Exam (elaborations)
PMH-C (PERINATAL MENTAL HEALTH CERTIFICATION) EXAM QUESTIONS AND ANSWERS 2024
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PMH-C (PERINATAL MENTAL HEALTH CERTIFICATION) EXAM QUESTIONS AND ANSWERS 2024
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PMH-C (PERINATAL MENTAL HEALTHCERTIFICATION) EXAM
Which medications are considered addictive? - ANSWERS-benzo's.
Antidepressants and mood stabilizers are not.
Vitamin D - ANSWERS--low levels of Vit D and depression likely associated
-supplementation may reduce risk of PPD
-African American women higher risk of vit D deficiency
-Supports brain development of fetus/infant
magnesium - ANSWERS--may benefit restless leg syndrome=better sleep
-lack of clear trend between magnesium dosage and antidepressant effects.
What is low omega 3s correlated with? - ANSWERS-depression. But insufficient
evidence for prevention/treatment of PMADs.
What should one be cautious with when taking St. John's Wort? - ANSWERS--may
reduce the effectiveness of birth control.
-should not be taken with anti-depressants and many other meds.
,The herb SAM-e has what positive effect? - ANSWERS-Positive effect with
depression. May temporarily increase anxiety. Contraindicated with bipolar.
The probiotic lactobacillus reuteri decreased symptoms of what? - ANSWERS-Colic
therefore reducing PPD
Placenta Encapsulation - ANSWERS-no significant evidence showing benefits.
Perinatal Period - ANSWERS-conception through the first year after giving birth.
Antenatal - ANSWERS-Term meaning "During Pregnancy"
Postpartum/Postnatal - ANSWERS-The first year after giving birth
Disorders - ANSWERS-Get in the way of daily functioning.
Every year, how many infants are born to mothers who are depressed? -
ANSWERS-400,000, making perinatal depression the most under diagnosed
obstetric complication in America.
What is the prevalence of PMAD's for women? - ANSWERS-1 out of 5-7 women.
What is the prevalence of PMAD's for men? - ANSWERS-1 out of 10 men.
,What is the cost of untreated PMAD's? - ANSWERS-$14.2 Billion annually
How many pregnancies are unplanned? - ANSWERS-~50%
What are the PMAD etiologies (causes)? - ANSWERS-Biological Sensitivity to
hormonal changes (sleep deprivation), Vulnerability (such as genetic disposition),
psychological (relationship 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? -
ANSWERS-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? - ANSWERS-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. - ANSWERS-
Maternal depression
, When do father's depressive symptoms spike? - ANSWERS-Between 3-6 months
postpartum
What is "masked" male depression? - ANSWERS-Rather than sadnes, men may
increase substance use, be more irritable, aggressive or hostile. May "check out",
self isolate.
Possible factors for partner depression. - ANSWERS-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. - ANSWERS-Pregnancy
Is this pregnancy emotions or depression? Mood is gloom, irritable, agitation, or
rage - ANSWERS-Depression
Is this pregnancy emotions or depression? Self esteem is low. Guilt. - ANSWERS-
Depression (In pregnancy, self esteem is unchanged)
Is this pregnancy emotions or depression? Difficulty initiating and/or sustaining
sleep. - ANSWERS-Depression (Having to urinate frequently or having heartburn
are symptoms of pregnancy).
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