©PREP4EXAMS @2024 [REAL EXAM DUMPS] Tuesday, July 16, 2024 7:36 PM
PMH-C Exam Prep Questions and
Answers (100% Pass)
Perinatal Period - ✔️✔️conception through the first year after giving birth.
Antenatal - ✔️✔️Term meaning "During Pregnancy"
Postpartum/Postnatal - ✔️✔️The first year after giving birth
Disorders - ✔️✔️Get in the way of daily functioning.
Every year, how many infants are born to mothers who are depressed? - ✔️✔️400,000, making
perinatal depression the most under diagnosed obstetric complication in America.
What is the prevalence of PMAD's for women? - ✔️✔️1 out of 5-7 women.
What is the prevalence of PMAD's for men? - ✔️✔️1 out of 10 men.
What is the cost of untreated PMAD's? - ✔️✔️$14.2 Billion annually
How many pregnancies are unplanned? - ✔️✔️~50%
What are the PMAD etiologies (causes)? - ✔️✔️Biological Sensitivity to hormonal changes
(sleep deprivation), Vulnerability (such as genetic disposition), psychological (relationship
Page 1 of 35
, ©PREP4EXAMS @2024 [REAL EXAM DUMPS] Tuesday, July 16, 2024 7:36 PM
with own mother, ambivalence to parenthood, self-image/perfectionism),
Social/environmental (hx of trauma, poor social support, institutional racism).
In what ways does culture influence whether PMAD's are recognized? - ✔️✔️There are
diverse ways that mothers conceptualize and explain their symptoms culturally. They may
not feel they are safe to express their symptoms. May be expressed in somatic (eg. stomach
pains or appetite changes) or affective ways (moods, feelings).
Why is there variability in prevalence rates of PMAD's? - ✔️✔️Cultural context, screening
inventories, cutoffs used on objective measures, timing of screening and onset of symptoms,
relationship between the subject and the researcher.
What is the strongest predictor for paternal (fathers) depression. - ✔️✔️Maternal depression
When do father's depressive symptoms spike? - ✔️✔️Between 3-6 months postpartum
What is "masked" male depression? - ✔️✔️Rather than sadnes, men may increase substance
use, be more irritable, aggressive or hostile. May "check out", self isolate.
Possible factors for partner depression. - ✔️✔️Feeling burdened/trapped, financial burdens,
feeling left out, missing sexual relationship, sleep deprivation, isolation and loneliness, poor
social support network.
Is this pregnancy emotions or depression? Mood is labile (frequently changes), teary. -
✔️✔️Pregnancy
Is this pregnancy emotions or depression? Mood is gloom, irritable, agitation, or rage -
✔️✔️Depression
Is this pregnancy emotions or depression? Self esteem is low. Guilt. - ✔️✔️Depression (In
pregnancy, self esteem is unchanged)
Page 2 of 35
, ©PREP4EXAMS @2024 [REAL EXAM DUMPS] Tuesday, July 16, 2024 7:36 PM
Is this pregnancy emotions or depression? Difficulty initiating and/or sustaining sleep. -
✔️✔️Depression (Having to urinate frequently or having heartburn are symptoms of
pregnancy).
Is this pregnancy or depression? Fatigue, rest does not restore. - ✔️✔️Depression (May be
tired during pregnancy but rest restores.)
Is this pregnancy or depression? Anhedonia - ✔️✔️Depression. Anhedonia is the inability to
feel pleasure.
Is this pregnancy or depression? Dysregulation of appetite - ✔️✔️Depression
How many new mothers are universally affected by the Baby Blues? - ✔️✔️60-80%
Hormone fluctuation at the time of birth and acute sleep deprivation can lead to what
common situation or non-disorder? - ✔️✔️baby blues
How long do the baby blues last? - ✔️✔️2 days to 2 weeks after birth
When do baby blues typically peak? - ✔️✔️on day 3-5 after delivery.
What are the symptoms of baby blues? - ✔️✔️tearfulness, lability, reactivity, and exhaustion.
Unrelated to stress or prior psychiatric hx.
When making a determination between baby blues and major depression, what should be
considered? - ✔️✔️severity/intensity, timing/onset, duration/chronicity
Under the DSM-5, what code can we use for postpartum depression? - ✔️✔️Major Unipolar
Depression (with peripartum onset)
For the DSM-5 code of Major Unipolar Depression (with peripartum onset), 5 or more
symptoms must be present with the same 2-week period: - ✔️✔️Depressed mood most of the
day nearly every day. Loss of interest, joy or pleasure (anhedonia). Significant wt or appetite
Page 3 of 35
, ©PREP4EXAMS @2024 [REAL EXAM DUMPS] Tuesday, July 16, 2024 7:36 PM
changes. Sleep disturbances. Psychomotor agitation/retardation. Fatigue/loss of energy. Poor
concentration/focus/indecisiveness. Feelings of worthlessness. Excessive/inappropriate guilt.
Recurrent thoughts of death/suicidal thoughts.
Signs of Generalized Anxiety Disorder - ✔️✔️Excessive anxiety/worry. Difficulty controlling
one's worry. Agitation/Irritability. Restlessness. Poor concentration. Easily fatigues/sleep
disturbances. Increased somatic symptoms.
What is the prevalence for prenatal anxiety? - ✔️✔️15.8%
What is the prevalence estimates for postpartum anxiety symptoms? - ✔️✔️8%-20%
Panic Disorder symptoms? - ✔️✔️Episodes of intense fear or discomfort reaching a peak
within minutes. SOB, chest pain, dizziness, feeling of choking. Hot/Cold flashes.
Restlessness, rapid heart beat, numbness/tingling sensations. Excessive worry/fear. Feeling as
though "going crazy", losing control, or having a future attack. Often no identifiable trigger.
What are the 3 greatest fears of a panic disorder? - ✔️✔️Fear of dying, fear of losing control,
fear of going crazy.
What term describes recurrent and persistent thoughts, or impulses that are intrusive and
unwanted and cause marked anxiety or distress? Individuals tend to attempt to try to ignore
or suppress the thoughts, urges, or images or to neutralize them with some other thought or
action. - ✔️✔️Obsessions
What term describes repetitive behaviors that the individual feels driven to perform in
response to the obsession. Behaviors or mental acts are aimed at preventing or reducing
anxiety or distress. - ✔️✔️Compulsions
Page 4 of 35