Pmh-C Exam Questions And Correct Verified Answers

PMH-C EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS
MilitaryA2StressorsA2-A2Ans--Recent/upcomingA2deployment
PotentialA2lackA2ofA2emotionalA2supportA2fromA2partner
FearA2forA2welfareA2orA2selfA2orA2partner
LivingA2withoutA2partner
SingleA2parenting
ConcernsA2aboutA2childcareA2

InadequateA2support:
LocationA2awayA2fromA2friendsA2andA2family
PossibilityA2ofA2noA2establishedA2relationshipsA2withA2recentA2move
LackA2ofA2providersA2whoA2understandA2militaryA2culture
LackA2ofA2providersA2forA2beneficiaries
LackA2ofA2providersA2whoA2acceptA2insuranceA2
LackA2ofA2peerA2supportA2dueA2toA2"armyA2strong"A2mentality
LackA2ofA2disclosureA2toA2othersA2dueA2toA2"smallA2town"A2
LackA2ofA2abilityA2toA2provideA2peerA2supportA2dueA2toA2ownA2needs
FocusA2oftenA2onA2activeA2dutyA2member'sA2psychologicalA2issuesv

JaneA2HonikmanA2-A2Ans--FounderA2ofA2PSI

WhatA2yearA2wasA2PSIA2established?A2-A2Ans--1987

LouisA2VictorA2MarceA2-A2Ans--
FrenchA2psychiatristA2whoA2wroteA2firstA2treatiseA2onA2puerperalA2(aboutA2sixA2weeksA2aft
erA2childbirth)A2mentalA2illness

JamesA2A.A2HamiltonA2-A2Ans--FatherA2ofA2PostpartumA2PsychiatricA2Illness
WroteA2book:A2PostpartumA2PsychiatricA2Problems
FoundedA2theA2MarceA2Society
AdvocateA2ofA2research,A2treatmentA2andA2socialA2supportA2movement

DADA2-A2Ans--DepressionA2AfterA2DeliveryA2(USA)

APNIA2-A2Ans--AssociationA2forA2PostA2NatalA2IllnessA2(England)

PANDAA2-A2Ans--PostA2andA2AnteA2NatalA2DepressionA2AssociationA2(Australia)

PostpartumA2EducationA2forA2ParentsA2-A2Ans--
PostpartumA2EducationA2forA2ParentsA2(USA)

MostA2importantA2partA2ofA2mentalA2healthA2forA2women,A2children,A2andA2familiesA2-
A2Ans--SocialA2support

,HowA2manyA2countriesA2doesA2PSIA2haveA2membersA2in?A2-A2Ans--OverA240A2countries

WhatA2percentageA2ofA2womenA2willA2experienceA2postpartumA2depression?A2-A2Ans--
21%

WhatA2percentageA2ofA2pregnantA2womanA2willA2experienceA2moderateA2toA2severeA2sym
ptomsA2ofA2depressionA2and/orA2anxiety?A2-A2Ans--20%

WhatA2percentageA2ofA2pregnantA2womenA2withA2psychiatricA2diagnosisA2wereA2treated?
A2-A2Ans--LessA2thanA286%


WhatA2percentageA2ofA2womenA2onA2antidepressantsA2wereA2symptomaticA2dueA2toA2sub
optimalA2treatment?A2-A2Ans--OverA250%

TheA2perinatalA2periodA2-A2Ans--
TheA2entireA2timeA2frameA2fromA2pregnancyA2throughA2theA2firstA2yearA2afterA2givingA2birth

PMADA2-A2Ans--
PerinatalA2MoodA2(depressionA2andA2bipolar)A2AnxietyA2(GAD,A2panic,A2OCD,A2PTSD)A2Di
sorders

WhatA2percentageA2ofA2pregnanciesA2areA2unplanned?A2-A2Ans--50%

PMDDA2-A2Ans--PremenstrualA2dysphoricA2disorder
SensitiveA2toA2hormonalA2changes
RiskA2factorA2forA2PMAD

WhatA2disordersA2classifyA2asA2aA2PMAD?A2-A2Ans--Depression
AnxietyA2andA2PanicA2disorder
OCD
PTSD
PerinatalA2Bipolar
Psychosis

PerinatalA2depressionA2-A2Ans--
MostA2underA2diagnosedA2obstetricA2complicationA2inA2America

IncreasedA2costsA2ofA2medicalA2care
InappropriateA2medicalA2care
ChildA2abuseA2andA2neglect
DiscontinuationA2ofA2breastfeeding
FamilyA2dysfunction
AdverselyA2affectsA2earlyA2brainA2development

