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Last 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. Suicide and safety risk assessment
    • 2. Perinatal mental health screening practices
      Topic 2: Perinatal Mental Health Foundations- Perinatal mood and anxiety disorders (PMADs)
      • 1. Depression and anxiety during perinatal period
        • 2. Postpartum depression and related conditions
          - Risk and protective factors
          • 1. Biopsychosocial risk factors
            • 2. Protective factors and resilience
              Topic 3: Treatment and Intervention- Pharmacology in perinatal mental health
              • 1. Medication safety during pregnancy and lactation
                - Therapeutic approaches
                • 1. Evidence-based psychotherapy approaches
                  • 2. Crisis intervention and stabilization
                    Topic 4: 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

                        Postpartum Support International Perinatal Mental Health Certification Sample Questions:

                        1. 34. 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) 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.
                        B) promote maternal independence by encouraging her to meet her own hygiene and comfort needs.
                        C) provide time for the mother to reflect on the events of and her behavior during childbirth.
                        D) foster an active role in the baby's care.


                        2. 95. Which of the following describe psychological interventions developed and empirically validated specifically for the perinatal population? (Select all that apply.)

                        A) Dyadic interventions focused on mother and infant
                        B) Couples interventions focused on mother and her partner
                        C) Psychodynamic interventions focused on mother and her family of origin
                        D) Group interventions for pregnant and postpartum mothers


                        3. 66. Which of the following mood stabilizing medications is associated with the GREATEST risk of congenital malformations in exposed fetuses?

                        A) olanzapine (Zyprexa)
                        B) valproate (Depakote)
                        C) lamotngine (Lamictal)
                        D) quetiapine (Seroquel)


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


                        5. 55. When compared to mothers who are not anxious or depressed, mothers with PMADs are more likely to describe their babies as:

                        A) unattractive
                        B) good sleepers.
                        C) fussy and difficult to soothe.
                        D) happy and even-tempered


                        Solutions:

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

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