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Postpartum Support International PMHC Exam Syllabus Topics:

Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 27. A woman who is at 36 weeks of gestation is having a nonstress test. Which statement indicates her correct understanding of the test?

A) "I will need to have a full bladder for the test to be done accurately."
B) "This test observes for fetal activity and an acceleration of the fetal heart rate to determine the well- being of the baby."
C) "This test will help to determine whether the baby has Down syndrome or a neural tube defect."
D) "I should have my husband drive me home after the test because I may be nauseated."

2. 24. A 40-year-old woman with a high body mass index (BMI) is 10 weeks pregnant. Which diagnostic tool is appropriate to suggest to her at this time?

A) Amniocentesis
B) Maternal serum alpha-fetoprotein (MSAFP)
C) Biophysical profile
D) Transvaginal ultrasound

3. 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 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.
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'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.

4. 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) tell the woman she can rest after she feeds her baby.
C) recognize this as a behavior of the taking-hold stage.
D) take the baby back to the nursery, reassuring the woman that her rest is a priority at this time.

5. 15. Why is postpartum depression commonly a missed or under diagnosed problem?

A) Symptoms are masked by common experiences of new mothers (lack of sleep, etc.)
B) B, C
C) A, C
D) A, B
E) None of the above
F) Providers do not take reports from patients seriously
G) Women do not report symptoms
H) All of the above

Solutions: