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PSI Perinatal Mental Health Certification Exam
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PSI Perinatal Mental Health Certification Exam/PSI Perinatal Mental Health Certification Exam/PSI Perinatal Mental Health Certification Exam
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PSI Perinatal Mental Health CertificationExam
Theories of etiology - correct answer biological sensitivities to hormone changes (sleep),
genetic vulnerability (prior diagnosis), psychological (identity), social/environmental (poor
social support/racism)
Baby Blues - correct answer 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 - correct answer severity, intensity, duration of
symptoms
Prevalence of postpartum anxiety - correct answer 8-20%
Prevalence of prenatal anxiety - correct answer 15%
Prevalence of postpartum depression - correct answer 21%
Prevalence of postpartum panic disorder - correct answer 11%
Prevalence of postpartum OCD - correct answer 11%
Prevalence of postpartum PTSD - correct answer 9%
Percentage of bipolar symptoms that relapse w/o meds - correct answer 70%
Prevalence of postpartum psychosis - correct answer 1-2 out of 1,000
,PSI Perinatal Mental Health Certification
Exam
Prevalence of PPD in fathers - correct answer 10%
Prevalence psychosis in women with known bipolar disorder - correct answer 20-30%
Traits of OCD - correct answer 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 - correct answer 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 - correct answer intrusive thoughts (flashbacks), avoidance, negative cognitions
and mood, arousal (sleep disturbance, poor concentration, aggression, hyper vigilance)
maternal mortality-all women - correct answer 1,200 a year or 14.4 per 100,000
maternal mortality-black women - correct answer 43.5 per 100,000
Bipolar 1 Disorder - correct answer a type of bipolar disorder marked by at least one lifetime
full manic and major depressive episodes
Hypomania - correct answer A mild manic state in which the individual seems infectiously
merry, extremely talkative, charming, and tireless. up to 4 days in length
mania - correct answer a mood disorder marked by a hyperactive, wildly optimistic state-
function is impaired. can last 7 days
, PSI Perinatal Mental Health Certification
Exam
prevalence of first diagnosis of bipolar disorder postpartum - correct answer 50%
Risk factors for postpartum psychosis - correct answer History of bipolar or psychotic disorder,
first pregnancy, family history, recent discontinuation of psychotropic medication
Postpartum psychosis symptoms - correct answer 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 - correct answer stay on bipolar medication, treat
immediately in women with history of psychosis and bipolar, good sleep is essential
Evidence based risk factors for PMADS - correct answer previous PMADS (family history,
personal history, symptoms during pregnancy), history of mood/anxiety disorders (personal or
family history of depression, anxiety, OCD, eating disorders, bipolar disorders), significant mood
reactions of hormonal changes (puberty, PMS, hormonal birth control)
More evidence based risk factors for PMADS - correct answer endocrine dysfunction (diabetes,
thyroid imbalance, fertility challenges), social factors (IPV, low support, financial stress, racism),
high stress parenting (military families, adolescent parents, parents of multiples, single parents)
Exacerbating factors of postpartum depression - correct answer pain, lack of sleep, abrupt
discontinuing of breast feeding, childcare stress, relationship stress, losses, history of childhood
sexual abuse, complicated pregnancy, health changes in baby or parents, temperament of baby,
climate stressors: seasonal depression or mania, perfectionism/high expectations, unresolved
grief or attachment with mother, returning to work
Substance Use in Pregnancy - correct answer 5.4% all women use illicit drugs during
pregnancy, 14.6% of adolescent moms
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