PMHC Exam Review with Exam
Questions and Correct Solutions
Updated 2025/2026||100%
Guaranteed Pass A+
GRADED<BRAND NEW VERSION>
Trauma informed screening tools - ANSWER ✓ ACES, Urban ACES, Life Event
Checklist, PCL-C, Impact of Events Scale-Revised
Filette/Kaiser 85 - ANSWER ✓ Link between obesity and sexual abuse
Aces and pregnancy - ANSWER ✓ For each ace, decreased birth weight and
gestational age
Urban aces - ANSWER ✓ 7 in 10 in Philadelphia had at least one, 40% had 4 or
more of community wide traumas
Suicidality and pregnancy - ANSWER ✓ More likely than general population,
increases with unplanned, IPV, lower Ed, prior loss, psych illness or medication
abruptly stopped
Respond to positive suicide screen - ANSWER ✓ Assess, refer, follow up, same
day Cssrs
Suicide warmline - ANSWER ✓ Clear about role, resources, what would it take to
feel safe, permission to communicate with supportive others
Send to er or call 911 - ANSWER ✓ Active plan/intent, mania, psychosis
SUD - ANSWER ✓ Illicit drug use among pregnant 15-44 is 5.4%, 15-17 is
14.6%
SUD in pregnancy - ANSWER ✓ 1 in 10 alcohol, 1 in 20 drugs
,Stillbirth from SUD - ANSWER ✓ 2x greater with tobacco, active or passive,
marijuana, stimulant or pain reliever
Postpartum alcohol use, drug use - ANSWER ✓ 40-49%, 4.5-8.6%(marijuana and
opioids most common)
Pmad symptoms among moms with SUD - ANSWER ✓ 19.7-46%
Neonatal Abstinence Syndrome (NAS) - ANSWER ✓ Increased 5x between 00-
14, with rise of opioids prescribed to pregnant women (one born every 15
minutes), faster in rural areas
Breastfeeding and depression - ANSWER ✓ Bidirectional relationship, meds help
DYSPHORIC MILK EJECTION REFLEX (D-MER) - ANSWER ✓ Lasts a few
minutes, despondency, anxiety, agotation
Depression suppresses lactation hormones - ANSWER ✓ Oxytocin (c section, BT,
epidurals) and prolactin
Galactagogue - ANSWER ✓ Increases breast milk production, can cause
depression (eg Reglan, 7x)
Thyroid dysfunction and anemia - ANSWER ✓ Implicated in depression and
reduced milk supply
Most meds compatible with lactation - ANSWER ✓ True
Black breastfeeding - ANSWER ✓ Gap closing, still lowest rates
% who experience loss and get pregnant again - ANSWER ✓ 50-80%, increased
risk for anxiety
% of recognized pregnancies ending in intrauterine loss - ANSWER ✓ 15%, 80%
in 1st trimester
neonatal death - ANSWER ✓ 28 days, 4 per 1000, congenital anomalies most
frequent
, 5 leading causes of infant death - ANSWER ✓ birth defects
preterm birth/low birthweight
sudden infant death syndrome
maternal pregnancy complications
injuries
Black infant mortality - ANSWER ✓ 11% vs 4%
Prevalence of fertility challenges in us - ANSWER ✓ 10%, 1 year or 6 months
past 35, 1 in 8 couples, higher in poc
US twin rate - ANSWER ✓ 33.3 per 1000, triplets 101 per 100,000, increased
pmads (31.5%)
US adoption rate - ANSWER ✓ .5%
Post-adoption depressive syndrome - ANSWER ✓ Pads, intended parent, 18-26%
moms, 11-24% dads
Teens pregnant by 20 - ANSWER ✓ 1 in 4, falling, higher than other western
nations, disparities
Risks for teen mothers - ANSWER ✓ Bp, anemia, nutrition, preterm, birthweight,
sti, higher infant mortality, obstructed labor
teen fathers - ANSWER ✓ 10 per 1000, 80% unwanted, Lower education
Military pregnancy - ANSWER ✓ 43%under 25, have kids, 16.8% female,
eligible to deploy after 12 months
Deployment and pmads - ANSWER ✓ 3.2 risk of preterm, 3x risk of pmads
NICU admissions - ANSWER ✓ 10-16%, 20-30% higher Mh issues among nicu
patents
NICU moms - ANSWER ✓ 1/4-1/2 have depression, anxiety, ptsd
