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PMHC Perinatal Mental Health Certification Questions and Answers

Questions 4

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

Options:

A.

Reduced fetal activity

B.

Increased gestational weight

C.

Increased fetal head circumference

D.

Reduced gestational weight

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Questions 5

41. Which of the following screening tools would be helpful to determine trauma history as part of perinatal mood disorder risk assessment?

Options:

A.

Healthy Living Questionnaire

B.

ACES Questionnaire

C.

CAGE-AID Questionnaire

D.

C-SSRS Questionnaire

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Questions 6

103. Electroconvulsive Therapy (ECT) during pregnancy:

Options:

A.

is less risky than taking medication.

B.

is considered to be relatively safe.

C.

should not be considered as a treatment option.

D.

has no associated risks.

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Questions 7

69. franscranial Magnetic Stimulation (TMS) falls into which category as a treatment for mood disorders?

Options:

A.

Emerging

B.

First line

C.

Common

D.

High Risk

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Questions 8

11. Mothers that have experienced postpartum depression in the past have a decreased risk for postpartum depression in the future.

Options:

A.

True

B.

False

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Questions 9

37. Which statement regarding postpartum depression (PPD) is essential for the nurse to be aware of when attempting to formulate a plan of care?

Options:

A.

PPD symptoms are consistently severe.

B.

This syndrome affects only new mothers.

C.

PPD can easily go undetected.

D.

Only mental health professionals should teach new parents about this condition.

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Questions 10

50. Which of the following conditions describes unpleasant feelings and sadness experienced by lactatmg persons just before and during " let-down " ?

Options:

A.

Dysphoric milk ejection reflex

B.

Rapid let-down

C.

Overabundant milk supply

D.

Mastitis

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Questions 11

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?

Options:

A.

Exposure to medication was measured on the basis of whether the mother was prescribed antidepressants during her pregnancy according to her medical record.

B.

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

C.

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.

D.

The study used a case-controlled design to control for maternal age, race, socioeconomic status, medical comorbidities, gravidity and parity.

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Questions 12

5. 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?

Options:

A.

Talks and coos to her son

B.

Seldom makes eye contact with her son

C.

Cuddles her son close to her

D.

Tells visitors how well her son is feeding

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Questions 13

3. Parents can facilitate the adjustment of their other children to a new baby by:

Options:

A.

having the children choose or make a gift to give to the new baby on its arrival home.

B.

emphasizing activities that keep the new baby and other children together.

C.

having the mother carry the new baby into the home so she can show him or her to the other children.

D.

reducing stress on other children by limiting their involvement in the care of the new baby.

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Questions 14

59. Pregnancy alters a woman ' s physiology including the way that medications are utilized and distributed in the body Why is this important?

Options:

A.

To continue the same dose of medication that was effective prior to pregnancy

B.

To monitor symptoms and adjust medication as needed

C.

To increase the dose of all medications in the 3rd trimester

D.

To minimize drug exposure until the second trimester

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Questions 15

46. Perinatal Obsessive-Compulsive Disorder (OCD):

Options:

A.

is associated with the " baby blues " .

B.

involves re-experiencing traumatic events.

C.

is often co-morbid with depression

D.

results in postpartum psychosis.

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Questions 16

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

Options:

A.

Preference for father by infant

B.

Cognitive changes in the infant

C.

Increased bonding with the infant

D.

Extended breastfeeding of the infant

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Questions 17

75. The " baby blues " has a prevalence rate as high as:

Options:

A.

25%

B.

40%

C.

65%.

D.

80%.

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Questions 18

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?

Options:

A.

Biophysical profile

B.

Amniocentesis

C.

Maternal serum alpha-fetoprotein (MSAFP)

D.

Transvaginal ultrasound

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Questions 19

39. The maternity nurse promoting parental-infant attachment should incorporate which appropriate cultural beliefs into the plan of care? (Select all that apply.)

Options:

A.

Asian mothers are encouraged to return to work as soon as possible.

B.

Jordanian mothers have a 40-day lying-in after birth.

C.

Japanese mothers rest for the first 2 months after childbirth.

D.

Encourage Hispanics to eat plenty of fish and pork to increase vitamin intake.

E.

Encourage Vietnamese mothers to cuddle with the newborn.

