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Postpartum Support International PMHC Exam Syllabus Topics:

Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 26. In the past, factors to determine whether a woman was likely to have a high-risk pregnancy were evaluated primarily from a medical point of view. A broader, more comprehensive approach to high-risk pregnancy has been adopted. There are now four categories based on threats to the health of the woman and the outcome of pregnancy. Which of the options listed here is not included as a category?

A) Geographic
B) Psychosocial
C) Environmental
D) Biophysical

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

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

3. 30. A nurse is providing instruction for an obstetrical patient to perform a daily fetal movement count (DFMC). Which instructions could be included in the plan of care? Select all that apply.Which one do you like?

A) The fetal alarm signal is reached when there are no fetal movements noted for 5 hours.
B) Monitor fetal activity two times a day either after meals or before bed for a period of 2 hours or until 10 fetal movements are noted.
C) The patient can monitor fetal activity once daily for a 60-minute period and note activity.
D) Count all fetal movements in a 12-hour period daily until 10 fetal movements are noted.

4. 8. When working with parents who have some form of sensory impairment, nurses should consider which information when writing a plan of care?

A) The best approach for the nurse is to assess the parents' capabilities rather than focusing on their disabilities
B) Technologic advances, including the Internet, can provide deaf parents with a full range of parenting activities and information
C) One of the major difficulties visually impaired parents experience is the skepticism of health care professionals
D) Childbirth education and other materials are available in Braille.
E) Visually impaired mothers cannot overcome the infant's need for eye-to-eye contact

5. 52. Case Study Question
You are a perinatal therapist in a community-based private practice Jackie comes to see you early in the second trimester of her pregnancy after screening at-risk for depression on a routine mood screen in her obstetrician's office. When you assess her she meets diagnostic criteria for depression She has a history of depression that has responded well to selective serotonin reuptake inhibitors (SSRIs) in the past She does not want to take medication now, though, because she says she does not want to do anything that might harm her baby. She says she recently heard a radio news story describing a research study that found "high risks of birth defects" among babies whose mothers took SSRIs while they were pregnant.
Question: After a thorough discussion, Jackie becomes receptive to considering medication but is adamant that she does not want to see a psychiatrist. Which of the following is the BEST option for meeting Jackie's needs?

A) Ask her to sign a release so you can communicate with her Obstetrical provider's office to assess his or her comfort level prescribing medication and work collaboratively to monitor Jackie's mood
B) Ask her to let you know if she changes her mind about seeing a psychiatrist and not pursue the issue any further for the time being.
C) Inform her she has to see a psychiatrist because psychotropic medications during pregnancy are high- risk.
D) Recommend that she have a consultation with a reproductive psychiatrist if she wants to continue in therapy with you and give her the name and number of a psychiatrist that you collaborate with regularly.

Solutions: