Project Management for Health Care
(PMH-C) – Exam Questions & Answers –
Verified Latest Update – Graded A
Risk of congenital abnormalities in general population - ,,,,answer,,,3%
Most studied meds in pregnancy - ,,,,answer,,,SSRI- no increased risk of
abnormalities or death
SSRI risk in pregnancy - ,,,,answer,,,Preterm labor if taken in 3rd trimester
, 2-4 days, 3.4 oz lower weight
SSRI neonatal effects in newborn - ,,,,answer,,,Irritability, feeding
difficulties, cardiac arrhythmia in 10-30%, only severe in 3%, last average
of 2 days
SSRI and ASD - ,,,,answer,,,No association-.08%-lower with treatment
SSRI May increase risk of - ,,,,answer,,,Preterm, hemorrhage, pre-
eclampsia
SSRI does not increase - ,,,,answer,,,Neonatal death, autism, cognitive or
behavioral side effects
Better studied SSRIs for pregnancy - ,,,,answer,,,Prozac and Zoloft.
Findings about Paxil are inconclusive
Mirtazapone (Remeron) - ,,,,answer,,,No nausea as side effect
,Wellbutrin - ,,,,answer,,,Less studied, possible miscarriage and cardiac
problems especially with first trimester use
Zoloft - ,,,,answer,,,Least excreted in breastmilk, most commonly
prescribed perinatal period
Effective therapy for postpartum depression and anxiety -
,,,,answer,,,Cbt, ipt, icbt, mcbt
Elements in cbt model - ,,,,answer,,,Thoughts, behaviors, feelings,
physical reactions
Common CBT Components - ,,,,answer,,,Assertiveness training, fostering
resilience, exposure, cognitive restructuring
IPT model of depression - ,,,,answer,,,Crisis, social support,
vulnerabilities
Brexanslone - ,,,,answer,,,Only fda approved for postpartum, IV, access
issues
Benzodiazepines - ,,,,answer,,,May increase preterm birth, no risk of
malformations
Trazadone - ,,,,answer,,,Improves sleep architecture, protects against
ppd, possible risk of miscarriage
Hydroxyzine and buspar - ,,,,answer,,,Effects unknown
Mood stabilizer discontinued - ,,,,answer,,,9wks vs 41 weeks to relapse,
risk of mood episode is 22.7 in pregnancy and 51.5 postpartum (risk of
,psychosis postpartum) Lamictal least risk, depakote stop and avoid in
pregnancy
Methadone - ,,,,answer,,,Better outcomes than opioid abuse. Subutex
causes less NAS symptoms
Dose to remission - ,,,,answer,,,At least a year after mde
IPT - ,,,,answer,,,Based on attachment, depression in context of
relationships, empirically validated, 12-16 weeks, IPT-Perinatal
IPT strategies - ,,,,answer,,,Improve communication, develop network,
role-play, conjoint sessions
Ipt target areas - ,,,,answer,,,Grief, role transitions, interpersonal role
disputes
Winnicott - ,,,,answer,,,Positive holding environment, parallel process
Fraiburg - ,,,,answer,,,Grandmother of imh, ghosts in nursery
Parent child therapies - ,,,,answer,,,Watch, wait, wonder; child parent
psychotherapy; circle of security
IPV - ,,,,answer,,,1 in 4, 1 in 9
Most common nonbiological cause of pmads - ,,,,answer,,,Partner issues
Complementary treatments - ,,,,answer,,,Used by 37%pregnant and
28%postpartum, similar to non pregnant, decreasing postpartum
Promising CAM - ,,,,answer,,,Exercise/nutrition, yoga, massage, Tms, light
therapy, stress reduction
, Mixed evidence CAM - ,,,,answer,,,Supplements/vitamins, herbal,
acupuncture
Bright light tx - ,,,,answer,,,7,000-10,000 Luc, bipolar under supervision
vitamin D low - ,,,,answer,,,Depression, worse among black women, fetal
brain development
Mg - ,,,,answer,,,Unclear on depression, benefits restless leg
low omega 3 - ,,,,answer,,,Depression
At John's wort - ,,,,answer,,,Reduce contraception efficacy, don't take w
other meds
SAM-e - ,,,,answer,,,Helps with depression, temp worse anxiety, less
likely to interact with other meds
Placenta Encapsulation - ,,,,answer,,,no significant evidence showing
benefits, gbs infection
National maternal mental health hotline - ,,,,answer,,,365, help4moms
Hippocrates - ,,,,answer,,,Father of medicine, "postpartum fever"
Marce - ,,,,answer,,,1858, French, puerperal mental Illness
Hamilton - ,,,,answer,,,1907-1997, father of postpartum psych, marce
society, "PPI: picture puzzle", support groups most important
Psi - ,,,,answer,,,1987, Honikman, social support network, 40 countries
(PMH-C) – Exam Questions & Answers –
Verified Latest Update – Graded A
Risk of congenital abnormalities in general population - ,,,,answer,,,3%
Most studied meds in pregnancy - ,,,,answer,,,SSRI- no increased risk of
abnormalities or death
SSRI risk in pregnancy - ,,,,answer,,,Preterm labor if taken in 3rd trimester
, 2-4 days, 3.4 oz lower weight
SSRI neonatal effects in newborn - ,,,,answer,,,Irritability, feeding
difficulties, cardiac arrhythmia in 10-30%, only severe in 3%, last average
of 2 days
SSRI and ASD - ,,,,answer,,,No association-.08%-lower with treatment
SSRI May increase risk of - ,,,,answer,,,Preterm, hemorrhage, pre-
eclampsia
SSRI does not increase - ,,,,answer,,,Neonatal death, autism, cognitive or
behavioral side effects
Better studied SSRIs for pregnancy - ,,,,answer,,,Prozac and Zoloft.
