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Last Updated: Sep 16, 2026

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Postpartum Support International PMHC Exam Syllabus Topics:

SectionObjectives
Topic 1: Clinical Assessment and Screening- Screening tools and evaluation
  • 1. Perinatal mental health screening practices
    • 2. Suicide and safety risk assessment
      Topic 2: Treatment and Intervention- Pharmacology in perinatal mental health
      • 1. Medication safety during pregnancy and lactation
        - Therapeutic approaches
        • 1. Evidence-based psychotherapy approaches
          • 2. Crisis intervention and stabilization
            Topic 3: Ethics, Culture, and Systems of Care- Cultural competence and disparities
            • 1. Health equity in maternal mental health
              - Ethical practice in perinatal mental health
              • 1. Professional boundaries and confidentiality
                Topic 4: Perinatal Mental Health Foundations- Risk and protective factors
                • 1. Protective factors and resilience
                  • 2. Biopsychosocial risk factors
                    - Perinatal mood and anxiety disorders (PMADs)
                    • 1. Postpartum depression and related conditions
                      • 2. Depression and anxiety during perinatal period

                        Postpartum Support International Perinatal Mental Health Certification Sample Questions:

                        Question #1

                        46. Perinatal Obsessive-Compulsive Disorder (OCD):

                        • A. is associated with the "baby blues".
                        • B. results in postpartum psychosis.
                        • C. involves re-experiencing traumatic events.
                        • D. is often co-morbid with depression
                        Reveal Solution  Discussion  0

                        Correct Answer: D  🗳️

                        Question #2

                        62. 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: After assessing Aliya, you move to treatment planning You seek Aliya's participation in the process, help her explore the treatment options, and assess her values and preferences before reaching a decision together This process is called:

                        • A. strengths-based, stepped-care treatment planning.
                        • B. active listening.
                        • C. therapeutic communication.
                        • D. patient-centered, collaborative treatment planning.
                        Reveal Solution  Discussion  0

                        Correct Answer: D  🗳️

                        Question #3

                        89. Which of the following factors carries the highest risk for developing perinatal depression?

                        • A. Unintended pregnancy
                        • B. The "baby blues"
                        • C. Personal history of depression
                        • D. Mother's birth order
                        Reveal Solution  Discussion  0

                        Correct Answer: C  🗳️

                        Question #4

                        95. Which of the following describe psychological interventions developed and empirically validated specifically for the perinatal population? (Select all that apply.)

                        • A. Group interventions for pregnant and postpartum mothers
                        • B. Couples interventions focused on mother and her partner
                        • C. Dyadic interventions focused on mother and infant
                        • D. Psychodynamic interventions focused on mother and her family of origin
                        Reveal Solution  Discussion  0

                        Correct Answer: A,B,C  🗳️

                        Question #5

                        10. When helping a woman cope with postpartum blues, the nurse should offer what appropriate suggestions?
                        (Select all that apply.)

                        • A. Asking for help will not foster independence.
                        • B. Use La Leche League or community mental health centers.
                        • C. The father should take over care of the baby, because postpartum blues are exclusively a female problem.
                        • D. Plan to get out of the house occasionally.
                        • E. Get plenty of rest.
                        Reveal Solution  Discussion  0

                        Correct Answer: B,D,E  🗳️

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