PMH-C Questions
with Verified
Answers
conception through the first year after giving birth. - ✔✔- ACTUAL ANSWER-
Perinatal Period
Term meaning "During Pregnancy" - ✔✔- ACTUAL ANSWER- Antenatal
The first year after giving birth - ✔✔- ACTUAL ANSWER- Postpartum/Postnatal
,Get in the way of daily functioning. - ✔✔- ACTUAL ANSWER- Disorders
400,000, making perinatal depression the most under diagnosed obstetric
complication in America. - ✔✔- ACTUAL ANSWER- Every year, how many
infants are born to mothers who are depressed?
1 out of 5-7 women. - ✔✔- ACTUAL ANSWER- What is the prevalence of
PMAD's for women?
1 out of 10 men. - ✔✔- ACTUAL ANSWER- What is the prevalence of PMAD's
for men?
$14.2 Billion annually - ✔✔- ACTUAL ANSWER- What is the cost of untreated
PMAD's?
~50% - ✔✔- ACTUAL ANSWER- How many pregnancies are unplanned?
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). - ✔✔- ACTUAL ANSWER- What are
the PMAD etiologies (causes)?
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). - ✔✔- ACTUAL ANSWER- In what ways does culture
influence whether PMAD's are recognized?
Cultural context, screening inventories, cutoffs used on objective measures,
timing of screening and onset of symptoms, relationship between the subject and
the researcher. - ✔✔- ACTUAL ANSWER- Why is there variability in prevalence
rates of PMAD's?
Maternal depression - ✔✔- ACTUAL ANSWER- What is the strongest predictor
for paternal (fathers) depression.
,Between 3-6 months postpartum - ✔✔- ACTUAL ANSWER- When do father's
depressive symptoms spike?
Rather than sadnes, men may increase substance use, be more irritable,
aggressive or hostile. May "check out", self isolate. - ✔✔- ACTUAL ANSWER-
What is "masked" male depression?
Feeling burdened/trapped, financial burdens, feeling left out, missing sexual
relationship, sleep deprivation, isolation and loneliness, poor social support
network. - ✔✔- ACTUAL ANSWER- Possible factors for partner depression.
Pregnancy - ✔✔- ACTUAL ANSWER- Is this pregnancy emotions or
depression? Mood is labile (frequently changes), teary.
Depression - ✔✔- ACTUAL ANSWER- Is this pregnancy emotions or
depression? Mood is gloom, irritable, agitation, or rage
Depression (In pregnancy, self esteem is unchanged) - ✔✔- ACTUAL
ANSWER- Is this pregnancy emotions or depression? Self esteem is low. Guilt.
Depression (Having to urinate frequently or having heartburn are symptoms of
pregnancy). - ✔✔- ACTUAL ANSWER- Is this pregnancy emotions or
depression? Difficulty initiating and/or sustaining sleep.
Depression (May be tired during pregnancy but rest restores.) - ✔✔- ACTUAL
ANSWER- Is this pregnancy or depression? Fatigue, rest does not restore.
Depression. Anhedonia is the inability to feel pleasure. - ✔✔- ACTUAL
ANSWER- Is this pregnancy or depression? Anhedonia
Depression - ✔✔- ACTUAL ANSWER- Is this pregnancy or depression?
Dysregulation of appetite
60-80% - ✔✔- ACTUAL ANSWER- How many new mothers are universally
affected by the Baby Blues?
, baby blues - ✔✔- ACTUAL ANSWER- Hormone fluctuation at the time of birth
and acute sleep deprivation can lead to what common situation or non-disorder?
2 days to 2 weeks after birth - ✔✔- ACTUAL ANSWER- How long do the baby
blues last?
on day 3-5 after delivery. - ✔✔- ACTUAL ANSWER- When do baby blues
typically peak?
tearfulness, lability, reactivity, and exhaustion. Unrelated to stress or prior
psychiatric hx. - ✔✔- ACTUAL ANSWER- What are the symptoms of baby
blues?
severity/intensity, timing/onset, duration/chronicity - ✔✔- ACTUAL ANSWER-
When making a determination between baby blues and major depression, what
should be considered?
Major Unipolar Depression (with peripartum onset) - ✔✔- ACTUAL ANSWER-
Under the DSM-5, what code can we use for postpartum depression?
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. -
✔✔- ACTUAL ANSWER- 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:
Excessive anxiety/worry. Difficulty controlling one's worry. Agitation/Irritability.