Findings about Paxil are inconclusive
Mirtazapone (Remeron) - ,,,,answer,,,No nausea as side effect
,Wellbutrin - ,,,,answer,,,Less studied, possible miscarriage and cardiac
problems especially with first trimester use
Zoloft - ,,,,answer,,,Least excreted in breastmilk, most commonly
prescribed perinatal period
Effective therapy for postpartum depression and anxiety -
,,,,answer,,,Cbt, ipt, icbt, mcbt
Elements in cbt model - ,,,,answer,,,Thoughts, behaviors, feelings,
physical reactions
Common CBT Components - ,,,,answer,,,Assertiveness training, fostering
resilience, exposure, cognitive restructuring
IPT model of depression - ,,,,answer,,,Crisis, social support,
vulnerabilities
Brexanslone - ,,,,answer,,,Only fda approved for postpartum, IV, access
issues
Benzodiazepines - ,,,,answer,,,May increase preterm birth, no risk of
malformations
Trazadone - ,,,,answer,,,Improves sleep architecture, protects against
ppd, possible risk of miscarriage
Hydroxyzine and buspar - ,,,,answer,,,Effects unknown
Mood stabilizer discontinued - ,,,,answer,,,9wks vs 41 weeks to relapse,
risk of mood episode is 22.7 in pregnancy and 51.5 postpartum (risk of
,psychosis postpartum) Lamictal least risk, depakote stop and avoid in
pregnancy
Methadone - ,,,,answer,,,Better outcomes than opioid abuse. Subutex
causes less NAS symptoms
Dose to remission - ,,,,answer,,,At least a year after mde
IPT - ,,,,answer,,,Based on attachment, depression in context of
relationships, empirically validated, 12-16 weeks, IPT-Perinatal
IPT strategies - ,,,,answer,,,Improve communication, develop network,
role-play, conjoint sessions
Ipt target areas - ,,,,answer,,,Grief, role transitions, interpersonal role
disputes
Winnicott - ,,,,answer,,,Positive holding environment, parallel process
Fraiburg - ,,,,answer,,,Grandmother of imh, ghosts in nursery
Parent child therapies - ,,,,answer,,,Watch, wait, wonder; child parent
psychotherapy; circle of security
IPV - ,,,,answer,,,1 in 4, 1 in 9
Most common nonbiological cause of pmads - ,,,,answer,,,Partner issues
Complementary treatments - ,,,,answer,,,Used by 37%pregnant and
28%postpartum, similar to non pregnant, decreasing postpartum
Promising CAM - ,,,,answer,,,Exercise/nutrition, yoga, massage, Tms, light
therapy, stress reduction
, Mixed evidence CAM - ,,,,answer,,,Supplements/vitamins, herbal,
acupuncture
Bright light tx - ,,,,answer,,,7,000-10,000 Luc, bipolar under supervision
vitamin D low - ,,,,answer,,,Depression, worse among black women, fetal
brain development
Mg - ,,,,answer,,,Unclear on depression, benefits restless leg
low omega 3 - ,,,,answer,,,Depression
At John's wort - ,,,,answer,,,Reduce contraception efficacy, don't take w
other meds
SAM-e - ,,,,answer,,,Helps with depression, temp worse anxiety, less
likely to interact with other meds
Placenta Encapsulation - ,,,,answer,,,no significant evidence showing
benefits, gbs infection
National maternal mental health hotline - ,,,,answer,,,365, help4moms
Hippocrates - ,,,,answer,,,Father of medicine, "postpartum fever"
Marce - ,,,,answer,,,1858, French, puerperal mental Illness
Hamilton - ,,,,answer,,,1907-1997, father of postpartum psych, marce
society, "PPI: picture puzzle", support groups most important
Psi - ,,,,answer,,,1987, Honikman, social support network, 40 countries
