strong need to review the events and her behavior during the process of labor and birth.
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

99. Which of the following is a normal change during pregnancy?

  • A. Respiratory rate decreases
  • B. Plasma volume increases
  • C. Water retention decreases
  • D. Blood pressure remains constant
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

51. Which symptoms are included under the diagnostic criteria for PPD?

  • A. Hallucinations, delusions, low mood
  • B. Low mood, fatigue, sleep disturbance
  • C. Sleep disturbance appetite changes, hallucinations
  • D. Appetite changes, low mood, delusions
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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