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PMH-C Exam Study Questions Solved 100% Correct
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PMH-C Exam Study Questions Solved100% Correct
DAD - Answer Depression After Delivery (USA)
APNI - Answer Association for Post Natal Illness (England)
PANDA - Answer Post and Ante Natal Depression Association (Australia)
Postpartum Education for Parents - Answer Organization providing
postpartum education and support for parents in the USA
Importance of Social Support - Answer Critical aspect of mental health for women,
children, and families
OCD Symptoms - Answer Cleaning, Checking, Counting, Ordering
Obsession with germs, cleanliness
Checking on baby, Hyper-vigilance
Intrusive, repetitive thoughts (usually of harm coming to baby) (Ego-Dystonic thoughts)
Tremendous guilt and shame, Horrified by these thoughts
Moms engage in behaviors to avoid harm or minimize triggers
Client does NOT want to do these things (DCFS does not need to be called)
OCD Prevalence - Answer Perinatal women are 1.5 - 2 times greater risk than
general population
Severity remains largely unchanged across pregnancy and the postpartum period
,30% new onset perinatal
11% of women at 2 weeks and 6 months postpartum
65% have co-morbid depression
41% fear deliberate harm
29% fear contamination
Trauma - Answer Directly experienced, witnessed, or repeated exposure to
adverse detail of a traumatic event
Not physiological result of another medical condition, medication, drugs or alcohol
Overwhelming experiences that invoke intense negative affect and involve some degree
of loss of control and/or vulnerability. The experience of trauma is subjective
The experience of what happened is not as important as what it means to the individual
PTSD Prevalence - Answer 12.3% of women in general population
Over 12% of pregnant women
9% postpartum met PTSD criteria
18% elevated symptoms of stress
Up to 34% of moms report a traumatic birth
PTSD Symptoms - Answer Persistent and distorted sense of blame of self or
others Numbing, Hyperarousal/hypervigilance, Dissociation
Markedly diminished interest in activities, to an inability to remember key aspects of
the event
Flashbacks and flooding, Distressing memories, thoughts, feelings, or external
reminders Spontaneous memories, Recurrent dreams/nightmares Avoidance of triggers,
Isolation
, Potentially Traumatic Events - Answer Emergency C-Section, Postpartum
hemorrhage, Premature birth
NICU, Forceps/vacuum, Pre-eclampsia
3rd or 4th degree laceration, Hyperemesis Gravidarum
Traumatic vaginal birth
Birth Trauma - Answer An event occurring during the labor and delivery process that
involves actual or threatened serious injury or death to the mother or her infant
The birthing woman experiences intense fear, loss of dignity, helplessness, loss
of control, and horror
Postpartum PTSD - Answer Perception of lack of caring, Feeling abandoned,
Poor communication
Feel invisible, Feeling powerless
The ends justify the means (healthy baby = happy mom)
Avoidance of aftercare, Impaired infant bonding
PTSD in partner, Sexual dysfunction
Avoidance of future pregnancies, Symptoms exacerbated in future pregnancies
Elective C-sections
Risk Factors for PTSD after Birth - Answer Neonatal complications, Lower
gestational age, Longer NICU stay
Stillbirth
Perinatal Bipolar Disorder - Answer 22.6% of women with postpartum depression had
bipolar disorder. Often misdiagnosed with unipolar depression. Chronic with high relapse,
suicide rates, and psychosocial dysfunction. DSV-5 recognizes peripartum onset.
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