©THESTAR 2025 ALL RIGHTS RESERVED 11:41 AM A+
PMH-C Medications Exam Questions And
Answers |Latest 2025 | Guaranteed Pass.
There are two patients - Answer✔Treatment can benefit both mom and baby
No treatment poses risk to both mom and baby
"Exposure always occurs, be it to treatment or illness"
Prevalence - Answer✔13% of pg women were prescribed antidepressants
50% of pregnancies are unplanned - early exposure has often occurred
PMAD tx guidelines (APA & ACOG) - Answer✔Mild - moderate:
- psychotherapy first line
- continue meds if needed
Severe/Recurrent
- continue meds
1|Page
, ©THESTAR 2025 ALL RIGHTS RESERVED 11:41 AM A+
Suicidal/Psychotic
- immediate referral to hospital or psychiatric care provider
- medications
First option for medication - Answer✔Is often Sertraline/Zoloft
No single med is "safest" or "best" for use during pregnancy/postpartum/lactation
Why so much conflicting data on meds in perinatal - Answer✔No randomized, double-blind,
placebo-controlled trials
Many studies are retrospective database and case-control studies
- may involve voluntary reporting
- confounds (esp illness exposure)
Confounding variables in assessing risk - Answer✔Other prescription/non-prescription meds
Nutrition
ETOH/cigarettes
Genetics
2|Page
, ©THESTAR 2025 ALL RIGHTS RESERVED 11:41 AM A+
Obesity
Method of delivery
Environmental toxins
Maternal/paternal age
Length of gestation
Stress
Socioeconomic status
Golden rules of pharmacological tx - Answer✔Keep it simple - monotherapy where possible,
don't change what's working
Ask about and document all known exposure to medications/supplements/herbals/OTC
Encourage psychotherapy & social support
Parental concerns around perinatal medication - Answer✔Miscarriage
congenital malformation
preterm delivery / low birth weight
NAS - Neonatal Abstinence/Adaptation Syndrome
PPHN - Persistent Pulmonary Hypertension of the Newborn
Long term neurobehavioural effects
3|Page
PMH-C Medications Exam Questions And
Answers |Latest 2025 | Guaranteed Pass.
There are two patients - Answer✔Treatment can benefit both mom and baby
No treatment poses risk to both mom and baby
"Exposure always occurs, be it to treatment or illness"
Prevalence - Answer✔13% of pg women were prescribed antidepressants
50% of pregnancies are unplanned - early exposure has often occurred
PMAD tx guidelines (APA & ACOG) - Answer✔Mild - moderate:
- psychotherapy first line
- continue meds if needed
Severe/Recurrent
- continue meds
1|Page
, ©THESTAR 2025 ALL RIGHTS RESERVED 11:41 AM A+
Suicidal/Psychotic
- immediate referral to hospital or psychiatric care provider
- medications
First option for medication - Answer✔Is often Sertraline/Zoloft
No single med is "safest" or "best" for use during pregnancy/postpartum/lactation
Why so much conflicting data on meds in perinatal - Answer✔No randomized, double-blind,
placebo-controlled trials
Many studies are retrospective database and case-control studies
- may involve voluntary reporting
- confounds (esp illness exposure)
Confounding variables in assessing risk - Answer✔Other prescription/non-prescription meds
Nutrition
ETOH/cigarettes
Genetics
2|Page
, ©THESTAR 2025 ALL RIGHTS RESERVED 11:41 AM A+
Obesity
Method of delivery
Environmental toxins
Maternal/paternal age
Length of gestation
Stress
Socioeconomic status
Golden rules of pharmacological tx - Answer✔Keep it simple - monotherapy where possible,
don't change what's working
Ask about and document all known exposure to medications/supplements/herbals/OTC
Encourage psychotherapy & social support
Parental concerns around perinatal medication - Answer✔Miscarriage
congenital malformation
preterm delivery / low birth weight
NAS - Neonatal Abstinence/Adaptation Syndrome
PPHN - Persistent Pulmonary Hypertension of the Newborn
Long term neurobehavioural effects
3|Page
