Exam Name: Perinatal Mental Health Certification
Certification Provider: Postpartum Support International
Corresponding Certification: PSI-PMHC
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Check Updated on: Oct 03, 2026
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Postpartum Support International PMHC Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Legal, Ethical and Professional Issues | 7% | - Confidentiality and informed consent - Mandatory reporting and liability - Scope of practice and boundaries |
| Special Populations and Circumstances | 8% | - Substance use and co-occurring conditions - Pregnancy loss, infertility, perinatal grief - High-risk pregnancies and complications |
| Screening, Assessment and Diagnosis | 12% | - Validated screening tools - Differential diagnosis and comorbidity - Clinical interview and assessment methods |
| Family and Partner Support | 7% | - Involving family in treatment - Impact on partners and family - Support systems and community resources |
| Risk Factors and Etiology | 10% | - Biological and hormonal factors - Trauma and history of mental illness - Psychosocial and environmental factors |
| Perinatal Mental Health Disorders | 14% | - Diagnostic criteria and classification - Typical emotional, cognitive, behavioral changes - Differentiate typical vs atypical presentations |
| Evidence-Based Psychotherapy Approaches | 9% | - CBT, IPT, psychodynamic therapies - Trauma-informed care - Interventions for specific disorders |
| Cultural and Diversity Considerations | 8% | - Disparities in access and care - Cultural beliefs and practices - LGBTQ+ and marginalized populations |
| Psychopharmacology | 9% | - Breastfeeding and medication use - Risks vs benefits of treatment - Medication safety in pregnancy and postpartum |
| Care Coordination and Systems of Care | 6% | - Public health and policy - Interprofessional collaboration - Referral pathways and care transitions |
| Prevention and Early Intervention | 5% | - Early identification and intervention - Universal and targeted prevention |
| Recovery and Wellness | 5% | - Relapse prevention and maintenance - Self-care and provider wellness |
Postpartum Support International Perinatal Mental Health Certification Sample Questions:
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. record the behavior as ineffective maternal-newborn attachment.
- B. take the baby back to the nursery, reassuring the woman that her rest is a priority at this time.
- C. tell the woman she can rest after she feeds her baby.
- D. recognize this as a behavior of the taking-hold stage.
Correct Answer: B 🗳️
30. A nurse is providing instruction for an obstetrical patient to perform a daily fetal movement count (DFMC). Which instructions could be included in the plan of care? Select all that apply.Which one do you like?
- A. The fetal alarm signal is reached when there are no fetal movements noted for 5 hours.
- B. Count all fetal movements in a 12-hour period daily until 10 fetal movements are noted.
- C. Monitor fetal activity two times a day either after meals or before bed for a period of 2 hours or until 10 fetal movements are noted.
- D. The patient can monitor fetal activity once daily for a 60-minute period and note activity.
Correct Answer: B,C,D 🗳️
17. Which best describe Postpartum Depression?
- A. More serious problem requiring followup and treatment from provider
- B. Symptoms requiring immediate treatment
- C. Feelings of sadness during the first two weeks postpartum
Correct Answer: A 🗳️
93. Which of the following statements is true for the Edinburgh Postnatal Depression Scale (EPDS)?
- A. EPDS screens for depression in perinatal women.
- B. EPDS is diagnostic of perinatal mood disorders.
- C. EPDS uses questions that follow the DSM-5.
- D. EPDS must be administered by medical staff.
Correct Answer: A 🗳️
79. Untreated prolonged depression and anxiety in pregnancy can have effects on obstetrical outcomes that include:
- A. reduced gestational age
- B. reduced infant Apgar scores.
- C. higher rates of vacuum-assisted delivery
- D. increased risk of birth defects
Correct Answer: A 🗳️
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