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Postpartum Support International PMHC Exam Syllabus Topics:

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

Postpartum Support International Perinatal Mental Health Certification Sample Questions:

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

A) Use La Leche League or community mental health centers.
B) Asking for help will not foster independence.
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.


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

A) Use La Leche League or community mental health centers.
B) Asking for help will not foster independence.
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.


3. 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'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.
C) 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.
D) A new mother completes a routine depression screen in her doctors office and indicates that she
"sometimes" has thoughts of harming herself.


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

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


5. 48. Which of the following statements BEST defines bibliotherapy as a form of treatment for perinatal depression?

A) Using selected passages from the Bible for spiritual support
B) Reading books as a distraction from depressing thoughts
C) Using structured books for guided self-help
D) Reading fictionalized accounts of perinatal depression in support groups


Solutions:

Question # 1
Answer: A,D,E
Question # 2
Answer: A,D,E
Question # 3
Answer: B
Question # 4
Answer: A
Question # 5
Answer: C

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