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Questions 20

23. Which of the following is the most common kind of placental adherence seen in pregnant women?

Options:

A.

Accreta

B.

Placenta previa

C.

Percreta

D.

Increta

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Questions 21

71. A reliable web-based support for a mother who is struggling with perinatal mental health is:

Options:

A.

participating in an unmoderated online chat room for new moms

B.

completing an online Cognitive-Behavioral Therapy (CBT) intervention.

C.

web search for " perinatal mood disorders " .

D.

joining a general online mothers group.

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Questions 22

105. Which of the following MUST be included in peer support?

Options:

A.

An accessible format

B.

A manual-based treatment

C.

A licensed psychologist

D.

A certified health provider

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Questions 23

80. What important psychosocial issues affect pregnancy outcomes ' ?

Options:

A.

Whether or not a pregnant person has other children

B.

Whether or not a pregnant person expects a male or female child

C.

Whether or not a pregnant person has chosen possible names for her baby

D.

Whether or not a pregnant person planned the current pregnancy

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Questions 24

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?

Options:

A.

The fetal alarm signal is reached when there are no fetal movements noted for 5 hours.

B.

The patient can monitor fetal activity once daily for a 60-minute period and note activity.

C.

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.

D.

Count all fetal movements in a 12-hour period daily until 10 fetal movements are noted.

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Questions 25

34. A primiparous woman is in the taking-in stage of psychosocial recovery and adjustment following birth. Recognizing the needs of women during this stage, the nurse should:

Options:

A.

foster an active role in the baby ' s care.

B.

provide time for the mother to reflect on the events of and her behavior during childbirth.

C.

recognize the woman ' s limited attention span by giving her written materials to read when she gets home rather than doing a teaching session now.

D.

promote maternal independence by encouraging her to meet her own hygiene and comfort needs.

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Questions 26

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

Options:

A.

One of the major difficulties visually impaired parents experience is the skepticism of health care professionals

B.

Visually impaired mothers cannot overcome the infant’s need for eye-to-eye contact

C.

The best approach for the nurse is to assess the parents’ capabilities rather than focusing on their disabilities

D.

Technologic advances, including the Internet, can provide deaf parents with a full range of parenting activities and information

E.

Childbirth education and other materials are available in Braille.

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Questions 27

81. Which of the following screening tools is MOST commonly used to assess perinatal individuals?

Options:

A.

The EPDS (Edinburgh Postnatal Depression Scale)

B.

The Ham-D (Hamilton Depression Rating Scale)

C.

The BPRS (Brief Psychiatric Rating Scale)

D.

MADRS (Montgomery-Asberg Depression Rating Scale)

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Questions 28

68. Which one of the following is correct regarding the link between Adverse Childhood Events (ACEs) and postpartum depression?

Options:

A.

There is no link between ACEs and postpartum depression

B.

ACEs are risk factors for postpartum depression.

C.

ACEs are protective factors for postpartum depression

D.

People with postpartum depression have lower ACEs scores.

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Questions 29

45. Which of these factors has been found to have the MOST impact on whether screening for perinatal depression improves materna mental health?

Options:

A.

Using the Edinburgh Postnatal Depression Scale (EPDS) rather than other screening tools

B.

Screening at least once every trimester of pregnancy and once within six weeks postpartum

C.

Developing a systematic follow-up of all positive screens with assessment and access to treatment

D.

Selecting women to screen who have known risk factors for perinatal depression

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Questions 30

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

Options:

A.

Women do not report symptoms

B.

Providers do not take reports from patients seriously

C.

Symptoms are masked by common experiences of new mothers (lack of sleep, etc.)

D.

All of the above

E.

A, B

F.

A, C

G.

B, C

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Questions 31

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?

Options:

A.

Perceived workplace support

B.

Living in a gay-friendly neighborhood

C.

Relationship quality

D.

High socio-economic status

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Questions 32

60. Prenatal anxiety:

Options:

A.

is more common in higher socio-economic groups.

B.

does not affect the fetus.

C.

affects up to 20% of women.

D.

is most effectively treated with increased physical activity.

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Exam Code: PMHC
Exam Name: Perinatal Mental Health Certification
Last Update: Apr 30, 2026
Questions: 108

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