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PMH-C Multiple Choice (NEW UPDATED VERSION) LATEST ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED QUESTIONS AND ANSWERS)- GUARANTEED PASS A+ UPDATED 2026
1. A 28-year-old postpartum patient reports persistent sadness, fatigue, and difficulty
bonding with her baby 3 weeks after delivery. What is the most appropriate initial
assessment tool?
A. Edinburgh Postnatal Depression Scale (EPDS)
B. Hamilton Anxiety Scale
C. Beck Depression Inventory (BDI)
D. Mini-Mental State Exam (MMSE)
Answer: A
Rationale: The EPDS is validated for screening postpartum depression and bonding difficulties
in the perinatal period.
2. Which of the following is considered a risk factor for perinatal depression?
A. Strong social support
B. History of depression
C. Planned pregnancy
D. Breastfeeding intention
Answer: B
Rationale: Previous history of depression increases vulnerability to perinatal depressive
episodes.
3. A patient presents with intrusive thoughts about harming her infant. What is the most
appropriate immediate intervention?
A. Assess for risk of harm and safety plan
B. Encourage more sleep and rest
C. Suggest journaling
D. Recommend increased physical activity
Answer: A
Rationale: Intrusive thoughts of harming the baby indicate potential safety risk and require
urgent assessment and safety planning.
2026 2027 GRADED A+
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4. Which therapy has strong evidence for treating perinatal anxiety disorders?
A. Cognitive Behavioral Therapy (CBT)
B. Electroconvulsive Therapy (ECT)
C. Psychodynamic therapy alone
D. Play therapy
Answer: A
Rationale: CBT is evidence-based for perinatal anxiety and depression.
5. A pregnant patient with a history of bipolar disorder asks about medication safety.
Which statement is correct?
A. Valproate is contraindicated in pregnancy due to teratogenicity
B. Lithium is completely safe without monitoring
C. SSRIs are contraindicated in all trimesters
D. No medications are safe during pregnancy
Answer: A
Rationale: Valproate carries high teratogenic risk; lithium can be used with monitoring; SSRIs
may be used cautiously.
6. Which screening interval is recommended for perinatal depression?
A. At first prenatal visit, mid-pregnancy, and postpartum
B. Only at delivery
C. Only if patient reports symptoms
D. Only at postpartum visit
Answer: A
Rationale: Routine screening at multiple points ensures early identification of perinatal mental
health concerns.
7. A patient expresses guilt and low self-worth after birth. Which term best describes this
symptom cluster?
A. Postpartum depression
B. Baby blues
2026 2027 GRADED A+
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C. Obsessive-compulsive disorder
D. Postpartum psychosis
Answer: A
Rationale: Persistent low mood, guilt, and impaired functioning are characteristic of postpartum
depression.
8. Which cultural factor may influence disclosure of perinatal mental health symptoms?
A. Stigma surrounding mental illness
B. Birth weight of infant
C. Maternal age
D. Gestational diabetes history
Answer: A
Rationale: Cultural stigma can reduce willingness to report mental health concerns.
9. A patient with severe postpartum psychosis presents with agitation and hallucinations.
First-line treatment includes:
A. Hospitalization and antipsychotic therapy
B. Outpatient therapy alone
C. CBT only
D. Dietary changes
Answer: A
Rationale: Postpartum psychosis is a psychiatric emergency requiring hospitalization and
medication management.
10. Breastfeeding considerations for SSRIs include:
A. Some SSRIs are compatible with breastfeeding at therapeutic doses
B. All SSRIs are unsafe
C. SSRIs completely inhibit lactation
D. SSRIs require immediate discontinuation postpartum
Answer: A
Rationale: Certain SSRIs (e.g., sertraline) have low transfer into breast milk and are considered
compatible.
2026 2027 GRADED A+
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11. A patient reports panic attacks during pregnancy. The best initial non-pharmacologic
intervention is:
A. CBT with exposure techniques
B. Benzodiazepines immediately
C. High-dose SSRI without monitoring
D. Avoidance of all triggers without therapy
Answer: A
Rationale: CBT is first-line non-pharmacologic treatment; benzodiazepines are generally
avoided due to fetal risk.
12. Which factor most strongly predicts postpartum anxiety?
A. History of anxiety or depression
B. Sex of the infant
C. Mode of delivery
D. Time of day of delivery
Answer: A
Rationale: Prior psychiatric history is a strong predictor for perinatal anxiety disorders.
13. The “baby blues” are distinguished from postpartum depression by:
A. Short duration and mild severity
B. Onset after 6 months postpartum
C. Severe functional impairment
D. Psychotic features
Answer: A
Rationale: Baby blues resolve within 2 weeks and do not typically require pharmacologic
treatment.
14. A patient expresses fear and worry about childbirth outcomes. Which intervention is
evidence-based?
