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Postpartum Support International PMHC : Perinatal Mental Health Certification
- Exam Code: PMHC
- Exam Name: Perinatal Mental Health Certification
- Updated: Oct 02, 2026
About Postpartum Support International PMHC Exam
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Postpartum Support International PMHC Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Cultural and Ethical Considerations | - Culturally Informed Care
|
| Topic 2: Perinatal Mental Health Disorders | - Mood Disorders
|
| Topic 3: Treatment and Intervention | - Care Coordination
|
| Topic 4: Screening and Assessment | - Assessment Methods
|
| Topic 5: Perinatal Mental Health Risks and Protective Factors | - Biological Risk Factors
|
Postpartum Support International Perinatal Mental Health Certification Sample Questions:
Question #1
2. 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. recognize this as a behavior of the taking-hold stage.
- B. record the behavior as ineffective maternal-newborn attachment.
- C. tell the woman she can rest after she feeds her baby.
- D. take the baby back to the nursery, reassuring the woman that her rest is a priority at this time.
Correct Answer: D 🗳️
Question #2
88. Prenatal massage has been shown to:
- A. decrease estrogen levels in pregnant women
- B. increase prenatal complications.
- C. reduce depression and anxiety
- D. increase incidences of prematurity and low birth weight
Correct Answer: C 🗳️
Question #3
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. Vivid dreams
- B. Increased thirst during the night
- C. Restless Legs Syndrome (RLS)
- D. Increased blood pressure
Correct Answer: D 🗳️
Question #4
6. In follow-up appointments or visits with parents and their new baby, it may be useful if the nurse can identify parental behaviors that can either facilitate or inhibit attachment. What is a facilitating behavior?
- A. The parents make no effort to interpret the actions or needs of the infant.
- B. The parents do not move from fingertip touch to palmar contact and holding.
- C. The parents have difficulty naming the infant.
- D. The parents hover around the infant, directing attention to and pointing at the infant.
Correct Answer: D 🗳️
Question #5
68. Which one of the following is correct regarding the link between Adverse Childhood Events (ACEs) and postpartum depression?
- A. ACEs are risk factors for postpartum depression.
- B. There is no link between ACEs and postpartum depression
- C. People with postpartum depression have lower ACEs scores.
- D. ACEs are protective factors for postpartum depression
Correct Answer: A 🗳️
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