PMH-C LATEST EXAMS STUDY GUIDE QUESTIONS
AND ANSWERS SURE A+
✔PTSD Symptoms - ✔✔Persistent and distorted sense of blame of self or others
Numbing
Hyperarousal/hypervigilance
Dissociation
Markedly diminished interest in activities, to an inability to remember key aspects of the
event
Flashbacks and flooding
Distressing memories, thoughts, feelings, or external reminders
Spontaneous memoires
Recurrent dreams/nightmares
Avoidance of triggers
Isolation
✔✔Potentially Traumatic Events - ✔✔Emergency C-Section
Postpartum hemorrage
Premature birth
NICU
Forceps/vacuum
Pre-eclampsia
3rd or 4th degree laceration
,Hyperemesis Gravidarum
Traumatic vaginal birth
✔✔Birth Trauma - ✔✔An event occurring during the labor and delivery process that
involves actual or threatened serious injury or death to the mother or her infant
The birthing woman experiences intense fear, loss of dignity, helplessness, loss of
control, and horror
✔✔Postpartum PTSD - ✔✔Perception of lack of caring
Feeling abandoned
Poor communication
Feel invisible
Feeling powerless
The ends justify the means (healthy baby = happy mom)
Avoidance of aftercare
Impaired infant bonding
PTSD in partner
Sexual dysfunction
Avoidance of future pregnancies
Symptoms exacerbated in future pregnancies
Elective C-sections
✔✔Risk factors for PTSD after birth - ✔✔Neonatal complications
Lower gestational age
Longer NICU stay
Stillbirth
✔✔Perinatal Bipolar Disorder - ✔✔22.6% of women who screened positive for
postpartum depression had a bipolar disorder
Over 60% misdiagnosed with unipolar depression
Chronic disorder, high rates of relapse, suicide, and psychosocial dysfunction
DSV-5 recognizes peripartum onset of bipolar
✔✔Bipolar I in Pregnancy - ✔✔71% had reoccurrence during pregnancy
Women who stopped mood stabilizers had 2X risk of reoccurrence, 4X more rapidly
than women on medications
Most reoccurrences were depressive or mixed, often in the first trimester
Elevated mood
, Euphoria or agitation
Decreased need fro sleep
Racing thoughts
Increased productivity
Noticed by others
Pressured speech
Increased energy
Hypomania episodes (up to 4 days in length. Often improves functioning)
Mania episodes are severe lasting at least 7 days
Hallucinations, paranoia, disorganized thinking
✔✔Bipolar (Type I and II) (Manic/Depressive) - ✔✔60% of women with bipolar disorder
present initially as depressed
If prescribed antidepressant alone, might induce cycling into mania
50% of women with bipolar mood disorder are 1st diagnosed in the postpartum period
Often misdiagnosed as unipolar depression
"PPD Imposter"
✔✔WHIPLASHED - ✔✔Bipolar Depression
Wired or Worse on antidepressants
Hypomania or mood swings, may only last a day or two
Irritability, hostility, racing thoughts
Psychomotor retardation
Loaded family history, mood swings, bipolar, mood disorder and alcoholism
Abrupt onset or ending of depressive (less than 2-3 months) or bursts of energy or mild
hypomania before depression
Seasonal or postpartum, SAD or hypomanic in spring
Hypersomnia and overeating more common in BPD than unipolar
Delusions, hallucinations, and other psychotic features more common than unipolar
✔✔Psychosis Prevalence - ✔✔1-2 in 1,000 postpartum women will develop psychosis
5% suicide
4.5% infanticide
50% of 1st time moms with psychosis had no previous psych hospitalization
Onset usually within first 2 weeks after delivery
AND ANSWERS SURE A+
✔PTSD Symptoms - ✔✔Persistent and distorted sense of blame of self or others
Numbing
Hyperarousal/hypervigilance
Dissociation
Markedly diminished interest in activities, to an inability to remember key aspects of the
event
Flashbacks and flooding
Distressing memories, thoughts, feelings, or external reminders
Spontaneous memoires
Recurrent dreams/nightmares
Avoidance of triggers
Isolation
✔✔Potentially Traumatic Events - ✔✔Emergency C-Section
Postpartum hemorrage
Premature birth
NICU
Forceps/vacuum
Pre-eclampsia
3rd or 4th degree laceration
,Hyperemesis Gravidarum
Traumatic vaginal birth
✔✔Birth Trauma - ✔✔An event occurring during the labor and delivery process that
involves actual or threatened serious injury or death to the mother or her infant
The birthing woman experiences intense fear, loss of dignity, helplessness, loss of
control, and horror
✔✔Postpartum PTSD - ✔✔Perception of lack of caring
Feeling abandoned
Poor communication
Feel invisible
Feeling powerless
The ends justify the means (healthy baby = happy mom)
Avoidance of aftercare
Impaired infant bonding
PTSD in partner
Sexual dysfunction
Avoidance of future pregnancies
Symptoms exacerbated in future pregnancies
Elective C-sections
✔✔Risk factors for PTSD after birth - ✔✔Neonatal complications
Lower gestational age
Longer NICU stay
Stillbirth
✔✔Perinatal Bipolar Disorder - ✔✔22.6% of women who screened positive for
postpartum depression had a bipolar disorder
Over 60% misdiagnosed with unipolar depression
Chronic disorder, high rates of relapse, suicide, and psychosocial dysfunction
DSV-5 recognizes peripartum onset of bipolar
✔✔Bipolar I in Pregnancy - ✔✔71% had reoccurrence during pregnancy
Women who stopped mood stabilizers had 2X risk of reoccurrence, 4X more rapidly
than women on medications
Most reoccurrences were depressive or mixed, often in the first trimester
Elevated mood
, Euphoria or agitation
Decreased need fro sleep
Racing thoughts
Increased productivity
Noticed by others
Pressured speech
Increased energy
Hypomania episodes (up to 4 days in length. Often improves functioning)
Mania episodes are severe lasting at least 7 days
Hallucinations, paranoia, disorganized thinking
✔✔Bipolar (Type I and II) (Manic/Depressive) - ✔✔60% of women with bipolar disorder
present initially as depressed
If prescribed antidepressant alone, might induce cycling into mania
50% of women with bipolar mood disorder are 1st diagnosed in the postpartum period
Often misdiagnosed as unipolar depression
"PPD Imposter"
✔✔WHIPLASHED - ✔✔Bipolar Depression
Wired or Worse on antidepressants
Hypomania or mood swings, may only last a day or two
Irritability, hostility, racing thoughts
Psychomotor retardation
Loaded family history, mood swings, bipolar, mood disorder and alcoholism
Abrupt onset or ending of depressive (less than 2-3 months) or bursts of energy or mild
hypomania before depression
Seasonal or postpartum, SAD or hypomanic in spring
Hypersomnia and overeating more common in BPD than unipolar
Delusions, hallucinations, and other psychotic features more common than unipolar
✔✔Psychosis Prevalence - ✔✔1-2 in 1,000 postpartum women will develop psychosis
5% suicide
4.5% infanticide
50% of 1st time moms with psychosis had no previous psych hospitalization
Onset usually within first 2 weeks after delivery
