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Postpartum Support International PMHC Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Perinatal Mental Health Disorders | 14% | - Differentiate typical vs atypical presentations - Diagnostic criteria and classification - Typical emotional, cognitive, behavioral changes |
| Topic 2: Family and Partner Support | 7% | - Support systems and community resources - Involving family in treatment - Impact on partners and family |
| Topic 3: Care Coordination and Systems of Care | 6% | - Interprofessional collaboration - Public health and policy - Referral pathways and care transitions |
| Topic 4: Special Populations and Circumstances | 8% | - Substance use and co-occurring conditions - High-risk pregnancies and complications - Pregnancy loss, infertility, perinatal grief |
| Topic 5: Psychopharmacology | 9% | - Risks vs benefits of treatment - Breastfeeding and medication use - Medication safety in pregnancy and postpartum |
| Topic 6: Risk Factors and Etiology | 10% | - Psychosocial and environmental factors - Biological and hormonal factors - Trauma and history of mental illness |
| Topic 7: Evidence-Based Psychotherapy Approaches | 9% | - Trauma-informed care - Interventions for specific disorders - CBT, IPT, psychodynamic therapies |
| Topic 8: Prevention and Early Intervention | 5% | - Universal and targeted prevention - Early identification and intervention |
| Topic 9: Cultural and Diversity Considerations | 8% | - Cultural beliefs and practices - Disparities in access and care - LGBTQ+ and marginalized populations |
| Topic 10: Legal, Ethical and Professional Issues | 7% | - Confidentiality and informed consent - Scope of practice and boundaries - Mandatory reporting and liability |
| Topic 11: Screening, Assessment and Diagnosis | 12% | - Validated screening tools - Differential diagnosis and comorbidity - Clinical interview and assessment methods |
| Topic 12: Recovery and Wellness | 5% | - Relapse prevention and maintenance - Self-care and provider wellness |
Postpartum Support International Perinatal Mental Health Certification Sample Questions:
44. What is the MOST comprehensive way to diagnose for the presence of paternal Perinatal Mood and Anxiety Disorders (PMADs)?
- A. Ask if there have been any thoughts about self-harm
- B. Ask questions about family history of mental health or substance abuse
- C. Administer the Edinburgh Postnatal Depression Scale (EPDS).
- D. Complete clinical interviews with the father and partner if applicable
Correct Answer: B 🗳️
27. A woman who is at 36 weeks of gestation is having a nonstress test. Which statement indicates her correct understanding of the test?
- A. "I will need to have a full bladder for the test to be done accurately."
- B. "I should have my husband drive me home after the test because I may be nauseated."
- C. "This test observes for fetal activity and an acceleration of the fetal heart rate to determine the well- being of the baby."
- D. "This test will help to determine whether the baby has Down syndrome or a neural tube defect."
Correct Answer: C 🗳️
87. A common FIRST symptom of postpartum psychosis is:
- A. compulsions.
- B. ego-dystonic intrusive thoughts
- C. insomnia without fatigue
- D. increased startle response
Correct Answer: C 🗳️
63. 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: Which of the following common problems during pregnancy would NOT significantly affect Aliya's sleep?
- A. Restless Legs Syndrome (RLS)
- B. Vivid dreams
- C. Increased thirst during the night
- D. Increased blood pressure
Correct Answer: D 🗳️
49. Jenny is eight months postpartum. She reports feeling agitated and irritable with difficulty falling asleep; racing thoughts, and excessive concerns about the baby She statesr ""Sometimes, it feels like I can't breathe with chest pams; rapid heart rate, numbness or tingling. I feel like I'm going crazy" Which perinatal mental health disorder does the clinical presentation and features demonstrate?
- A. Perinatal Anxiety Disorder
- B. Perinatal Depression
- C. Perinatal Bipolar Disorder
- D. Perinatal Psychosis Disorder
Correct Answer: A 🗳️
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