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Postpartum Support International PMHC Exam Syllabus Topics:

Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 61. 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: In the scenario. Aliya is describing increased tearfulness. Her symptoms occur daily for the last two weeks and are affecting her functioning. In addition to depressed mood, what other symptom would she need in order to meet the criteria of DSM-5 diagnosis of Major Depressive Disorder, with peripartum onset?

A) Psychomotor retardation
B) Excessive guilt
C) Anhedonia
D) Suicidal ideation

2. 45. Which of these factors has been found to have the MOST impact on whether screening for perinatal depression improves materna mental health?

A) Screening at least once every trimester of pregnancy and once within six weeks postpartum
B) Developing a systematic follow-up of all positive screens with assessment and access to treatment
C) Using the Edinburgh Postnatal Depression Scale (EPDS) rather than other screening tools
D) Selecting women to screen who have known risk factors for perinatal depression

3. 23. Which of the following is the most common kind of placental adherence seen in pregnant women?

A) Placenta previa
B) Increta
C) Percreta
D) Accreta

4. 77. As a healthcare provider what is an important factor in integrating cultural humility within your practice with mothers'?

A) Reviewing everything about your client's cultural experiences
B) Ongoing self-reflection to better understand your own biases
C) Using your own values to guide your work with mothers
D) Basing your understanding of the client's worldview on her race, ethnicity and nationality

5. 52. Case Study Question
You are a perinatal therapist in a community-based private practice Jackie comes to see you early in the second trimester of her pregnancy after screening at-risk for depression on a routine mood screen in her obstetrician's office. When you assess her she meets diagnostic criteria for depression She has a history of depression that has responded well to selective serotonin reuptake inhibitors (SSRIs) in the past She does not want to take medication now, though, because she says she does not want to do anything that might harm her baby. She says she recently heard a radio news story describing a research study that found "high risks of birth defects" among babies whose mothers took SSRIs while they were pregnant.
Question: After a thorough discussion, Jackie becomes receptive to considering medication but is adamant that she does not want to see a psychiatrist. Which of the following is the BEST option for meeting Jackie's needs?

A) Recommend that she have a consultation with a reproductive psychiatrist if she wants to continue in therapy with you and give her the name and number of a psychiatrist that you collaborate with regularly.
B) Ask her to sign a release so you can communicate with her Obstetrical provider's office to assess his or her comfort level prescribing medication and work collaboratively to monitor Jackie's mood
C) Inform her she has to see a psychiatrist because psychotropic medications during pregnancy are high- risk.
D) Ask her to let you know if she changes her mind about seeing a psychiatrist and not pursue the issue any further for the time being.

Solutions: