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Postpartum Support International PMHC Exam Syllabus Topics:

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

Postpartum Support International Perinatal Mental Health Certification Sample Questions:

8. When working with parents who have some form of sensory impairment, nurses should consider which information when writing a plan of care?

  • A. Visually impaired mothers cannot overcome the infant's need for eye-to-eye contact
  • B. Childbirth education and other materials are available in Braille.
  • C. The best approach for the nurse is to assess the parents' capabilities rather than focusing on their disabilities
  • D. One of the major difficulties visually impaired parents experience is the skepticism of health care professionals
  • E. Technologic advances, including the Internet, can provide deaf parents with a full range of parenting activities and information
Reveal Solution  Discussion  0

Correct Answer: B,C,D,E  🗳️

45. Which of these factors has been found to have the MOST impact on whether screening for perinatal depression improves materna mental health?

  • A. Selecting women to screen who have known risk factors for perinatal depression
  • B. Developing a systematic follow-up of all positive screens with assessment and access to treatment
  • C. Screening at least once every trimester of pregnancy and once within six weeks postpartum
  • D. Using the Edinburgh Postnatal Depression Scale (EPDS) rather than other screening tools
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

60. Prenatal anxiety:

  • A. is more common in higher socio-economic groups.
  • B. does not affect the fetus.
  • C. is most effectively treated with increased physical activity.
  • D. affects up to 20% of women.
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

36. 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.
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

1. When making a visit to the home of a postpartum woman 1 week after birth, the nurse should recognize that the woman would characteristically:

  • A. express a strong need to review events and her behavior during the process of labor and birth.
  • B. exhibit a reduced attention span, limiting readiness to learn.
  • C. have reestablished her role as a spouse/partner.
  • D. vacillate between the desire to have her own nurturing needs met and the need to take charge of her own care and that of her newborn.
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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