Questions and Correct Solutions
Updated 2025/2026||100%
Guaranteed Pass A+
GRADED<BRAND NEW VERSION>
Trauma informed screening tools - ANSWER ✓ ACES, Urban ACES, Life Event
Checklist, PCL-C, Impact of Events Scale-Revised
Filette/Kaiser 85 - ANSWER ✓ Link between obesity and sexual abuse
Aces and pregnancy - ANSWER ✓ For each ace, decreased birth weight and
gestational age
Urban aces - ANSWER ✓ 7 in 10 in Philadelphia had at least one, 40% had 4 or
more of community wide traumas
Suicidality and pregnancy - ANSWER ✓ More likely than general population,
increases with unplanned, IPV, lower Ed, prior loss, psych illness or medication
abruptly stopped
Respond to positive suicide screen - ANSWER ✓ Assess, refer, follow up, same
day Cssrs
Suicide warmline - ANSWER ✓ Clear about role, resources, what would it take to
feel safe, permission to communicate with supportive others
Send to er or call 911 - ANSWER ✓ Active plan/intent, mania, psychosis
SUD - ANSWER ✓ Illicit drug use among pregnant 15-44 is 5.4%, 15-17 is
14.6%
SUD in pregnancy - ANSWER ✓ 1 in 10 alcohol, 1 in 20 drugs
,Stillbirth from SUD - ANSWER ✓ 2x greater with tobacco, active or passive,
marijuana, stimulant or pain reliever
Postpartum alcohol use, drug use - ANSWER ✓ 40-49%, 4.5-8.6%(marijuana and
opioids most common)
Pmad symptoms among moms with SUD - ANSWER ✓ 19.7-46%
Neonatal Abstinence Syndrome (NAS) - ANSWER ✓ Increased 5x between 00-
14, with rise of opioids prescribed to pregnant women (one born every 15
minutes), faster in rural areas
Breastfeeding and depression - ANSWER ✓ Bidirectional relationship, meds help
DYSPHORIC MILK EJECTION REFLEX (D-MER) - ANSWER ✓ Lasts a few
minutes, despondency, anxiety, agotation
Depression suppresses lactation hormones - ANSWER ✓ Oxytocin (c section, BT,
epidurals) and prolactin
Galactagogue - ANSWER ✓ Increases breast milk production, can cause
depression (eg Reglan, 7x)
Thyroid dysfunction and anemia - ANSWER ✓ Implicated in depression and
reduced milk supply
Most meds compatible with lactation - ANSWER ✓ True
Black breastfeeding - ANSWER ✓ Gap closing, still lowest rates
% who experience loss and get pregnant again - ANSWER ✓ 50-80%, increased
risk for anxiety
% of recognized pregnancies ending in intrauterine loss - ANSWER ✓ 15%, 80%
in 1st trimester
neonatal death - ANSWER ✓ 28 days, 4 per 1000, congenital anomalies most
frequent
, 5 leading causes of infant death - ANSWER ✓ birth defects
preterm birth/low birthweight
sudden infant death syndrome
maternal pregnancy complications
injuries
Black infant mortality - ANSWER ✓ 11% vs 4%
Prevalence of fertility challenges in us - ANSWER ✓ 10%, 1 year or 6 months
past 35, 1 in 8 couples, higher in poc
US twin rate - ANSWER ✓ 33.3 per 1000, triplets 101 per 100,000, increased
pmads (31.5%)
US adoption rate - ANSWER ✓ .5%
Post-adoption depressive syndrome - ANSWER ✓ Pads, intended parent, 18-26%
moms, 11-24% dads
Teens pregnant by 20 - ANSWER ✓ 1 in 4, falling, higher than other western
nations, disparities
Risks for teen mothers - ANSWER ✓ Bp, anemia, nutrition, preterm, birthweight,
sti, higher infant mortality, obstructed labor
teen fathers - ANSWER ✓ 10 per 1000, 80% unwanted, Lower education
Military pregnancy - ANSWER ✓ 43%under 25, have kids, 16.8% female,
eligible to deploy after 12 months
Deployment and pmads - ANSWER ✓ 3.2 risk of preterm, 3x risk of pmads
NICU admissions - ANSWER ✓ 10-16%, 20-30% higher Mh issues among nicu
patents
NICU moms - ANSWER ✓ 1/4-1/2 have depression, anxiety, ptsd
