Postpartum Support International : PMHC Questions & Answers

Updated: Aug 06, 2026

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Postpartum Support International PMHC Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Screening, Assessment and Diagnosis12%- Clinical interview and assessment methods
- Validated screening tools
- Differential diagnosis and comorbidity
Topic 2: Evidence-Based Psychotherapy Approaches9%- Interventions for specific disorders
- CBT, IPT, psychodynamic therapies
- Trauma-informed care
Topic 3: Recovery and Wellness5%- Relapse prevention and maintenance
- Self-care and provider wellness
Topic 4: Legal, Ethical and Professional Issues7%- Confidentiality and informed consent
- Scope of practice and boundaries
- Mandatory reporting and liability
Topic 5: Psychopharmacology9%- Risks vs benefits of treatment
- Breastfeeding and medication use
- Medication safety in pregnancy and postpartum
Topic 6: Care Coordination and Systems of Care6%- Interprofessional collaboration
- Referral pathways and care transitions
- Public health and policy
Topic 7: Family and Partner Support7%- Impact on partners and family
- Involving family in treatment
- Support systems and community resources
Topic 8: Perinatal Mental Health Disorders14%- Typical emotional, cognitive, behavioral changes
- Differentiate typical vs atypical presentations
- Diagnostic criteria and classification
Topic 9: Prevention and Early Intervention5%- Early identification and intervention
- Universal and targeted prevention
Topic 10: Cultural and Diversity Considerations8%- Disparities in access and care
- LGBTQ+ and marginalized populations
- Cultural beliefs and practices
Topic 11: Risk Factors and Etiology10%- Trauma and history of mental illness
- Psychosocial and environmental factors
- Biological and hormonal factors
Topic 12: Special Populations and Circumstances8%- Pregnancy loss, infertility, perinatal grief
- Substance use and co-occurring conditions
- High-risk pregnancies and complications

Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 25. A nurse providing care for the antepartum woman should understand that the contraction stress test (CST):

A) Sometimes uses vibroacoustic stimulation.
B) Is an invasive test; however. contractions are stimulated.
C) Is more effective than nonstress test (NST) if the membranes have already been ruptured.
D) Is considered to have a negative result if no late decelerations are observed with the contractions.


2. 54. Postpartum psychosis:

A) usually resolves quickly without treatment.
B) usually begins after three months postpartum.
C) can be managed in an outpatient clinic.
D) is a medical emergency.


3. 97. Which of the following represents an effect of untreated mood disorder on the mother-infant dyad?

A) Preference for father by infant
B) Cognitive changes in the infant
C) Extended breastfeeding of the infant
D) Increased bonding with the infant


4. 93. Which of the following statements is true for the Edinburgh Postnatal Depression Scale (EPDS)?

A) EPDS must be administered by medical staff.
B) EPDS screens for depression in perinatal women.
C) EPDS is diagnostic of perinatal mood disorders.
D) EPDS uses questions that follow the DSM-5.


5. 87. A common FIRST symptom of postpartum psychosis is:

A) ego-dystonic intrusive thoughts
B) insomnia without fatigue
C) increased startle response
D) compulsions.


Solutions:

Question # 1
Answer: D
Question # 2
Answer: D
Question # 3
Answer: B
Question # 4
Answer: B
Question # 5
Answer: B

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