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Exam (elaborations)

PMH-C EXAM 2025|ACTUAL EXAM QUESTIONS AND ACCURATE ANSWERS|LATEST VERSION|EXPERT VERIFIED FOR GUARANTEED PASS

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PMH-C EXAM 2025|ACTUAL EXAM QUESTIONS AND ACCURATE ANSWERS|LATEST VERSION|EXPERT VERIFIED FOR GUARANTEED PASS

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PMH-C
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PMH-C

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Uploaded on
February 20, 2025
Number of pages
51
Written in
2024/2025
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PMH-C EXAM 2025|ACTUAL EXAM QUESTIONS AND
ACCURATE ANSWERS|LATEST VERSION|EXPERT VERIFIED
FOR GUARANTEED PASS


OCD prevalence - CORRECT ANSWER - Perinatal woman are 1.5 - 2 times greater risk than
general population



Severity remains largely unchanged across pregnancy and the postpartum period


30% new onset perinatal

11% of women at 2 weeks and 6 months postpartum

65% have co-morbid depression

41% fear deliberate harm

29% fear contamination



Trauma - CORRECT ANSWER - Directly experienced, witnessed, or repeated exposure to
adverse detail of a traumatic event


Not physiological result of another medical condition, medication, drugs or alcohol



Overwhelming experiences that invoke intense negative affect and involve some degree of loss
of control and/or vulnerability. The experience of trauma is subjective



The experience of what happened is not as important as what it means to the individual



PTSD prevalence - CORRECT ANSWER - 12.3% of women in general population

Over 12% of pregnant women
9% postpartum met PTSD criteria

,18% elevated symptoms of stress

Up to 34% of moms report a traumatic birth



PTSD Symptoms - CORRECT ANSWER - Persistent and distorted sense of blame of self or
others

Numbing

Hyperarousal/hypervigilance
Dissociation

Markedly diminished interest in activities, to an inability to remember key aspects of the event
Flashbacks and flooding

Distressing memories, thoughts, feelings, or external reminders

Spontaneous memoires

Recurrent dreams/nightmares

Avoidance of triggers
Isolation



Potentially Traumatic Events - CORRECT ANSWER - Emergency C-Section

Postpartum hemorrage

Premature birth

NICU

Forceps/vacuum
Pre-eclampsia

3rd or 4th degree laceration

Hyperemesis Gravidarum

Traumatic vaginal birth


Birth Trauma - CORRECT ANSWER - An event occurring during the labor and delivery process
that involves actual or threatened serious injury or death to the mother or her infant

,The birthing woman experiences intense fear, loss of dignity, helplessness, loss of control, and
horror



Postpartum PTSD - CORRECT ANSWER - Perception of lack of caring

Feeling abandoned

Poor communication
Feel invisible

Feeling powerless
The ends justify the means (healthy baby = happy mom)



Avoidance of aftercare

Impaired infant bonding

PTSD in partner
Sexual dysfunction

Avoidance of future pregnancies

Symptoms exacerbated in future pregnancies

Elective C-sections



Risk factors for PTSD after birth - CORRECT ANSWER - Neonatal complications

Lower gestational age
Longer NICU stay

Stillbirth



Perinatal Bipolar Disorder - CORRECT ANSWER - 22.6% of women who screened positive for
postpartum depression had a bipolar disorder


Over 60% misdiagnosed with unipolar depression

, Chronic disorder, high rates of relapse, suicide, and psychosocial dysfunction



DSV-5 recognizes peripartum onset of bipolar


Bipolar I in Pregnancy - CORRECT ANSWER - 71% had reoccurrence during pregnancy



Women who stopped mood stabilizers had 2X risk of reoccurrence, 4X more rapidly than women
on medications


Most reoccurrences were depressive or mixed, often in the first trimester



Elevated mood

Euphoria or agitation
Decreased need fro sleep

Racing thoughts

Increased productivity

Noticed by others

Pressured speech

Increased energy


Hypomania episodes (up to 4 days in length. Often improves functioning)



Mania episodes are severe lasting at least 7 days

Hallucinations, paranoia, disorganized thinking


Bipolar (Type I and II) (Manic/Depressive) - CORRECT ANSWER - 60% of women with
bipolar disorder present initially as depressed

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