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  • Total Questions: 110
  • Updated on: Aug 04, 2026
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Postpartum Support International PMHC Exam Syllabus Topics:

SectionObjectives
Topic 1: Perinatal Mental Health Foundations- Perinatal mood and anxiety disorders (PMADs)
  • 1. Postpartum depression and related conditions
    • 2. Depression and anxiety during perinatal period
      - Risk and protective factors
      • 1. Biopsychosocial risk factors
        • 2. Protective factors and resilience
          Topic 2: 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 3: 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 4: Clinical Assessment and Screening- Screening tools and evaluation
                    • 1. Suicide and safety risk assessment
                      • 2. Perinatal mental health screening practices

                        Postpartum Support International Perinatal Mental Health Certification Sample Questions:

                        1. 89. Which of the following factors carries the highest risk for developing perinatal depression?

                        A) Mother's birth order
                        B) Personal history of depression
                        C) The "baby blues"
                        D) Unintended pregnancy


                        2. 25. A nurse providing care for the antepartum woman should understand that the contraction stress test (CST):

                        A) Is more effective than nonstress test (NST) if the membranes have already been ruptured.
                        B) Sometimes uses vibroacoustic stimulation.
                        C) Is considered to have a negative result if no late decelerations are observed with the contractions.
                        D) Is an invasive test; however. contractions are stimulated.


                        3. 21. Which behaviors would be exhibited during the letting-go phase of maternal role adaptation. Select all that apply.

                        A) Emergence of family unit
                        B) Defining one's individual roles
                        C) Being talkative and excited about becoming a mother
                        D) Dependent behaviors
                        E) Sexual intimacy relationship continuing


                        4. 99. Which of the following is a normal change during pregnancy?

                        A) Blood pressure remains constant
                        B) Respiratory rate decreases
                        C) Plasma volume increases
                        D) Water retention decreases


                        5. 50. Which of the following conditions describes unpleasant feelings and sadness experienced by lactatmg persons just before and during "let-down"?

                        A) Mastitis
                        B) Dysphoric milk ejection reflex
                        C) Overabundant milk supply
                        D) Rapid let-down


                        Solutions:

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

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