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Postpartum Support International PMHC Exam Syllabus Topics:

Postpartum Support International Perinatal Mental Health Certification Sample Questions:

Question 1

108. A client exhibits the following symptoms fatigue, weight gain, muscle aches: depression, slowed heart rate, and impaired memory Which medical condition is often mislabeled as a Perinatal Mood and Anxiety Disorder (PMAD) and needs to be ruled out?

A. Gestational diabetes
B. Migraines
C. Preeclampsia
D. Hypothyroidism

Question 2

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

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

Question 3

84. In women who have postpartum depression which one of the following areas of functioning is MOST likely to be maintained?

A. Infant care
B. Social functioning
C. Self-care
D. Household functioning

Question 4

43. Which of the following situations would require a referral to the nearest emergency department for urgent psychiatric evaluation of suspected postpartum psychosis?

A. A new mother discloses that her life has been so stressful since the baby's arrival that she has thoughts of wanting to "escape'1 and get her old. pre-motherhood life back.
B. A new mother's partner states she has become increasingly paranoid and accusatory toward him and others and on several occasions has called the baby by the wrong name.
C. A new mother completes a routine depression screen in her doctors office and indicates that she
"sometimes" has thoughts of harming herself.
D. A new mother reports she spends a great deal of time worrying that she will accidentally drop or otherwise harm her baby and is fearful of being left home alone with him.

Question 5

86. You are working in an outpatient pediatric care setting and encounter a new mother who screens positive for depression and reports symptoms consistent with a depressive episode of moderate severity You provide her with counseling referrals but she says she does not have time to attend counseling and intends to use a self- guided web-based intervention instead. Which of the following statements represents your BEST response?

A. Seek a psychiatric consultation based on concerns that this mother may be delusional for thinking her symptoms can be helped by a self-guided web-based intervention and document your rationale for seeking consultation.
B. Inform the mother that web-based interventions are unproven and may do more harm than good: advise her that you cannot support her in this decision, and document your concerns
C. Assess the mother to be certain there are no active symptoms of suicidally, mania or psychosis, ask her to identify the web-based intervention she intends to use, advise her to call you if her symptoms worsen, and document these steps
D. Tell the mother she should only use a web-based intervention in conjunction with counseling/therapy, offer to help her set up an initial appointment with a therapist before she leaves your office, and document your concerns.

Solutions: