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Postpartum Support International PMHC Exam Syllabus Topics:

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

Postpartum Support International Perinatal Mental Health Certification Sample Questions:

Question 1

67. Which evidence based brief screening tool has been proven valid in identifying perinatal depression in adolescent mothers?

A. Postpartum Depression Screening Scale (PDSS)
B. Edinburgh Postnatal Depression Scale-2 (EPDS-2)
C. Mood Disorder Questionnaire (MDQ)
D. Patient Health Questionnaire-2 (PHQ-2)

Question 2

102. You are a mandated reporter for suspected child abuse You have a postpartum mother who describes an incident between her and her child that you are not sure is reportable in response, you should:

A. contact the mother's partner and ask her/him to report the incident.
B. not report it because you don't want to cause undue stress on the mother.
C. call the protective services line to consult
D. report it because you have to keep the child safe

Question 3

25. A nurse providing care for the antepartum woman should understand that the contraction stress test (CST):

A. Is an invasive test; however. contractions are stimulated.
B. Is more effective than nonstress test (NST) if the membranes have already been ruptured.
C. Is considered to have a negative result if no late decelerations are observed with the contractions.
D. Sometimes uses vibroacoustic stimulation.

Question 4

61. Case Study
Aliya is currently pregnant with her second child at 25 weeks gestation Her first child is 20 months old. She is coming to you to help her decide if what she is experiencing is normal for pregnancy or if she is having symptoms of a perinatal mood disorder. During her interview, she describes poor sleep, increased tearfulness, low energy, and irritability. She states that her first child sleeps well and is not interrupting her sleep, and that she is not waking up due to increased urination or physical discomforts of pregnancy. She reports that she has not ever been as tearful as she is now, including during her previous postpartum period She states that she has been tested by her obstetrician (OB) care provider for anemia and thyroid dysfunction and her lab results were normal. She is noticing that her irritability is affecting her relationship with her partner She worries that she is
"pushing him away:" even though he is trying to be supportive.
Question: In the scenario. Aliya is describing increased tearfulness. Her symptoms occur daily for the last two weeks and are affecting her functioning. In addition to depressed mood, what other symptom would she need in order to meet the criteria of DSM-5 diagnosis of Major Depressive Disorder, with peripartum onset?

A. Psychomotor retardation
B. Suicidal ideation
C. Excessive guilt
D. Anhedonia

Question 5

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

A. Respiratory rate decreases
B. Water retention decreases
C. Blood pressure remains constant
D. Plasma volume increases

Solutions:

Question 1
Answer: D

Question 2
Answer: C

Question 3
Answer: C

Question 4
Answer: D

Question 5
Answer: D