-
PMH-C (PERINATAL MENTAL HEALTH CERTIFICATION)
EXAM 2025/2026/ACTUAL COMPLETE REAL EXAM
QUESTIONS WITH CORRECT WELL DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ /NEWEST UPDATE !!!
What are some lifestyle and alternative medicine interventions
that have mixed
evidence to support them? - ANSWER-- supplements and
vitamins
- herbal remedies
- acupuncture
What are the top concerns voiced by patients regarding
medication use in pregnancy? - ANSWER-- miscarriage -
congenital malformation
- preterm delivery/low birth weight
- NAS (Neonatal Adaptation Syndrome)
- PPHN
- long term neurobehavioral effects
- autism
Is miscarriage a risk regarding psychopharmacology during
pregnancy? - ANSWER-Not a true risk, risk was increased for
-
,-
-
-
women who stopped SSRIs prior to conception and for those
who remained on SSRIs in the first trimester, but this risk was
due to underlying illness not medication
Are congenital abnormalities a risk regarding
psychopharmacology during pregnancy? - ANSWER-Not a true
risk, the risk of this in the general population is 3%
Why are tricyclic antidepressants not typically used during
perinatal period? - ANSWER-- difficult to manage
- levels required
- can easily overdose
What medications are preferred to typical TCAs? - ANSWER-
desipramine (Norpramin) and nortriptyline (Pamelor)
What are examples of anxiolytic (non-benzodiazepine)
medications? -
ANSWER-Anxiolytics are anti-anxiety
BHQ
Buspirone (Buspar)
Hydroxyzine (Vistaril)
Quetiapine (Seroquel) - antipsychotic, sedating
,What are examples of anxiolytics benzodiazepine medications?
– ANSWER-Anxiolytics and benzos are anti-anxiety, benzos are
sedating
ACL
Alprazolam (Xanax)
Clonazepam (Klonopin)
Lorazepam (Ativan)
Are cardiac malformations a risk regarding
psychopharmacology during pregnancy? - ANSWER-Not a true
risk
Is preterm birth/low birth weight a risk regarding
psychopharmacology during pregnancy? - ANSWER-Yes,
slight increased risk, the average is 5-7 days early
- same magnitude as continuous untreated depression
Is Neonatal Adaptation Syndrome (NAS) a risk regarding
psychopharmacology during pregnancy? - ANSWER-Yes, in 10-
30% of pregnancies; symptoms are transient 0-48 hours after
delivery and last less than 2 weeks, resolving without
intervention
- jitteriness, irritability, hypertonia, feeding difficulties, tremor,
GI or sleep
-
, -
-
-
disturbances, high pitched cry, tachypnea
- breastfeeding may be protective
- not dose dependent
- no benefit from discontinuation in 3rd trimester
What are the major SNRIs (all 2nd line) for prescription in
perinatal
depression/anxiety? - ANSWER-SNRIs are more on the anti-
anxiety spectrum
DVD
- duloxetine (Cymbalta)
- venlafaxine (Effexor)
- desvenlafaxine (Pristiq)
What are atypical (not first line) medications for prescription in
perinatal depression/anxiety? - ANSWER-- Bupropion
(Wellbutrin) - anti-anxiety
- Mirtazepine (Remeron) - anti-anxiety
- Vortioxetine (Trintellix)
3rd line anti-anxiety/anti-depressants:
- TCAs (tricyclic antidepressants)
- MAOIs (monoamine oxidase inhibitors), rarely used
Is Persistent Pulmonary Hypertension (PPHN) a risk regarding
psychopharmacology during pregnancy? - ANSWER-Yes, but
PMH-C (PERINATAL MENTAL HEALTH CERTIFICATION)
EXAM 2025/2026/ACTUAL COMPLETE REAL EXAM
QUESTIONS WITH CORRECT WELL DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ /NEWEST UPDATE !!!
What are some lifestyle and alternative medicine interventions
that have mixed
evidence to support them? - ANSWER-- supplements and
vitamins
- herbal remedies
- acupuncture
What are the top concerns voiced by patients regarding
medication use in pregnancy? - ANSWER-- miscarriage -
congenital malformation
- preterm delivery/low birth weight
- NAS (Neonatal Adaptation Syndrome)
- PPHN
- long term neurobehavioral effects
- autism
Is miscarriage a risk regarding psychopharmacology during
pregnancy? - ANSWER-Not a true risk, risk was increased for
-
,-
-
-
women who stopped SSRIs prior to conception and for those
who remained on SSRIs in the first trimester, but this risk was
due to underlying illness not medication
Are congenital abnormalities a risk regarding
psychopharmacology during pregnancy? - ANSWER-Not a true
risk, the risk of this in the general population is 3%
Why are tricyclic antidepressants not typically used during
perinatal period? - ANSWER-- difficult to manage
- levels required
- can easily overdose
What medications are preferred to typical TCAs? - ANSWER-
desipramine (Norpramin) and nortriptyline (Pamelor)
What are examples of anxiolytic (non-benzodiazepine)
medications? -
ANSWER-Anxiolytics are anti-anxiety
BHQ
Buspirone (Buspar)
Hydroxyzine (Vistaril)
Quetiapine (Seroquel) - antipsychotic, sedating
,What are examples of anxiolytics benzodiazepine medications?
– ANSWER-Anxiolytics and benzos are anti-anxiety, benzos are
sedating
ACL
Alprazolam (Xanax)
Clonazepam (Klonopin)
Lorazepam (Ativan)
Are cardiac malformations a risk regarding
psychopharmacology during pregnancy? - ANSWER-Not a true
risk
Is preterm birth/low birth weight a risk regarding
psychopharmacology during pregnancy? - ANSWER-Yes,
slight increased risk, the average is 5-7 days early
- same magnitude as continuous untreated depression
Is Neonatal Adaptation Syndrome (NAS) a risk regarding
psychopharmacology during pregnancy? - ANSWER-Yes, in 10-
30% of pregnancies; symptoms are transient 0-48 hours after
delivery and last less than 2 weeks, resolving without
intervention
- jitteriness, irritability, hypertonia, feeding difficulties, tremor,
GI or sleep
-
, -
-
-
disturbances, high pitched cry, tachypnea
- breastfeeding may be protective
- not dose dependent
- no benefit from discontinuation in 3rd trimester
What are the major SNRIs (all 2nd line) for prescription in
perinatal
depression/anxiety? - ANSWER-SNRIs are more on the anti-
anxiety spectrum
DVD
- duloxetine (Cymbalta)
- venlafaxine (Effexor)
- desvenlafaxine (Pristiq)
What are atypical (not first line) medications for prescription in
perinatal depression/anxiety? - ANSWER-- Bupropion
(Wellbutrin) - anti-anxiety
- Mirtazepine (Remeron) - anti-anxiety
- Vortioxetine (Trintellix)
3rd line anti-anxiety/anti-depressants:
- TCAs (tricyclic antidepressants)
- MAOIs (monoamine oxidase inhibitors), rarely used
Is Persistent Pulmonary Hypertension (PPHN) a risk regarding
psychopharmacology during pregnancy? - ANSWER-Yes, but
