Pmh-C (Perinatal Mental Health Certification) Exam Questions With Complete Solutions.

PSI principles of social support {Ans: PSI believes that social support creates an environment in which women learn that they are not alone, they are not to blame, and they will get better with informed help}Ziprasidone (Geodon) {Ans: atypical antipsychotic starting dose: 40mg BID range: 40-160mg clinical pearls: not much data in pregnancy or lactation}Lamotrigine (Lamictal) {Ans: Antiepileptic starting dose: 25mg range: 100-200mg clinical pearls: stephens johnsons syndrome, few side effects and tolerated well, may need to be increased in pregnancy and secondary to fluid changes in 3rd trimester}Multiples + PMAD's {Ans: parents with multiples experience heightened symptoms of depression, anxiety and parenting stress (31%)}Buspirone (Buspar) {Ans: Anxiolytic (non benzo) starting dose: 5mg range: 5-60mg clinical pearls: dosing BID or TID, preferred over benzodiazepines in pt w h/o substance abuse/dependence, not always effects, minimal data in pregnancy/lactation}cognitive restructuring {Ans: identify automatic thoughts; connection between thoughts and feelings; evaluate thoughts/cognitive distortions; explore and modify underlying beliefs; develop alternate perspectives}Suicide risk factors in pregnancy {Ans: pregnancy already increases SI; pregnancy is unwanted; intimate partner violence; <12yrs education; prior pregnancy loss and or death}alcohol use in pregnancy {Ans: 8.5% women}ACOG standard of care screening