PMH-C Medications Exam Questions And Answers (2025/2026) Latest Version

PMH-C Medications Exam Questions And Answers (2025/2026) Latest Version There are two patients - answer-Treatment can benefit both mom and baby No treatment poses risk to both mom and baby "Exposure always occurs, be it to treatment or illness" Prevalence - answer-13% of pg women were prescribed antidepressants 50% of pregnancies are unplanned - early exposure has often occurred PMAD tx guidelines (APA & ACOG) - answer-Mild - moderate: - psychotherapy first line - continue meds if needed Severe/Recurrent - continue meds Suicidal/Psychotic - immediate referral to hospital or psychiatric care provider - medications First option for medication - answer-Is often Sertraline/Zoloft No single med is "safest" or "best" for use during pregnancy/postpartum/lactationWhy so much conflicting data on meds in perinatal - answer-No randomized, double-blind, placebocontrolled trials Many studies are retrospective database and case-control studies - may involve voluntary reporting - confounds (esp illness exposure) Confounding variables in assessing risk - answer-Other prescription/non-prescription meds Nutrition ETOH/cigarettes Genetics Obesity Method of delivery Environmental toxins Maternal/paternal age Length of gestation Stress Socioeconomic status Golden rules of pharmacological tx - answer-Keep it simple - monotherapy where possible, don't change what's working Ask about and document all known exposure to medications/supplements/herbals/OTC Encourage psychotherapy & social support Parental concerns around perinatal medication - ans