PMH-C Risk Factors 5

Question 1

In assessing PMAD risk, which of the following questions most directly screens for a key modifiable social risk factor?

Accepted Answer

Do you have people you can count on for emotional support?

Answer

Social support is one of the most important modifiable risk factors for PMAD, and directly assessing its presence or absence guides intervention.

Question 2

A client is a single parent by choice with no co-parent. The most clinically relevant PMAD risk in this scenario is:

Accepted Answer

Reduced instrumental and emotional support, and sole responsibility for infant care

Answer

Single parenting without a co-parent increases PMAD risk primarily through reduced support and the burden of sole caregiving responsibility.

Question 3

Which statement best characterizes how race and ethnicity function as PMAD risk factors?

Accepted Answer

Racial disparities in PMAD are driven by racism, discrimination, and inequitable access to care

Answer

Racial and ethnic disparities in PMAD rates reflect the impact of structural racism, discrimination, and inequitable healthcare access, not biological race.

Question 4

A client with a previous cesarean section who strongly desired a vaginal birth experienced a repeat cesarean. This is a risk factor for PMAD because:

Accepted Answer

Unmet birth expectations and perceived loss of control are associated with PMAD and birth trauma

Answer

When birth outcomes significantly diverge from desired plans, feelings of failure, loss of control, and grief can contribute to postpartum depression and PTSD.

Question 5

A client is a healthcare worker who experienced significant occupational stress and moral injury during the COVID-19 pandemic before and during her pregnancy. This functions as a PMAD risk factor through:

Accepted Answer

Cumulative trauma, burnout, and moral injury increasing vulnerability to PMAD

Answer

Occupational trauma and moral injury constitute significant cumulative stress that increases vulnerability to perinatal mood and anxiety disorders.

(PMH-C) Perinatal Mental Health Certification Practice Test

(PMH-C) Perinatal Mental Health Certification Practice Test

PMH-C Risk Factors 5