PSI Perinatal Mental Health Certification Exam
Questions with Correct Answers
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
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
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