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Postpartum Support International PMHC Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Screening, Assessment and Diagnosis | 12% | - Differential diagnosis and comorbidity - Validated screening tools - Clinical interview and assessment methods |
| Perinatal Mental Health Disorders | 14% | - Typical emotional, cognitive, behavioral changes - Differentiate typical vs atypical presentations - Diagnostic criteria and classification |
| Cultural and Diversity Considerations | 8% | - Cultural beliefs and practices - Disparities in access and care - LGBTQ+ and marginalized populations |
| Evidence-Based Psychotherapy Approaches | 9% | - Interventions for specific disorders - CBT, IPT, psychodynamic therapies - Trauma-informed care |
| Special Populations and Circumstances | 8% | - Substance use and co-occurring conditions - Pregnancy loss, infertility, perinatal grief - High-risk pregnancies and complications |
| Care Coordination and Systems of Care | 6% | - Interprofessional collaboration - Public health and policy - Referral pathways and care transitions |
| Legal, Ethical and Professional Issues | 7% | - Confidentiality and informed consent - Mandatory reporting and liability - Scope of practice and boundaries |
| Recovery and Wellness | 5% | - Relapse prevention and maintenance - Self-care and provider wellness |
| Psychopharmacology | 9% | - Medication safety in pregnancy and postpartum - Breastfeeding and medication use - Risks vs benefits of treatment |
| Family and Partner Support | 7% | - Support systems and community resources - Involving family in treatment - Impact on partners and family |
| Prevention and Early Intervention | 5% | - Universal and targeted prevention - Early identification and intervention |
| Risk Factors and Etiology | 10% | - Psychosocial and environmental factors - Biological and hormonal factors - Trauma and history of mental illness |
Postpartum Support International Perinatal Mental Health Certification Sample Questions:
63. Case Study
Aliya is currently pregnant with her second child at 25 weeks gestation Her first child is 20 months old. She is coming to you to help her decide if what she is experiencing is normal for pregnancy or if she is having symptoms of a perinatal mood disorder. During her interview, she describes poor sleep, increased tearfulness, low energy, and irritability. She states that her first child sleeps well and is not interrupting her sleep, and that she is not waking up due to increased urination or physical discomforts of pregnancy. She reports that she has not ever been as tearful as she is now, including during her previous postpartum period She states that she has been tested by her obstetrician (OB) care provider for anemia and thyroid dysfunction and her lab results were normal. She is noticing that her irritability is affecting her relationship with her partner She worries that she is
"pushing him away:" even though he is trying to be supportive.
Question: Which of the following common problems during pregnancy would NOT significantly affect Aliya's sleep?
- A. Restless Legs Syndrome (RLS)
- B. Vivid dreams
- C. Increased thirst during the night
- D. Increased blood pressure
Correct Answer: D 🗳️
50. Which of the following conditions describes unpleasant feelings and sadness experienced by lactatmg persons just before and during "let-down"?
- A. Overabundant milk supply
- B. Rapid let-down
- C. Dysphoric milk ejection reflex
- D. Mastitis
Correct Answer: C 🗳️
46. Perinatal Obsessive-Compulsive Disorder (OCD):
- A. is often co-morbid with depression
- B. involves re-experiencing traumatic events.
- C. is associated with the "baby blues".
- D. results in postpartum psychosis.
Correct Answer: A 🗳️
56. What percentage of fathers experience moderate to severe postpartum depression?
- A. 10%
- B. 25%
- C. 1%
- D. 5%
Correct Answer: A 🗳️
54. Postpartum psychosis:
- A. is a medical emergency.
- B. can be managed in an outpatient clinic.
- C. usually resolves quickly without treatment.
- D. usually begins after three months postpartum.
Correct Answer: A 🗳️
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