Exam (elaborations)
PSI PERINATAL MENTAL HEALTH CERTIFICATION EXAM
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PSI PERINATAL MENTAL HEALTH CERTIFICATION EXAM
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PSI PERINATAL MENTAL HEALTH CERTIFICATIONEXAM
Theories of etiology - Answers -biological sensitivities to hormone changes (sleep),
genetic vulnerability (prior diagnosis), psychological (identity), social/environmental
(poor social support/racism)
Baby Blues - Answers -Affects 60-80% new mothers. Due to hormone changes and
sleep deprivation. lasts 2 days to 2 weeks. Tearful, labile affect, reactivity, exhaustion
BUT predominately happy, self-esteem remains unchanged. Resolves without
intervention. Recommend self care strategies.
How to determine is it blues or depression - Answers -severity, intensity, duration of
symptoms
Prevalence of postpartum anxiety - Answers -8-20%
Prevalence of prenatal anxiety - Answers -15%
Prevalence of postpartum depression - Answers -21%
Prevalence of postpartum panic disorder - Answers -11%
Prevalence of postpartum OCD - Answers -11%
Prevalence of postpartum PTSD - Answers -9%
Percentage of bipolar symptoms that relapse w/o meds - Answers -70%
Prevalence of postpartum psychosis - Answers -1-2 out of 1,000
Prevalence of PPD in fathers - Answers -10%
Prevalence psychosis in women with known bipolar disorder - Answers -20-30%
Traits of OCD - Answers -recognizes that thoughts are unhealthy, extreme anxiety
related to thoughts/images, concerned about "snapping". parent does not want to harm
the baby, thoughts are frightening.
Traits of psychosis - Answers -does not recognize actions/thoughts are unhealthy, may
seem to have less anxiety when indulging in thoughts/behaviors, no insight about
distortion of thoughts, parent has delusional beliefs about the baby, thoughts of harming
the baby are ego-syntonic
, Traits of PTSD - Answers -intrusive thoughts (flashbacks), avoidance, negative
cognitions and mood, arousal (sleep disturbance, poor concentration, aggression, hyper
vigilance)
maternal mortality-all women - Answers -1,200 a year or 14.4 per 100,000
maternal mortality-black women - Answers -43.5 per 100,000
Bipolar 1 Disorder - Answers -a type of bipolar disorder marked by at least one lifetime
full manic and major depressive episodes
Hypomania - Answers -A mild manic state in which the individual seems infectiously
merry, extremely talkative, charming, and tireless. up to 4 days in length
mania - Answers -a mood disorder marked by a hyperactive, wildly optimistic state-
function is impaired. can last 7 days
prevalence of first diagnosis of bipolar disorder postpartum - Answers -50%
Risk factors for postpartum psychosis - Answers -History of bipolar or psychotic
disorder, first pregnancy, family history, recent discontinuation of psychotropic
medication
Postpartum psychosis symptoms - Answers -onset-2 weeks postpartum, poor
concentration, disorientation, agitation, aloof, lack of self care, elated/labile mood,
rambling speech, thought broadcasting/delusion of grandiosity, disorganized thoughts,
flight of ideas, hallucinations
reducing risk of postpartum psychosis - Answers -stay on bipolar medication, treat
immediately in women with history of psychosis and bipolar, good sleep is essential
NICU family prevalence of PMADS - Answers -20-30% of diagnosable mental health
disorder. more experience PTSD
NICU moms rate of depression - Answers -up to 63%
NICU moms rate of anxiety - Answers -up to 27%
NICU moms rate of PTSD - Answers -53%
NICU dads - Answers -30% screen positive for depressive symptoms
Risk of PTSD in NICU - Answers -related to parent's baseline coping and not
size/sickness of baby
Moms who lost a pregnancy increased risk for - Answers -PTSD, OCD, anxiety
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