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PMH-C - Study Questions and Answers (100% Correct Answers) Already Graded A+

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PMH-C - Study Questions and Answers (100% Correct Answers) Already Graded A+

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PMH-C - Study Questions and Answers (100%
Correct Answers) Already Graded A+
Perinatal Period Ans: conception through the first year after giving birth.


Antenatal Ans: Term meaning "During Pregnancy"


Postpartum/Postnatal Ans: The first year after giving birth
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Disorders Ans: Get in the way of daily functioning.
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Every year, how many infants are born to mothers who are depressed?
Ans: 400,000, making perinatal depression the most under diagnosed
obstetric complication in America.


What is the prevalence of PMAD's for women? Ans: 1 out of 5-7 women.


What is the prevalence of PMAD's for men? Ans: 1 out of 10 men.


What is the cost of untreated PMAD's? Ans: $14.2 Billion annually


How many pregnancies are unplanned? Ans: ~50%


What are the PMAD etiologies (causes)? Ans: 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).

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In what ways does culture influence whether PMAD's are recognized?
Ans: 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? Ans: Cultural
context, screening inventories, cutoffs used on objective measures,
timing of screening and onset of symptoms, relationship between the
subject and the researcher.
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What is the strongest predictor for paternal (fathers) depression. Ans:
Maternal depression
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When do father's depressive symptoms spike? Ans: Between 3-6 months
postpartum


What is "masked" male depression? Ans: Rather than sadnes, men may
increase substance use, be more irritable, aggressive or hostile. May
"check out", self isolate.


Possible factors for partner depression. Ans: 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. Ans: Pregnancy


Is this pregnancy emotions or depression? Mood is gloom, irritable,
agitation, or rage Ans: Depression

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Is this pregnancy emotions or depression? Self esteem is low. Guilt. Ans:
Depression (In pregnancy, self esteem is unchanged)


Is this pregnancy emotions or depression? Difficulty initiating and/or
sustaining sleep. Ans: Depression (Having to urinate frequently or having
heartburn are symptoms of pregnancy).


Is this pregnancy or depression? Fatigue, rest does not restore. Ans:
Depression (May be tired during pregnancy but rest restores.)
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Is this pregnancy or depression? Anhedonia Ans: Depression. Anhedonia
is the inability to feel pleasure.
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Is this pregnancy or depression? Dysregulation of appetite Ans:
Depression


How many new mothers are universally affected by the Baby Blues? Ans:
60-80%


Hormone fluctuation at the time of birth and acute sleep deprivation
can lead to what common situation or non-disorder? Ans: baby blues


How long do the baby blues last? Ans: 2 days to 2 weeks after birth


When do baby blues typically peak? Ans: on day 3-5 after delivery.


What are the symptoms of baby blues? Ans: tearfulness, lability,
reactivity, and exhaustion. Unrelated to stress or prior psychiatric hx.

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When making a determination between baby blues and major
depression, what should be considered? Ans: severity/intensity,
timing/onset, duration/chronicity


Under the DSM-5, what code can we use for postpartum depression?
Ans: 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: Ans: Depressed mood most of the day nearly every day. Loss of
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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
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death/suicidal thoughts.


Signs of Generalized Anxiety Disorder Ans: Excessive anxiety/worry.
Difficulty controlling one's worry. Agitation/Irritability. Restlessness. Poor
concentration. Easily fatigues/sleep disturbances. Increased somatic
symptoms.


What is the prevalence for prenatal anxiety? Ans: 15.8%


What is the prevalence estimates for postpartum anxiety symptoms?
Ans: 8%-20%


Panic Disorder symptoms? Ans: Episodes of intense fear or discomfort
reaching a peak within minutes. SOB, chest pain, dizziness, feeling of
choking. Hot/Cold flashes. Restlessness, rapid heart beat,
numbness/tingling sensations. Excessive worry/fear. Feeling as though
"going crazy", losing control, or having a future attack. Often no
identifiable trigger.

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