1|Page
Perinatal Mental Health exam|| QUESTIONS AND
SOLUTION 100% VERIFIED ANSWERS A+ GRADED
FREE||NEWEST EXAM!!!
What is one thing that a women says that makes her a
high risk for suicide? - ANSWER-When she thinks the
baby would be better off without her
Suicide risk factors in pregnancy - ANSWER-When a
pregnancy is unwanted
Intimate partner violence
Low education
Prior pregnancy loss or death of children
Psych illness or meds stopped abruptly
*pregnant women are more likely than the general
population to endorse SI
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Prevalence of suicide is higher in which groups of
pregnant women? - ANSWER-10% of suicide behaviors
was in 12-18 year old group of pregnant women.
Higher in low income or African American
What would be considered a positive Suicide screen? And
what steps do you take? - ANSWER-EPDS question 10:
the thought of harming myself has occurred to me
Phq9: thoughts that you would be better off dead-any
score greater than 0 is positive
Assess, refer and follow up!!!! Needs a same day
comprehensive suicide risk assessment. Document
interaction and safety plan.
Can use Columbia suicide severity rating scale
When a positive screen? - ANSWER-Clarify roles,
availability and ability to help
Give resources: 24 crisis lines, urgent care, reliable phone
and website. Refer for med eval. Get permission to
communicate with support system
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What do you do if a client is unsafe? - ANSWER-Consider
hospitalization
Advise family and patient you need to keep them safe. Do
not need consent if it's an emergency.
Find someone to take care of kids and instruct others not
to leave them alone.
Can call CPS if you do not feel kids are safe and do not
need to ID yourself
When to send to ER or call 911 - ANSWER-Suidicial or
homicidial ideation with plan and intent
Acute mania
Psychosis
Call ER to facilitate
Who is in the treatment team? - ANSWER-Health care
providers, psychiatrists, pharmacists, case workers,
doulas, childbirth educators, lactation consultants, spiritual
affiliates (pastors, rabbi, hospital chaplain)
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Includes follow up and care postpartum. Starts prenatally.
Accessible and flexible to meet all needs
From screening to treatment - ANSWER-Women will
agree to getting screened for a mental health issue but
little will agree to treatment (stigma still exists)
92% agreed to screen. 30% with positive agreed to get
help but <half showed up to get help.
What is the stepped model approach to care? - ANSWER-
Stepped care models match severity and complexity of
symptoms to the appropriate level of care.
It's a system of delivering and monitoring treatments so
that the most effective but least resource intensive
treatment is delivered first: only stepping up to intensive
services as clinically required.
These improve quality of care, satisfactory and depression
outcomes
Factors to consider when referring - ANSWER-Does the
provider specialize in PMH-C?
Perinatal Mental Health exam|| QUESTIONS AND
SOLUTION 100% VERIFIED ANSWERS A+ GRADED
FREE||NEWEST EXAM!!!
What is one thing that a women says that makes her a
high risk for suicide? - ANSWER-When she thinks the
baby would be better off without her
Suicide risk factors in pregnancy - ANSWER-When a
pregnancy is unwanted
Intimate partner violence
Low education
Prior pregnancy loss or death of children
Psych illness or meds stopped abruptly
*pregnant women are more likely than the general
population to endorse SI
,2|Page
Prevalence of suicide is higher in which groups of
pregnant women? - ANSWER-10% of suicide behaviors
was in 12-18 year old group of pregnant women.
Higher in low income or African American
What would be considered a positive Suicide screen? And
what steps do you take? - ANSWER-EPDS question 10:
the thought of harming myself has occurred to me
Phq9: thoughts that you would be better off dead-any
score greater than 0 is positive
Assess, refer and follow up!!!! Needs a same day
comprehensive suicide risk assessment. Document
interaction and safety plan.
Can use Columbia suicide severity rating scale
When a positive screen? - ANSWER-Clarify roles,
availability and ability to help
Give resources: 24 crisis lines, urgent care, reliable phone
and website. Refer for med eval. Get permission to
communicate with support system
,3|Page
What do you do if a client is unsafe? - ANSWER-Consider
hospitalization
Advise family and patient you need to keep them safe. Do
not need consent if it's an emergency.
Find someone to take care of kids and instruct others not
to leave them alone.
Can call CPS if you do not feel kids are safe and do not
need to ID yourself
When to send to ER or call 911 - ANSWER-Suidicial or
homicidial ideation with plan and intent
Acute mania
Psychosis
Call ER to facilitate
Who is in the treatment team? - ANSWER-Health care
providers, psychiatrists, pharmacists, case workers,
doulas, childbirth educators, lactation consultants, spiritual
affiliates (pastors, rabbi, hospital chaplain)
, 4|Page
Includes follow up and care postpartum. Starts prenatally.
Accessible and flexible to meet all needs
From screening to treatment - ANSWER-Women will
agree to getting screened for a mental health issue but
little will agree to treatment (stigma still exists)
92% agreed to screen. 30% with positive agreed to get
help but <half showed up to get help.
What is the stepped model approach to care? - ANSWER-
Stepped care models match severity and complexity of
symptoms to the appropriate level of care.
It's a system of delivering and monitoring treatments so
that the most effective but least resource intensive
treatment is delivered first: only stepping up to intensive
services as clinically required.
These improve quality of care, satisfactory and depression
outcomes
Factors to consider when referring - ANSWER-Does the
provider specialize in PMH-C?