Restlessness. Poor concentration. Easily fatigues/sleep disturbances. Increased
somatic symptoms. - ✔✔- ACTUAL ANSWER- Signs of Generalized Anxiety
Disorder
15.8% - ✔✔- ACTUAL ANSWER- What is the prevalence for prenatal anxiety?
with Verified
Answers
conception through the first year after giving birth. - ✔✔- ACTUAL ANSWER-
Perinatal Period
Term meaning "During Pregnancy" - ✔✔- ACTUAL ANSWER- Antenatal
The first year after giving birth - ✔✔- ACTUAL ANSWER- Postpartum/Postnatal
,Get in the way of daily functioning. - ✔✔- ACTUAL ANSWER- Disorders
400,000, making perinatal depression the most under diagnosed obstetric
complication in America. - ✔✔- ACTUAL ANSWER- Every year, how many
infants are born to mothers who are depressed?
1 out of 5-7 women. - ✔✔- ACTUAL ANSWER- What is the prevalence of
PMAD's for women?
1 out of 10 men. - ✔✔- ACTUAL ANSWER- What is the prevalence of PMAD's
for men?
$14.2 Billion annually - ✔✔- ACTUAL ANSWER- What is the cost of untreated
PMAD's?
~50% - ✔✔- ACTUAL ANSWER- How many pregnancies are unplanned?
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). - ✔✔- ACTUAL ANSWER- What are
the PMAD etiologies (causes)?
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). - ✔✔- ACTUAL ANSWER- In what ways does culture
influence whether PMAD's are recognized?
Cultural context, screening inventories, cutoffs used on objective measures,
timing of screening and onset of symptoms, relationship between the subject and
the researcher. - ✔✔- ACTUAL ANSWER- Why is there variability in prevalence
rates of PMAD's?
Maternal depression - ✔✔- ACTUAL ANSWER- What is the strongest predictor
for paternal (fathers) depression.
,Between 3-6 months postpartum - ✔✔- ACTUAL ANSWER- When do father's
depressive symptoms spike?
Rather than sadnes, men may increase substance use, be more irritable,
aggressive or hostile. May "check out", self isolate. - ✔✔- ACTUAL ANSWER-
What is "masked" male depression?
Feeling burdened/trapped, financial burdens, feeling left out, missing sexual
relationship, sleep deprivation, isolation and loneliness, poor social support
network. - ✔✔- ACTUAL ANSWER- Possible factors for partner depression.
Pregnancy - ✔✔- ACTUAL ANSWER- Is this pregnancy emotions or
depression? Mood is labile (frequently changes), teary.
Depression - ✔✔- ACTUAL ANSWER- Is this pregnancy emotions or
depression? Mood is gloom, irritable, agitation, or rage
Depression (In pregnancy, self esteem is unchanged) - ✔✔- ACTUAL
ANSWER- Is this pregnancy emotions or depression? Self esteem is low. Guilt.
Depression (Having to urinate frequently or having heartburn are symptoms of
pregnancy). - ✔✔- ACTUAL ANSWER- Is this pregnancy emotions or
depression? Difficulty initiating and/or sustaining sleep.
Depression (May be tired during pregnancy but rest restores.) - ✔✔- ACTUAL
ANSWER- Is this pregnancy or depression? Fatigue, rest does not restore.
Depression. Anhedonia is the inability to feel pleasure. - ✔✔- ACTUAL
ANSWER- Is this pregnancy or depression? Anhedonia
Depression - ✔✔- ACTUAL ANSWER- Is this pregnancy or depression?
Dysregulation of appetite
60-80% - ✔✔- ACTUAL ANSWER- How many new mothers are universally
affected by the Baby Blues?
, baby blues - ✔✔- ACTUAL ANSWER- Hormone fluctuation at the time of birth
and acute sleep deprivation can lead to what common situation or non-disorder?
2 days to 2 weeks after birth - ✔✔- ACTUAL ANSWER- How long do the baby
blues last?
on day 3-5 after delivery. - ✔✔- ACTUAL ANSWER- When do baby blues
typically peak?
tearfulness, lability, reactivity, and exhaustion. Unrelated to stress or prior
psychiatric hx. - ✔✔- ACTUAL ANSWER- What are the symptoms of baby
blues?
severity/intensity, timing/onset, duration/chronicity - ✔✔- ACTUAL ANSWER-
When making a determination between baby blues and major depression, what
should be considered?
Major Unipolar Depression (with peripartum onset) - ✔✔- ACTUAL ANSWER-
Under the DSM-5, what code can we use for postpartum depression?
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. -
✔✔- ACTUAL ANSWER- 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:
Excessive anxiety/worry. Difficulty controlling one's worry. Agitation/Irritability.
Restlessness. Poor concentration. Easily fatigues/sleep disturbances. Increased
somatic symptoms. - ✔✔- ACTUAL ANSWER- Signs of Generalized Anxiety
Disorder
15.8% - ✔✔- ACTUAL ANSWER- What is the prevalence for prenatal anxiety?
