2024 -2025 PMH -C (Perinatal Mental Health Certification ) ACTUAL EXAM 180 QUESTIONS WITH CORRECT EXPERT VERIFIED ANSWERS 100% TOP SCORE 1. Military Stressors : Challenges faced by military personnel such as recent/upcoming deployment, lack of emotional support, fear for welfare, living without partner, single parenting, concerns about childcare 2. Inadequate Support : Challenges including being located away from friends and family, lack of established relationships after a move, scarcity of providers familiar with military culture, limited providers for beneficiaries, lack of insurance -accepting providers, lack of peer support due to 'army strong' mentality, reluctanc e to disclose due to 'small town' environment, inability to provide peer support due to personal needs, focus on active duty member's psychological issues 3. Jane Honikman : Founder of Postpartum Support International ( PSI) 4. Year PSI Established : 1987 5. Louis Vic tor Marce : French psychiatrist known for writing the first treatise on puerperal mental illness (about six weeks after childbirth) 6. James A. Hamilton : Father of Postpartum Psychiatric Illness, author of 'Postpartum Psychiatric Problems', founder of the Marc e Society, advocate for research, treatment, and social support in the fiel d 7. DAD : Depression After Delivery (USA) 8. APNI : Association for Post Natal Illness (England ) 9. PANDA : Post and Ante Natal Depression Association (Australia ) 10. Postpartum Education for P arents : Organization providing postpartum education and support for parents in the USA 11. Importance of Social Support : Critical aspect of mental health for women, children, and families 12. How many countries have PSI members? : Over 40 countries 13. What percentage of women experience postpartum depression? : 21% 14. . What percentage of pregnant women experience moderate to severe depression and/or anxiety ? : 20% 15. What percentage of pregnant women with psychiatric diagnosis receive treatment? : Less than 86% 16. What percenta ge of women on antidepressants remain symptomatic due to suboptimal treatment? : Over 50% 17. Define the perinatal period . : The entire time frame from pregnancy through the first year after giving birth 18. Define PMAD. : Perinatal Mood (depression and bipolar) Anxi ety (GAD, panic, OCD, PTSD) Disorders 19. What percentage of pregnancies are unplanned? : 50% 20. Define PMDD. : Premenstrual dysphoric disorder Sensitive to hormonal changes Risk factor for PMAD 21. List disorders that classify as PMAD. : Depression Anxiety and Panic disorder OCD PTSD Perinatal Bipolar Psychosis 22. Perinatal Depression : Most under diagnosed obstetric complication in America 23. Prevalence for Prenatal Anxiety : 15.8% 24. Prevalence for Postpartum Anxiety : 8% - 20% 25. Pmads in Fathers : 1 in 10 men will get anxiety/depression 26. Medication : 50-75% relapse (depression and anxiety) after discontinuing medication while pregnant 27. Normal Pregnancy Symptoms : Mood is labile, teary Self-esteem is normal Sleep : bladder or heartburn may awaken. Can fall asleep No suicidal ideology Energy : may tire, rest restores Pleasure : joy and anticipation (appropriate worry) Appetite : increases 28. Depression Symptoms : Mood : persistent gloom Low self -esteem, guilt Sleep : early a.m. Awakening Suicidal thoughts, plans, or intentions Energy : rest does not restore Fatigue Anhedonia Poor appetite
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