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PMH-C Exam: Medications Questions and Answers (100% Verified️️
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PMH-C Exam: Medications Questions and Answers (100% Verified️️)
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©PREP4EXAMS @2024 [REAL EXAM DUMPS] Tuesday, July 16, 2024 7:36 PMPMH-C Exam: Medications Questions and
Answers (100% Verified✔️✔️)
What percentage of women aged 12 years and over have used an antidepressant medication?
- ✔️✔️13%
What percentage of pregnancies in the U.S. are unplanned? - ✔️✔️~50%
omission bias - ✔️✔️the tendency for physicians to feel more responsible for causing harm if it
results from something they do (e.g. prescribe a medication) than if it results from something
they fail to do
Pregnancy often leads to - ✔️✔️antidepressant discontinuation.
relational ethics - ✔️✔️the principle that the well-being of mother/parent and fetus are
intertwined rather than oppositional, and both need to be taken into account in treatment
decisions
3 kinds of stress response - ✔️✔️1. positive, 2. tolerable, 3. toxic
positive stress response - ✔️✔️-normal and essential part of healthy development
-brief increases in heart rate and mild elevations in hormone levels
-e.g. vaccines, new caregiver
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, ©PREP4EXAMS @2024 [REAL EXAM DUMPS] Tuesday, July 16, 2024 7:36 PM
tolerable stress response - ✔️✔️-activates the body's alert systems
-if time-limited and buffered by relationships with adults, the brain and other organs recover
-from more severe, longer-lasting difficulties
-e.g. loss of a loved one, natural disaster, frightening injury
toxic stress response - ✔️✔️-prolonged activation of stress response systems can disrupt the
development of brain architecture and other organ systems and can increase risk for enduring
stress-related disease
-from strong, frequent, and/or prolonged adversity
-e.g. physical or emotional abuse or neglect
fetal programming - ✔️✔️-Through the mother's biochemistry, the fetus "learns" what to
expect regarding resources, pathogens, etc., and develops accordingly.
-Experiences in the womb (e.g. maternal nutrition, stress) influence which genes are turned
on or off, and therefore how brains and bodies develop.
The fetus is well protected from toxic effects of everyday maternal stress because: - ✔️✔️-
Maternal hypothalamic pituitary adrenal (HPA) axis has reduced baseline activity and
reduced responsiveness.
-a placental enzyme (11BHSD2*) inactivates some circulating maternal glucorticoids.
With severe, prolonged maternal distress... - ✔️✔️-Maternal cortisol level can overwhelm
placental defenses.
-This increases methylation at promoter regions of fetal genes that affect glucorticoid
receptors.
-The child's stress response system can become hypersensitive.
-There is an increased risk of preterm birth.
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