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Last Updated: Aug 22, 2026

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Postpartum Support International PMHC Exam Syllabus Topics:

SectionObjectives
Topic 1: Perinatal Mental Health Foundations- Perinatal mood and anxiety disorders (PMADs)
  • 1. Depression and anxiety during perinatal period
    • 2. Postpartum depression and related conditions
      - Risk and protective factors
      • 1. Protective factors and resilience
        • 2. Biopsychosocial risk factors
          Topic 2: Treatment and Intervention- Pharmacology in perinatal mental health
          • 1. Medication safety during pregnancy and lactation
            - Therapeutic approaches
            • 1. Evidence-based psychotherapy approaches
              • 2. Crisis intervention and stabilization
                Topic 3: Ethics, Culture, and Systems of Care- Cultural competence and disparities
                • 1. Health equity in maternal mental health
                  - Ethical practice in perinatal mental health
                  • 1. Professional boundaries and confidentiality
                    Topic 4: Clinical Assessment and Screening- Screening tools and evaluation
                    • 1. Suicide and safety risk assessment
                      • 2. Perinatal mental health screening practices

                        Postpartum Support International Perinatal Mental Health Certification Sample Questions:

                        1. 79. Untreated prolonged depression and anxiety in pregnancy can have effects on obstetrical outcomes that include:

                        A) higher rates of vacuum-assisted delivery
                        B) reduced infant Apgar scores.
                        C) increased risk of birth defects
                        D) reduced gestational age


                        2. 92. "Postpartum Blues" is distinguished from postpartum depression by severity, duration, and which of the following?

                        A) Environment
                        B) History
                        C) Timing
                        D) Support


                        3. 82. Which of the following infant outcomes can result from untreated antepartum depression?

                        A) Elevated heart rate
                        B) Low birth weight
                        C) Jaundice
                        D) Large for gestational age


                        4. 73. Lesbian and gay couples transitioning to parenthood after adoption are at increased risk for depression.
                        Which of the following is NOT a protective measure?

                        A) Perceived workplace support
                        B) Living in a gay-friendly neighborhood
                        C) Relationship quality
                        D) High socio-economic status


                        5. 72. Untreated anxiety during pregnancy may lead to which pregnancy outcome?

                        A) Reduced gestational weight
                        B) Reduced fetal activity
                        C) Increased fetal head circumference
                        D) Increased gestational weight


                        Solutions:

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

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