PMH-C Final Combined Exam Test
Questions With Revised Correct
Answers
Revised & Reviewed
1) OCD vs Psychosis - ANSWER OCD =
- Recognizes thoughts are unhealthy
- Extreme anxiety related to thoughts
- Overly concerned about becoming "crazy"
- Ego-dystonic
- Does not want to hurt the baby (low risk)
Psychosis=
- Do not recognize actions/thoughts are unhealthy
- May seem to have less anxiety when indulging in
thoughts/behaviors
- Ego-syntonic (high risk)
,2) Risk Factors Partner Depression - ANSWER -Feeling
burdened or trapped
- Financial responsibility
- Feeling outside the circle of attention
- Missing sexual relationship
- Sleep deprivation
- Isolation and loneliness
3) Risk Factors for PMADs - ANSWER Risk factors are
universal
-Endocrine dysfunction (diabetes, thyroid, fertility)
-Social Factors (violence, loss, moving, financial stress)
-Psychological
-High stress (teen parent, single parent, multiples, military)
Previous PMADs
Family history
History of mood/anxiety disorder\Significant mood reactions to
hormonal changes
,4) Diabetes and PMADs - ANSWER PPD more common in
women with diabetes before pregnancy
Gestational diabetes not associated with increased rates of
depression
5) Exacerbating Factors for PMADs - ANSWER Pain
Lack of sleep
Abrupt discontinuation of breastfeeding
Childcare stress/relationship stress
Losses
History of childhood sexual abuse
Complications in preg, birth, or feeding
Temperament of baby
Age related stressors
Seasonal depression/mania
Perfectionism/high expectations
Returning to work
Unresolved grief or attachment with mother
Career vs. motherhood
, 6) Breastfeeding - ANSWER Stopping too quickly can
increase PMADs risk
Encouraged to wean slowly
Breastfeeding is associated with lower risk of depression for
those who wanted to breastfeed
Increased PPD for those who did not want to breastfeed
7) Birth Trauma and Breastfeeding - ANSWER Supporting
Nursing:
- Proving oneself as mother
- Atonement to infant after traumatic birth
- Healing mentally
Impeding Nursing:
- Intruding flashbacks
- Detachment from infant
- Physical pain
- Feeling violated
- Insufficient milk supply
Questions With Revised Correct
Answers
Revised & Reviewed
1) OCD vs Psychosis - ANSWER OCD =
- Recognizes thoughts are unhealthy
- Extreme anxiety related to thoughts
- Overly concerned about becoming "crazy"
- Ego-dystonic
- Does not want to hurt the baby (low risk)
Psychosis=
- Do not recognize actions/thoughts are unhealthy
- May seem to have less anxiety when indulging in
thoughts/behaviors
- Ego-syntonic (high risk)
,2) Risk Factors Partner Depression - ANSWER -Feeling
burdened or trapped
- Financial responsibility
- Feeling outside the circle of attention
- Missing sexual relationship
- Sleep deprivation
- Isolation and loneliness
3) Risk Factors for PMADs - ANSWER Risk factors are
universal
-Endocrine dysfunction (diabetes, thyroid, fertility)
-Social Factors (violence, loss, moving, financial stress)
-Psychological
-High stress (teen parent, single parent, multiples, military)
Previous PMADs
Family history
History of mood/anxiety disorder\Significant mood reactions to
hormonal changes
,4) Diabetes and PMADs - ANSWER PPD more common in
women with diabetes before pregnancy
Gestational diabetes not associated with increased rates of
depression
5) Exacerbating Factors for PMADs - ANSWER Pain
Lack of sleep
Abrupt discontinuation of breastfeeding
Childcare stress/relationship stress
Losses
History of childhood sexual abuse
Complications in preg, birth, or feeding
Temperament of baby
Age related stressors
Seasonal depression/mania
Perfectionism/high expectations
Returning to work
Unresolved grief or attachment with mother
Career vs. motherhood
, 6) Breastfeeding - ANSWER Stopping too quickly can
increase PMADs risk
Encouraged to wean slowly
Breastfeeding is associated with lower risk of depression for
those who wanted to breastfeed
Increased PPD for those who did not want to breastfeed
7) Birth Trauma and Breastfeeding - ANSWER Supporting
Nursing:
- Proving oneself as mother
- Atonement to infant after traumatic birth
- Healing mentally
Impeding Nursing:
- Intruding flashbacks
- Detachment from infant
- Physical pain
- Feeling violated
- Insufficient milk supply
