Perinatal Mental Health Certification PMH C
2024 Exam Review Questions and Answers
100% Pass | Graded A+
David Mungai [Date] [Course title]
,Perinatal Mental Health Certification
PMH C 2024 Exam Review Questions
and Answers 100% Pass | Graded A+
What is a PMAD? - Answer>> A perinatal mood and anxiety
disorder (not just PPD!)
Define the perinatal period. - Answer>> Time from conception
through 1st year after giving birth.
Define the prenatal or antenatal time - Answer>> During
pregnancy
Define the postpartum or postnatal time - Answer>> 1st year
after giving birth
What does PMAD mean? - Answer>> Perinatal mood
(depression, bipolar, psychosis) anxiety (ocd, panic, had, ptsd)
disorders (impact daily functioning).
Can occur at anytime in life but increased risk in perinatal period
and symptoms have unique presentation.
How many infants annually are born to depressed mothers? -
Answer>> 400,000...making perinatal depression the most
under diagnosed obstetric complication in America
PMADs can affect... - Answer>> Anyone!
They do not discriminate. Can affect anyone. Socioeconomic
status is NOT protective
_ in _ women are affected by perinatal depression - Answer>>
1 in 7 women
,Percentage of pregnancy induced HTN vs pre-eclampsia vs
gestational diabetes vs PMADs? - Answer>> 6-8% PIH, 6-8%
pre-eclampsia, 6% gestational diabetes, 21% PMADs
_ in _ men are affected by perinatal depression - Answer>> 1 in
10 men
Risks of untreated PMADs - Answer>> Relationship problems,
poor adherence to medical care, exacerbation of chronic medical
issues, loss of financial resources, disability, child neglect/abuse,
developmental delays, tobacco/alcohol, drug use, Suicide,
homicide
How many pregnancies are unplanned? - Answer>> 50%
Not all pregnancies are planned, wanted. Not all pregnancies end
with a health baby or fulfillment.
Etiology of PPD? - Answer>> Genetic predisposition, biological
sensitivity to hormonal changes, social/environmental (Hx of
trauma or poor social support), psychological (relationship with
own mom, self image/perfectionism)
Cultural considerations of ppd - Answer>> -in some cultures
mothers may not feel safe to express needs or seek help.
-may report symptoms differently based on culture
What did the landmark study on PPD show? - Answer>> 22%
of women had depression during first year postpartum: 26%
started before pregnancy, 33% during pregnancy, 40% during
postpartum
, Of the 22% of postpartum mothers - Answer>> 68% had
unipolar depression
66% had MDD or combo with GAD
22% bipolar depression
19% had thoughts of harming selves
Prenatal depression relapse rate with meds and without meds -
Answer>> 26% who continued meds relapsed during pregnancy
while 68% who stopped meds relapsed
Higher relapse rate if you DC meds
Percent of fathers with PPD? - Answer>> 10%
Depression in men: timing, symptoms - Answer>> Peaks at 3-6
months postpartum
May not be sad "masked" and irritable, aggressive, hostile, acting
out, checked out, distractions
Do men seek help for their depression? - Answer>> Not often.
Only 3% sought help.
Men are likely to under report symptoms
Single mothers vs single fathers - Answer>> Single mothers:
higher risk of maltreatment. Twice as likely than mothers with
partners to have depression.
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