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Postpartum Support International PMHC Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Psychopharmacology | 9% | - Breastfeeding and medication use - Medication safety in pregnancy and postpartum - Risks vs benefits of treatment |
| Evidence-Based Psychotherapy Approaches | 9% | - Interventions for specific disorders - CBT, IPT, psychodynamic therapies - Trauma-informed care |
| Care Coordination and Systems of Care | 6% | - Referral pathways and care transitions - Public health and policy - Interprofessional collaboration |
| Legal, Ethical and Professional Issues | 7% | - Mandatory reporting and liability - Scope of practice and boundaries - Confidentiality and informed consent |
| Risk Factors and Etiology | 10% | - Psychosocial and environmental factors - Biological and hormonal factors - Trauma and history of mental illness |
| Recovery and Wellness | 5% | - Self-care and provider wellness - Relapse prevention and maintenance |
| Family and Partner Support | 7% | - Support systems and community resources - Involving family in treatment - Impact on partners and family |
| Cultural and Diversity Considerations | 8% | - Disparities in access and care - LGBTQ+ and marginalized populations - Cultural beliefs and practices |
| Perinatal Mental Health Disorders | 14% | - Differentiate typical vs atypical presentations - Diagnostic criteria and classification - Typical emotional, cognitive, behavioral changes |
| Special Populations and Circumstances | 8% | - Pregnancy loss, infertility, perinatal grief - High-risk pregnancies and complications - Substance use and co-occurring conditions |
| Screening, Assessment and Diagnosis | 12% | - Clinical interview and assessment methods - Validated screening tools - Differential diagnosis and comorbidity |
| Prevention and Early Intervention | 5% | - Early identification and intervention - Universal and targeted prevention |
Postpartum Support International Perinatal Mental Health Certification Sample Questions:
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. 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.
- B. exhibit a reduced attention span, limiting readiness to learn.
- C. express a strong need to review events and her behavior during the process of labor and birth.
- D. have reestablished her role as a spouse/partner.
Correct Answer: A 🗳️
32. Four hours after a difficult labor and birth, a primiparous woman refuses to feed her baby, stating that she is too tired and just wants to sleep. The nurse should:
- A. tell the woman she can rest after she feeds her baby.
- B. take the baby back to the nursery, reassuring the woman that her rest is a priority at this time.
- C. record the behavior as ineffective maternal-newborn attachment.
- D. recognize this as a behavior of the taking-hold stage.
Correct Answer: B 🗳️
41. Which of the following screening tools would be helpful to determine trauma history as part of perinatal mood disorder risk assessment?
- A. ACES Questionnaire
- B. Healthy Living Questionnaire
- C. C-SSRS Questionnaire
- D. CAGE-AID Questionnaire
Correct Answer: A 🗳️
103. Electroconvulsive Therapy (ECT) during pregnancy:
- A. is considered to be relatively safe.
- B. is less risky than taking medication.
- C. should not be considered as a treatment option.
- D. has no associated risks.
Correct Answer: B 🗳️
7. Which statement regarding postpartum depression (PPD) is essential for the nurse to be aware of when attempting to formulate a plan of care?
- A. Only mental health professionals should teach new parents about this condition.
- B. PPD can easily go undetected.
- C. This syndrome affects only new mothers.
- D. PPD symptoms are consistently severe.
Correct Answer: B 🗳️
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