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Postpartum Support International PMHC Exam Syllabus Topics:

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

Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 4. A primiparous woman is in the taking-in stage of psychosocial recovery and adjustment following birth.
Recognizing the needs of women during this stage, the nurse should:

A) provide time for the mother to reflect on the events of and her behavior during childbirth.
B) foster an active role in the baby's care.
C) promote maternal independence by encouraging her to meet her own hygiene and comfort needs.
D) recognize the woman's limited attention span by giving her written materials to read when she gets home rather than doing a teaching session now.


2. 6. In follow-up appointments or visits with parents and their new baby, it may be useful if the nurse can identify parental behaviors that can either facilitate or inhibit attachment. What is a facilitating behavior?

A) The parents hover around the infant, directing attention to and pointing at the infant.
B) The parents do not move from fingertip touch to palmar contact and holding.
C) The parents have difficulty naming the infant.
D) The parents make no effort to interpret the actions or needs of the infant.


3. 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) therapeutic communication.
B) active listening.
C) strengths-based, stepped-care treatment planning.
D) patient-centered, collaborative treatment planning.


4. 12. Postpartum depression symptoms are similar to ________ symptoms.

A) Anorexia Nervosa
B) Borderline Personality
C) Bipolar Disorder
D) Depression unrelated to childbirth


5. 15. Why is postpartum depression commonly a missed or under diagnosed problem?

A) A, C
B) B, C
C) Providers do not take reports from patients seriously
D) All of the above
E) Symptoms are masked by common experiences of new mothers (lack of sleep, etc.)
F) Women do not report symptoms
G) None of the above
H) A, B


Solutions:

Question # 1
Answer: A
Question # 2
Answer: A
Question # 3
Answer: D
Question # 4
Answer: D
Question # 5
Answer: A

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