PMH-C Exam (2024/ 2025 Update) Questions and Verified Answers| Grade A| 100% Correct

PMH-C Exam (2024/ 2025 Update) Questions and Verified Answers| Grade A| 100% Correct Q: Normal Pregnancy symptoms Answer: 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 Q: Depression Symptoms Answer: 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 Sadness, crying Guilt and shame Hopeless and helplessness Overwhelm Lack of feelings toward baby Isolation "This doesn't feel like me" Worthlessness Mood swings Inability to care for self and family Q: baby blues Answer: -NOT a mild form of clinical depression - Affects 60-80% of new moms - Mild - Lasts no more than 2 days to 2 weeks - Predominant mood is happiness - Common to have tearfulness, lability, reactivity - Peaks 3-5 days after delivery - Present in diverse cultures - Unrelated to stress or psychiatric history - Acute sleep deprivation -Different in from PPD in length and severity - Symptoms: mood swings, anxiety, sadness, irritability, crying, decreased concentration, trouble sleeping -Very common to feel this way, hormones have to readjust -Every mother experiences some type of baby blues, it's normal Q: Blues or Depression? Answer: Severity Timing Duration Q: Anxiety Symptoms Answer: Agitated, irritable Inability to sit still Excessive concern about the baby's or her own health High alert Appetite changes Sleep disturbances Constant worry Racing thoughts Shortness of breath Heart palpitations Q: Panic Symptoms Answer: Episodes of extreme anxiety Shortness of breath, chest pain, sensation of choking or smothering, dizziness Hot or cold flashes, trembling, rapid heart rate, numbness or tingling Restlessness, agitation, irritability Excessive worry or fear Panic may wake her up Peaks at 2 minutes Gets better after 10 minutes Best treatment is education (anxiety can't hurt you) Greatest fears: Dying Going Crazy Losing Control Q: 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) Q: OCD prevalence Perinatal woman 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