Questions 161-180 PMH-C Exam with
Accurate Solutions
What are the implications for mothers (including OB effects) if PMH challenges are
untreated/unmanaged? - ANS-Preeclampsia, preterm labor (reduced gestational age),
disengagement from prenatal care, increased symptom severity (mental health and
physical conditions), maladaptive coping (alcohol, tobacco, drugs), disrupted sleep,
increased BMI, inadequate nutrition, decreased physical activity, social withdrawal,
reduced maternal self-efficacy, relationship problems (IPV/separation/divorce), financial
problems, impairment in occupational and other role functioning
What are the implications for for the baby if PMH challenges are untreated/unmanaged?
- ANS-Low birth weight, feeding and sleep challenges (decreased breastfeeding),
difficult temperament, attachment difficulties, increased cortisol levels, excessive fear,
difficulty regulating emotions and stress, infanticide
What's the impact on the mother's behavior/parenting practices if PMH challenges are
untreated/unmanaged? - ANS-Avoid reading, singing and playing games with child.
Disengaged, talk less and touch their infants less frequently. Intrusive and harsh with
their infants. Exhibit impaired behaviors such as lower rates of infant safety practices.
What steps should be taken if a client is not safe? - ANS-Consider hospitalization, talk
with colleagues/team for assessment, but trust your instincts, advise client and family
that it is not your job to ensure safety. In an emergency, you do NOT need patient
consent to contact their others. Instruct others that individual is not to be left alone.
When you cannot assure yourself that children are safe: - ANS-you can call CPS and
ask for consultation without identifying information
What steps should be taken in an emergency situation (suicidal or homicidal ideation
with active plan and/or intent, acute mania, psychosis). - ANS-Call emergency
department or 911 directly to facilitate psychiatric evaluation and/or inpatient admission.
If a client is having intrusive thoughts about harm coming to her baby, is this an
emergency? - ANS-Not necessarily. Thoughts do not equal intent.
Who is included in the Integrated Model of Support? - ANS-Should start prenatally and
include healthcare providers, psychiatric providers, pharmacists, psychological services,
social support network, case workers, doulas, parent/childbirth educators, lactation
consultants, spiritual affiliates, PSI resources/referral network, ME!
Accurate Solutions
What are the implications for mothers (including OB effects) if PMH challenges are
untreated/unmanaged? - ANS-Preeclampsia, preterm labor (reduced gestational age),
disengagement from prenatal care, increased symptom severity (mental health and
physical conditions), maladaptive coping (alcohol, tobacco, drugs), disrupted sleep,
increased BMI, inadequate nutrition, decreased physical activity, social withdrawal,
reduced maternal self-efficacy, relationship problems (IPV/separation/divorce), financial
problems, impairment in occupational and other role functioning
What are the implications for for the baby if PMH challenges are untreated/unmanaged?
- ANS-Low birth weight, feeding and sleep challenges (decreased breastfeeding),
difficult temperament, attachment difficulties, increased cortisol levels, excessive fear,
difficulty regulating emotions and stress, infanticide
What's the impact on the mother's behavior/parenting practices if PMH challenges are
untreated/unmanaged? - ANS-Avoid reading, singing and playing games with child.
Disengaged, talk less and touch their infants less frequently. Intrusive and harsh with
their infants. Exhibit impaired behaviors such as lower rates of infant safety practices.
What steps should be taken if a client is not safe? - ANS-Consider hospitalization, talk
with colleagues/team for assessment, but trust your instincts, advise client and family
that it is not your job to ensure safety. In an emergency, you do NOT need patient
consent to contact their others. Instruct others that individual is not to be left alone.
When you cannot assure yourself that children are safe: - ANS-you can call CPS and
ask for consultation without identifying information
What steps should be taken in an emergency situation (suicidal or homicidal ideation
with active plan and/or intent, acute mania, psychosis). - ANS-Call emergency
department or 911 directly to facilitate psychiatric evaluation and/or inpatient admission.
If a client is having intrusive thoughts about harm coming to her baby, is this an
emergency? - ANS-Not necessarily. Thoughts do not equal intent.
Who is included in the Integrated Model of Support? - ANS-Should start prenatally and
include healthcare providers, psychiatric providers, pharmacists, psychological services,
social support network, case workers, doulas, parent/childbirth educators, lactation
consultants, spiritual affiliates, PSI resources/referral network, ME!
