pmh c quiz questions and complete solutions graded
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PMH-C Quiz Questions and Complete
Solutions Graded A+
Perinatal Period - Answer: conception through the first year after giving birth.
Antenatal - Answer: Term meaning "During Pregnancy"
Postpartum/Postnatal - Answer: The first year after giving birth
Disorders - Answer: Get in the way of daily functioning.
Every year, how many infants are born to mothers who are depressed? - Answer: 400,000, making
perinatal depression the most under diagnosed obstetric complication in America.
What is the prevalence of PMAD's for women? - Answer: 1 out of 5-7 women.
What is the prevalence of PMAD's for men? - Answer: 1 out of 10 men.
What is the cost of untreated PMAD's? - Answer: $14.2 Billion annually
How many pregnancies are unplanned? - Answer: ~50%
What are the PMAD etiologies (causes)? - Answer: 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? - Answer: 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? - Answer: 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. - Answer: Maternal depression
When do father's depressive symptoms spike? - Answer: Between 3-6 months postpartum
What is "masked" male depression? - Answer: Rather than sadnes, men may increase substance use, be
more irritable, aggressive or hostile. May "check out", self isolate.
Possible factors for partner depression. - Answer: 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. - Answer:
Pregnancy
Is this pregnancy emotions or depression? Mood is gloom, irritable, agitation, or rage - Answer:
Depression
Is this pregnancy emotions or depression? Self esteem is low. Guilt. - Answer: Depression (In pregnancy,
self esteem is unchanged)
Is this pregnancy emotions or depression? Difficulty initiating and/or sustaining sleep. - Answer:
Depression (Having to urinate frequently or having heartburn are symptoms of pregnancy).
Is this pregnancy or depression? Fatigue, rest does not restore. - Answer: Depression (May be tired
during pregnancy but rest restores.)
Is this pregnancy or depression? Anhedonia - Answer: Depression. Anhedonia is the inability to feel
pleasure.
, Is this pregnancy or depression? Dysregulation of appetite - Answer: Depression
How many new mothers are universally affected by the Baby Blues? - Answer: 60-80%
Hormone fluctuation at the time of birth and acute sleep deprivation can lead to what common
situation or non-disorder? - Answer: baby blues
How long do the baby blues last? - Answer: 2 days to 2 weeks after birth
When do baby blues typically peak? - Answer: on day 3-5 after delivery.
What are the symptoms of baby blues? - Answer: 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? -
Answer: severity/intensity, timing/onset, duration/chronicity
Under the DSM-5, what code can we use for postpartum depression? - Answer: 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: - Answer: Depressed mood most of the day nearly every day.
Loss of interest, joy or pleasure (anhedonia). Significant wt or appetite 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.
What is the prevalence for prenatal anxiety? - Answer: 15.8%
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