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Updated: Aug 21, 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. Crisis intervention and stabilization
          • 2. Evidence-based psychotherapy approaches
            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:

                        1. 73. Lesbian and gay couples transitioning to parenthood after adoption are at increased risk for depression.
                        Which of the following is NOT a protective measure?

                        A) High socio-economic status
                        B) Living in a gay-friendly neighborhood
                        C) Relationship quality
                        D) Perceived workplace support


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

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


                        3. 102. You are a mandated reporter for suspected child abuse You have a postpartum mother who describes an incident between her and her child that you are not sure is reportable in response, you should:

                        A) report it because you have to keep the child safe
                        B) contact the mother's partner and ask her/him to report the incident.
                        C) not report it because you don't want to cause undue stress on the mother.
                        D) call the protective services line to consult


                        4. 42. Which of the following collaborative care models focuses on adjusting the treatment intensity to the severity and presentation of postpartum depression?

                        A) Motivational interviewing
                        B) Integrative care
                        C) Stepped care
                        D) Screen and refer


                        5. 101. Which of the following collaborative care models focuses on adjusting the treatment intensity to the severity and presentation of postpartum depression?

                        A) Motivational interviewing
                        B) Integrative care
                        C) Stepped care
                        D) Screen and refer


                        Solutions:

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

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