PSI Perinatal Mental Health Certification Exam |
Latest Update 2025 | Questions With Complete
Solutions.
Substance Use in Pregnancy - ANSWER ✔ 5.4% all women use illicit
drugs during pregnancy, 14.6% of adolescent moms
Military PMAD risk - ANSWER ✔ deployment of spouse during entire
pregancy associated with 3.4%increase in preterm delivery and 3
%increased risk for PPD
66% military spouses reported that seeking mental health support would
hurt spouse's chance of promotion
PSI Recommendations for screening - ANSWER ✔ first prenatal visit
at least once in second and third trimester
six week post party visit
repeated screening at 6 and or 12 months in OB and primary care
settings
3,9,12 month pediatric visits
evidence based screening tools - ANSWER ✔ EPDS, PHQ9
,EPDS - ANSWER ✔ score greater than 10 indicates the presence of
depressive symptoms
0-6 no or minimal depression
7-13 mild depression
14-19 moderate depression
19-30 severe depression
it is a screening tool. does not diagnose
question #10 regarding self harm requires immediate follow through
Patient Health Questionnaire (PHQ-9) - ANSWER ✔ A brief 9-item
self-report questionnaire used as a screening tool to assess severity of
depression; widely used by health care providers, in validity is well
established, particularly for identifying severe depression. validated for
perinatal use, but not exclusively for that purpose
Postpartum depression screening scale (PDSS) - ANSWER ✔ first 7
questions are short form. if >14, long form should be administered.
seven sub scales: sleeping and eating disturbances, anxiety and
insecurity, emotional lability, cognitive impairment, loss of self, guilt
and shame, contemplating self harm.
targets both symptoms and risk factors
underdiagnosed bipolar disorder - ANSWER ✔ 22% of women who
screen positive n EPDS at >10 had bipolar. 50% of women with
, treatment resistant postpartum depression actually suffered from Bipolar
disorder 1
Mood Disorder Questionnaire (MDQ) - ANSWER ✔ Screens for
Bipolar Disorder
MDQ plus EPDS improved the distrinctionof unipolar depression from
bipolar depression at the level of screening in 50% of women.
ACE - ANSWER ✔ Adverse Childhood Experiences
abuse, neglect, house hold dysfunction
Culture - ANSWER ✔ the enduring behaviors, ideas, attitudes, and
traditions shared by a large group of people and transmitted from one
generation to the next
cultural humility - ANSWER ✔ an interpersonal stance that is other-
oriented rather than self-focused, characterized by respect and lack of
superiority toward an individual's cultural background and life
experience
trauma informed care - ANSWER ✔ involves viewing through an
ecological and cultural lens and recognizing that context plays a
significant role in how individuals perceive and process traumatic
events, whether acute or chronic.k involves anticipating and avoiding
institutional processes and individual practices that are likely to
Latest Update 2025 | Questions With Complete
Solutions.
Substance Use in Pregnancy - ANSWER ✔ 5.4% all women use illicit
drugs during pregnancy, 14.6% of adolescent moms
Military PMAD risk - ANSWER ✔ deployment of spouse during entire
pregancy associated with 3.4%increase in preterm delivery and 3
%increased risk for PPD
66% military spouses reported that seeking mental health support would
hurt spouse's chance of promotion
PSI Recommendations for screening - ANSWER ✔ first prenatal visit
at least once in second and third trimester
six week post party visit
repeated screening at 6 and or 12 months in OB and primary care
settings
3,9,12 month pediatric visits
evidence based screening tools - ANSWER ✔ EPDS, PHQ9
,EPDS - ANSWER ✔ score greater than 10 indicates the presence of
depressive symptoms
0-6 no or minimal depression
7-13 mild depression
14-19 moderate depression
19-30 severe depression
it is a screening tool. does not diagnose
question #10 regarding self harm requires immediate follow through
Patient Health Questionnaire (PHQ-9) - ANSWER ✔ A brief 9-item
self-report questionnaire used as a screening tool to assess severity of
depression; widely used by health care providers, in validity is well
established, particularly for identifying severe depression. validated for
perinatal use, but not exclusively for that purpose
Postpartum depression screening scale (PDSS) - ANSWER ✔ first 7
questions are short form. if >14, long form should be administered.
seven sub scales: sleeping and eating disturbances, anxiety and
insecurity, emotional lability, cognitive impairment, loss of self, guilt
and shame, contemplating self harm.
targets both symptoms and risk factors
underdiagnosed bipolar disorder - ANSWER ✔ 22% of women who
screen positive n EPDS at >10 had bipolar. 50% of women with
, treatment resistant postpartum depression actually suffered from Bipolar
disorder 1
Mood Disorder Questionnaire (MDQ) - ANSWER ✔ Screens for
Bipolar Disorder
MDQ plus EPDS improved the distrinctionof unipolar depression from
bipolar depression at the level of screening in 50% of women.
ACE - ANSWER ✔ Adverse Childhood Experiences
abuse, neglect, house hold dysfunction
Culture - ANSWER ✔ the enduring behaviors, ideas, attitudes, and
traditions shared by a large group of people and transmitted from one
generation to the next
cultural humility - ANSWER ✔ an interpersonal stance that is other-
oriented rather than self-focused, characterized by respect and lack of
superiority toward an individual's cultural background and life
experience
trauma informed care - ANSWER ✔ involves viewing through an
ecological and cultural lens and recognizing that context plays a
significant role in how individuals perceive and process traumatic
events, whether acute or chronic.k involves anticipating and avoiding
institutional processes and individual practices that are likely to