A. Prenatal psychoeducation and support groups
B. High-dose benzodiazepines
2026 2027 GRADED A+
PMH-C Multiple Choice (NEW UPDATED VERSION) LATEST ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED QUESTIONS AND ANSWERS)- GUARANTEED PASS A+ UPDATED 2026
1. A 28-year-old postpartum patient reports persistent sadness, fatigue, and difficulty
bonding with her baby 3 weeks after delivery. What is the most appropriate initial
assessment tool?
A. Edinburgh Postnatal Depression Scale (EPDS)
B. Hamilton Anxiety Scale
C. Beck Depression Inventory (BDI)
D. Mini-Mental State Exam (MMSE)
Answer: A
Rationale: The EPDS is validated for screening postpartum depression and bonding difficulties
in the perinatal period.
2. Which of the following is considered a risk factor for perinatal depression?
A. Strong social support
B. History of depression
C. Planned pregnancy
D. Breastfeeding intention
Answer: B
Rationale: Previous history of depression increases vulnerability to perinatal depressive
episodes.
3. A patient presents with intrusive thoughts about harming her infant. What is the most
appropriate immediate intervention?
A. Assess for risk of harm and safety plan
B. Encourage more sleep and rest
C. Suggest journaling
D. Recommend increased physical activity
Answer: A
Rationale: Intrusive thoughts of harming the baby indicate potential safety risk and require
urgent assessment and safety planning.
2026 2027 GRADED A+
,2|Page
4. Which therapy has strong evidence for treating perinatal anxiety disorders?
A. Cognitive Behavioral Therapy (CBT)
B. Electroconvulsive Therapy (ECT)
C. Psychodynamic therapy alone
D. Play therapy
Answer: A
Rationale: CBT is evidence-based for perinatal anxiety and depression.
5. A pregnant patient with a history of bipolar disorder asks about medication safety.
Which statement is correct?
A. Valproate is contraindicated in pregnancy due to teratogenicity
B. Lithium is completely safe without monitoring
C. SSRIs are contraindicated in all trimesters
D. No medications are safe during pregnancy
Answer: A
Rationale: Valproate carries high teratogenic risk; lithium can be used with monitoring; SSRIs
may be used cautiously.
6. Which screening interval is recommended for perinatal depression?
A. At first prenatal visit, mid-pregnancy, and postpartum
B. Only at delivery
C. Only if patient reports symptoms
D. Only at postpartum visit
Answer: A
Rationale: Routine screening at multiple points ensures early identification of perinatal mental
health concerns.
7. A patient expresses guilt and low self-worth after birth. Which term best describes this
symptom cluster?
A. Postpartum depression
B. Baby blues
2026 2027 GRADED A+
,3|Page
C. Obsessive-compulsive disorder
D. Postpartum psychosis
Answer: A
Rationale: Persistent low mood, guilt, and impaired functioning are characteristic of postpartum
depression.
8. Which cultural factor may influence disclosure of perinatal mental health symptoms?
A. Stigma surrounding mental illness
B. Birth weight of infant
C. Maternal age
D. Gestational diabetes history
Answer: A
Rationale: Cultural stigma can reduce willingness to report mental health concerns.
9. A patient with severe postpartum psychosis presents with agitation and hallucinations.
First-line treatment includes:
A. Hospitalization and antipsychotic therapy
B. Outpatient therapy alone
C. CBT only
D. Dietary changes
Answer: A
Rationale: Postpartum psychosis is a psychiatric emergency requiring hospitalization and
medication management.
10. Breastfeeding considerations for SSRIs include:
A. Some SSRIs are compatible with breastfeeding at therapeutic doses
B. All SSRIs are unsafe
C. SSRIs completely inhibit lactation
D. SSRIs require immediate discontinuation postpartum
Answer: A
Rationale: Certain SSRIs (e.g., sertraline) have low transfer into breast milk and are considered
compatible.
2026 2027 GRADED A+
, 4|Page
11. A patient reports panic attacks during pregnancy. The best initial non-pharmacologic
intervention is:
A. CBT with exposure techniques
B. Benzodiazepines immediately
C. High-dose SSRI without monitoring
D. Avoidance of all triggers without therapy
Answer: A
Rationale: CBT is first-line non-pharmacologic treatment; benzodiazepines are generally
avoided due to fetal risk.
12. Which factor most strongly predicts postpartum anxiety?
A. History of anxiety or depression
B. Sex of the infant
C. Mode of delivery
D. Time of day of delivery
Answer: A
Rationale: Prior psychiatric history is a strong predictor for perinatal anxiety disorders.
13. The “baby blues” are distinguished from postpartum depression by:
A. Short duration and mild severity
B. Onset after 6 months postpartum
C. Severe functional impairment
D. Psychotic features
Answer: A
Rationale: Baby blues resolve within 2 weeks and do not typically require pharmacologic
treatment.
14. A patient expresses fear and worry about childbirth outcomes. Which intervention is
evidence-based?
A. Prenatal psychoeducation and support groups
B. High-dose benzodiazepines
2026 2027 GRADED A+
