QUESTIONS 221-240 PMH-C EXAM WITH
100% ACCURATE ANSWERS
Fathers tend tend to engage in ________ and _______ play with their babies than
mothers do. - ANSWER-Briefer and High intensity
How does perinatal OCD typically present? - ANSWER-41% Fears of deliberate harm,
29% contamination, 18% Accidental harm, 6% ordering/arranging, 3% religious, 3%
checking
Postpartum PTSD Themes? - ANSWER-Lack of caring, poor communication,
powerlessness, and do the ends justify the means?
Perception of lack of caring (felt abandoned, stripped of dignity, lack of support and
reassurance), poor communication (feels invisible), Feeling of powerlessness (betrayal
of trust, didn't feel protected by staff), Do the ends justify the means? (a healthy baby
justifies the trauma)
What are some examples of professional support? - ANSWER-Individual, couples,
group therapy, pelvic floor physical therapy or chiropractor, night nurse, nanny, doula,
home visitor, visiting nurse
What are some examples of informal social support? - ANSWER-Family and friends
What are some examples of formal social support? - ANSWER-Peer support groups,
peer support specialists, email and online support, phone support (warmline/hotline),
social media support, spiritual leaders/mentors
What is an important factor for treatment to work? - ANSWER-Sleep. Mothers will not
improve without adequate sleep.
How can providers support attachment? - ANSWER-Providers can reinforce idea of
"good enough parent" (e.g., pay attention to baby - fake it until you make it), establish a
holding environment, offer physical and emotional care, engage security, provide repair
What is Donald Winnicott's "positive holding environment" approach to modeling
bonding and security for parents? - ANSWER-Facilitating and modeling for the parent
(engage in parallel process - therapist/parent and parent/baby, remembering that
prevention is key and start prenatally - the baby is always in therapy, even if they're in
utero). The therapist creates a safe place for the parent and then the parent creates a
safe place for the baby
100% ACCURATE ANSWERS
Fathers tend tend to engage in ________ and _______ play with their babies than
mothers do. - ANSWER-Briefer and High intensity
How does perinatal OCD typically present? - ANSWER-41% Fears of deliberate harm,
29% contamination, 18% Accidental harm, 6% ordering/arranging, 3% religious, 3%
checking
Postpartum PTSD Themes? - ANSWER-Lack of caring, poor communication,
powerlessness, and do the ends justify the means?
Perception of lack of caring (felt abandoned, stripped of dignity, lack of support and
reassurance), poor communication (feels invisible), Feeling of powerlessness (betrayal
of trust, didn't feel protected by staff), Do the ends justify the means? (a healthy baby
justifies the trauma)
What are some examples of professional support? - ANSWER-Individual, couples,
group therapy, pelvic floor physical therapy or chiropractor, night nurse, nanny, doula,
home visitor, visiting nurse
What are some examples of informal social support? - ANSWER-Family and friends
What are some examples of formal social support? - ANSWER-Peer support groups,
peer support specialists, email and online support, phone support (warmline/hotline),
social media support, spiritual leaders/mentors
What is an important factor for treatment to work? - ANSWER-Sleep. Mothers will not
improve without adequate sleep.
How can providers support attachment? - ANSWER-Providers can reinforce idea of
"good enough parent" (e.g., pay attention to baby - fake it until you make it), establish a
holding environment, offer physical and emotional care, engage security, provide repair
What is Donald Winnicott's "positive holding environment" approach to modeling
bonding and security for parents? - ANSWER-Facilitating and modeling for the parent
(engage in parallel process - therapist/parent and parent/baby, remembering that
prevention is key and start prenatally - the baby is always in therapy, even if they're in
utero). The therapist creates a safe place for the parent and then the parent creates a
safe place for the baby
