Risk Factors Flashcards
7 cards from real PMH-C practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Risk Factors flashcards as text
Which of the following best describes the relationship between sleep deprivation and postpartum depression?
Answer: Sleep deprivation is a bidirectional risk factor that both contributes to and results from PMAD
Sleep deprivation and PMAD have a bidirectional relationship, each worsening the other, making sleep a critical modifiable risk factor.
A client with a history of premenstrual dysphoric disorder (PMDD) is at elevated risk for perinatal mood disorders because:
Answer: PMDD indicates heightened sensitivity to hormonal fluctuations
PMDD indicates that the individual's mood is particularly sensitive to hormonal changes, which also occur dramatically during the perinatal period.
A birthing person who experienced childhood sexual abuse is at elevated perinatal mental health risk particularly due to:
Answer: Reactivation of trauma during pregnancy, labor, and intimate medical exams
Childhood sexual abuse can be reactivated by the physical intimacy of prenatal care and childbirth, substantially increasing trauma-related PMAD risk.
Which of the following populations has among the highest rates of perinatal depression in the United States?
Answer: Black and Indigenous women, particularly those facing structural racism
Black and Indigenous women face disproportionately high rates of PMAD due to structural racism, bias in healthcare, and compounded social stressors.
Thyroid dysfunction in the postpartum period is clinically significant for PMAD because:
Answer: Postpartum thyroiditis can mimic or exacerbate depressive and anxiety symptoms
Postpartum thyroiditis occurs in approximately 5-10% of women and can cause symptoms that overlap with or worsen PMAD.
A client discloses prior pregnancy loss (miscarriage or stillbirth). This history is a risk factor for perinatal anxiety in subsequent pregnancies primarily because:
Answer: Pregnancy after loss triggers hypervigilance and anticipatory grief
Pregnancy after loss commonly triggers intense anxiety, hypervigilance about fetal wellbeing, and unresolved grief, significantly elevating PMAD risk.
Which of the following is a well-documented risk factor specific to postpartum psychosis?
Answer: Personal or family history of bipolar disorder
Bipolar disorder history (personal or familial) is the strongest known risk factor for postpartum psychosis, which occurs in approximately 1-2 per 1,000 births.