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PSI Perinatal Mental Health Certification Exam
Questions and Correct Answers
Theories of etiology
✓ ~: biological sensitivities to hormone changes (sleep), genetic vulnerability (prior
diagnosis), psychological (identity), social/environmental (poor social support/racism)
Baby Blues
✓ ~: 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.
Percentage of bipolar symptoms that relapse w/o meds
✓ ~: 70%
Prevalence of postpartum psychosis
✓ ~: 1-2 out of 1,000
Prevalence of PPD in fathers
✓ ~: 10%
Prevalence psychosis in women with known bipolar disorder
✓ ~: 20-30%
Traits of OCD
✓ ~: 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.
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Traits of psychosis
✓ ~: 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
✓ ~: a type of bipolar disorder marked by at least one lifetime full manic and major
depressive episodes
Hypomania
✓ ~: A mild manic state in which the individual seems infectiously merry, extremely
talkative, charming, and tireless. up to 4 days in length
mania
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