- Exam Code: PMHC
- Exam Name: Perinatal Mental Health Certification
- Updated: Aug 15, 2026
- Q & A: 110 Questions and Answers
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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Care Coordination and Systems of Care | 6% | - Interprofessional collaboration - Referral pathways and care transitions - Public health and policy |
| Topic 2: Special Populations and Circumstances | 8% | - Pregnancy loss, infertility, perinatal grief - Substance use and co-occurring conditions - High-risk pregnancies and complications |
| Topic 3: Legal, Ethical and Professional Issues | 7% | - Scope of practice and boundaries - Mandatory reporting and liability - Confidentiality and informed consent |
| Topic 4: Screening, Assessment and Diagnosis | 12% | - Validated screening tools - Clinical interview and assessment methods - Differential diagnosis and comorbidity |
| Topic 5: Cultural and Diversity Considerations | 8% | - Cultural beliefs and practices - LGBTQ+ and marginalized populations - Disparities in access and care |
| Topic 6: Prevention and Early Intervention | 5% | - Universal and targeted prevention - Early identification and intervention |
| Topic 7: Evidence-Based Psychotherapy Approaches | 9% | - Trauma-informed care - Interventions for specific disorders - CBT, IPT, psychodynamic therapies |
| Topic 8: Recovery and Wellness | 5% | - Self-care and provider wellness - Relapse prevention and maintenance |
| Topic 9: Psychopharmacology | 9% | - Medication safety in pregnancy and postpartum - Risks vs benefits of treatment - Breastfeeding and medication use |
| Topic 10: Perinatal Mental Health Disorders | 14% | - Diagnostic criteria and classification - Typical emotional, cognitive, behavioral changes - Differentiate typical vs atypical presentations |
| Topic 11: Family and Partner Support | 7% | - Impact on partners and family - Support systems and community resources - Involving family in treatment |
| Topic 12: Risk Factors and Etiology | 10% | - Psychosocial and environmental factors - Trauma and history of mental illness - Biological and hormonal factors |
1. 35. The nurse observes several interactions between a postpartum woman and her new son. What behavior, if exhibited by this woman, does the nurse identify as a possible maladaptive behavior regarding parent-infant attachment?
A) Seldom makes eye contact with her son
B) Talks and coos to her son
C) Tells visitors how well her son is feeding
D) Cuddles her son close to her
2. 53. 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: You are not familiar with the study Jackie mentioned so you later locate the article online and read it Which of the following would increase your confidence that the study's claim of "high risks of birth defects'" among babies whose mothers took antidepressants while they were pregnant is valid?
A) The study examined 100 different possible birth defects and found an increased risk of one of these birth defects among babies whose mothers took antidepressants during pregnancy.
B) Exposure to medication was measured on the basis of whether the mother was prescribed antidepressants during her pregnancy according to her medical record.
C) The study used a case-controlled design to control for maternal age, race, socioeconomic status, medical comorbidities, gravidity and parity.
D) Risk of a particular birth defect was doubled -2:10,000 among babies in the study whose mothers took antidepressants during pregnancy vs 1:10.000 among babies whose mothers did not take antidepressants during pregnancy
3. 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.
4. 103. Electroconvulsive Therapy (ECT) during pregnancy:
A) has no associated risks.
B) is less risky than taking medication.
C) is considered to be relatively safe.
D) should not be considered as a treatment option.
5. 20. Removal of the child from the home is a common response to PPD diagnosis.
A) False
B) True
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: B | Question # 5 Answer: A |
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