40%A2ofA2casesA2areA2detectedA2andA2diagnosed

,60%A2receiveA2treatment

PrevalenceA2forA2PrenatalA2anxietyA2-A2Ans--15.8%

PrevalenceA2forA2postpartumA2anxietyA2-A2Ans--8%A2-A220%

PMADsA2inA2FathersA2-A2Ans--1A2inA210A2menA2willA2getA2anxiety/depression

FathersA2withA2higherA2ACEA2scoresA2reportedA2moreA2pregnancy-
relatedA2anxietyA2thanA2didA2fathersA2withA2lowerA2scoresA2atA2allA2timeA2points

ReportedA2moreA2depressiveA2feelingsA2duringA2pregnancy

9.2%A2hadA2depressionA2prenatallyA2

MaternalA2depressionA2increasedA2theA2riskA2ofA2paternalA2depression

-A2InitialA2highA2afterA2birthA2mayA2giveA2wayA2toA2depression
-A2MaskedA2maleA2depressionA2(substanceA2use,A2irritable,A2aggressive)
-A2Distancing
-A2DistractionsA2andA2habits

MedicationA2-A2Ans--50-
75%A2relapseA2(depressionA2andA2anxiety)A2afterA2discontinuingA2medicationA2whileA2pre
gnant

OverA240%A2resumeA2medicationA2duringA2pregnancy

TheA2benefitA2outA2weightsA2theA2riskA2whenA2onA2medicationA2duringA2pregnancy

NormalA2PregnancyA2symptomsA2-A2Ans--MoodA2isA2labile,A2teary
SelfA2esteemA2isA2normal
Sleep:A2bladderA2orA2heartburnA2mayA2awaken.A2CanA2fallA2asleep
NoA2suicidalA2ideology
Energy:A2mayA2tire,A2restA2restores
Pleasure:A2joyA2andA2anticipationA2(appropriateA2worry)
Appetite:A2increases

DepressionA2SymptomsA2-A2Ans--Mood:A2persistentA2gloom
LowA2self-esteem,A2guilt
Sleep:A2earlyA2a.m.A2awakening
SuicidalA2thoughts,A2plans,A2orA2intentions
Energy:A2restA2doesA2notA2restore
Fatigue
Anhedonia
PoorA2appetite

, Sadness,A2crying
GuiltA2andA2shame
HopelessA2andA2helplessnessA2
Overwhelm
LackA2ofA2feelingsA2towardA2baby
Isolation
"ThisA2doesn'tA2feelA2likeA2me"
Worthlessness
MoodA2swings
InabilityA2toA2careA2forA2selfA2andA2family

babyA2bluesA2-A2Ans---NOTA2aA2mildA2formA2ofA2clinicalA2depression

-A2AffectsA260-80%A2ofA2newA2moms
-A2Mild
-A2LastsA2noA2moreA2thanA22A2daysA2toA22A2weeks
-A2PredominantA2moodA2isA2happiness
-A2CommonA2toA2haveA2tearfulness,A2lability,A2reactivity
-A2PeaksA23-5A2daysA2afterA2delivery
-A2PresentA2inA2diverseA2cultures
-A2UnrelatedA2toA2stressA2orA2psychiatricA2history
-A2AcuteA2sleepA2deprivation
-DifferentA2inA2fromA2PPDA2inA2lengthA2andA2severityA2
-
A2Symptoms:A2moodA2swings,A2anxiety,A2sadness,A2irritability,A2crying,A2decreasedA2conc
entration,A2troubleA2sleeping
-VeryA2commonA2toA2feelA2thisA2way,A2hormonesA2haveA2toA2readjustA2
-EveryA2motherA2experiencesA2someA2typeA2ofA2babyA2blues,A2it'sA2normal

BluesA2orA2Depression?A2-A2Ans--Severity
Timing
Duration

AnxietyA2SymptomsA2-A2Ans--Agitated,A2irritable
InabilityA2toA2sitA2still
ExcessiveA2concernA2aboutA2theA2baby'sA2orA2herA2ownA2health
HighA2alert
AppetiteA2changes
SleepA2disturbances
ConstantA2worry
RacingA2thoughts
ShortnessA2ofA2breath
HeartA2palpitations

PanicA2SymptomsA2-A2Ans--EpisodesA2ofA2extremeA2anxiety
ShortnessA2ofA2breath,A2chestA2pain,A2sensationA2ofA2chokingA2orA2smothering,A2dizziness