PMH-C Exam (New 2026/ 2027 Update)
Questions & Answers {Grade A} 100%
Correct (Verified Solutions)
Psychosis Risk Factors - Correct answer History of Bipolar = HUGE risk for developing
PPP
20-30% of bipolar women will get psychosis
45-52% of stable bipolar women experience relapse or exacerbated symptoms during
pregnancy
70% of women with bipolar will relapse within the first 6 months of postpartum
First babies
Discontinuing mood stabilizers
OB complications
Perinatal infant mortality
Previous bipolar episodes or psychosis
Family history of bipolar
Sleep deprivation
,Postpartum Psychosis Prevention - Correct answer Remain on medication
Immediate treatment postpartum
Good sleep
Symptoms wax and wane
OCD vs Psychosis - Correct answer OCD =
- Recognizes thoughts are unhealthy
- Extreme anxiety related to thoughts
- Overly concerned about becoming "crazy"
- Ego-dystonic
- Does not want to hurt the baby (low risk)
Psychosis=
- Do not recognize actions/thoughts are unhealthy
- May seem to have less anxiety when indulging in thoughts/behaviors
- Ego-syntonic (high risk)
,Risk Factors Partner Depression - Correct answer Feeling burdened or trapped
Financial responsibility
Feeling outside the circle of attention
Missing sexual relationship
Sleep deprivation
Isolation and loneliness
Risk Factors for PMADs - Correct answer Risk factors are universal
Endocrine dysfunction (diabetes, thyroid, fertility)
Social Factors (violence, loss, moving, financial stress)
Psychological
High stress (teen parent, single parent, multiples, military)
Previous PMADs
Family history
History of mood/anxiety disorder\Significant mood reactions to hormonal changes
, Diabetes and PMADs - Correct answer PPD more common in women with diabetes
before pregnancy
Gestational diabetes not associated with increased rates of depression
Exacerbating Factors for PMADs - Correct answer Pain
Lack of sleep
Abrupt discontinuation of breastfeeding
Childcare stress/relationship stress
Losses
History of childhood sexual abuse
Complications in preg, birth, or feeding
Temperament of baby
Age related stressors
Seasonal depression/mania
Perfectionism/high expectations
Returning to work
Unresolved grief or attachment with mother
Questions & Answers {Grade A} 100%
Correct (Verified Solutions)
Psychosis Risk Factors - Correct answer History of Bipolar = HUGE risk for developing
PPP
20-30% of bipolar women will get psychosis
45-52% of stable bipolar women experience relapse or exacerbated symptoms during
pregnancy
70% of women with bipolar will relapse within the first 6 months of postpartum
First babies
Discontinuing mood stabilizers
OB complications
Perinatal infant mortality
Previous bipolar episodes or psychosis
Family history of bipolar
Sleep deprivation
,Postpartum Psychosis Prevention - Correct answer Remain on medication
Immediate treatment postpartum
Good sleep
Symptoms wax and wane
OCD vs Psychosis - Correct answer OCD =
- Recognizes thoughts are unhealthy
- Extreme anxiety related to thoughts
- Overly concerned about becoming "crazy"
- Ego-dystonic
- Does not want to hurt the baby (low risk)
Psychosis=
- Do not recognize actions/thoughts are unhealthy
- May seem to have less anxiety when indulging in thoughts/behaviors
- Ego-syntonic (high risk)
,Risk Factors Partner Depression - Correct answer Feeling burdened or trapped
Financial responsibility
Feeling outside the circle of attention
Missing sexual relationship
Sleep deprivation
Isolation and loneliness
Risk Factors for PMADs - Correct answer Risk factors are universal
Endocrine dysfunction (diabetes, thyroid, fertility)
Social Factors (violence, loss, moving, financial stress)
Psychological
High stress (teen parent, single parent, multiples, military)
Previous PMADs
Family history
History of mood/anxiety disorder\Significant mood reactions to hormonal changes
, Diabetes and PMADs - Correct answer PPD more common in women with diabetes
before pregnancy
Gestational diabetes not associated with increased rates of depression
Exacerbating Factors for PMADs - Correct answer Pain
Lack of sleep
Abrupt discontinuation of breastfeeding
Childcare stress/relationship stress
Losses
History of childhood sexual abuse
Complications in preg, birth, or feeding
Temperament of baby
Age related stressors
Seasonal depression/mania
Perfectionism/high expectations
Returning to work
Unresolved grief or attachment with mother
