PERINATAL MENTAL HEALTH CERTIFICATION
EXAM 1 WITH 200+ QUESTIONS & CORRECT
ANSWERS GRADED A
Risk Factors for Perinatal Psychosis - ANSWER-1st baby; stopping mood
stabilizer; obstetric complications; perinatal/neonatal loss; previous
bipolar/psychosis; family history; sleep deprivation
3 Biggest fears of panic disorder - ANSWER-dying; losing control; going crazy
Maternal Mortality Rate (all women) - ANSWER-1,200/year or 14.4/1,000
Maternal Mortality Rate (black women) - ANSWER-43.5/1,000
Prevalence of PP PTSD - ANSWER-9%
% of bipolar symptoms that relapse without medications - ANSWER-70%
Prevalence of PP Psychosis - ANSWER-1-2/1,000
Prevalence of PPD in Fathers - ANSWER-10%
Prevalence of PP Anxiety - ANSWER-8-20%
Prevalence of prenatal anxiety - ANSWER-15%
,Prevalence of PP depression - ANSWER-21%
Prevalence of PP panic disorder - ANSWER-11%
Prevalence of PP OCD - ANSWER-11%
PP PTSD Themes - ANSWER-1) lack of caring 2) poor communication 3) feeling
powerless 4) do ends justify means
Maternal Mortality - ANSWER-1,200 with complications that are fatal; 60,000
complications that are near fatal
PP Psychosis Clinical Features (onset) - ANSWER-<2 weeks PP
PP Psychosis Clinical Features (cognition) - ANSWER-decreased concentration,
decreased sensations, disorientation
PP Psychosis Clinical Features (behavioral) - ANSWER-agitated, hyperactive,
distant, aloof, decreased self care
PP Psychosis Clinical Features (Mood) - ANSWER-labile, elated, and dysphoric
PP Psychosis Clinical Features (Speech) - ANSWER-Rambling
Psychotic Thoughts - ANSWER-delusions, ego-syntonic thoughts
, OCD Thoughts - ANSWER-Parents don't want to harm baby, no
delusions/hallucinations, parents have taken steps to protect baby
DSM-5 Criteria for PTSD - ANSWER-qualify for four categories
1) stressor
2)Intrusions
3)Avoidance
4)Negativity in cognition/mood
5)arousal
Causes of Birth Trauma - ANSWER-Emergency C-section, pre-eclampsia, PP
hemorrhage, NICU stay, prematurity, still birth, 3rd/4th degree tears, hyperemesis,
fetal anomaly, shoulder dystocia
DSM-5 Criteria for OCD (obsessions) - ANSWER-Recurrent and persistent
thoughts/urges/impulses that are intrusive/unwanted; individual attempts to ignore
or suppress thoughts/urges/impulses
DSM-5 Criteria for OCD (compulsions) - ANSWER-repetitive behaviors that
individuals feel driven to do; aimed at preventing or reducing anxiety
Common perinatal OCD Presentations - ANSWER-41% deliberate harm
29% contamination
18% accidental harm
6% ordering/arranging
3% religious
3% checking
EXAM 1 WITH 200+ QUESTIONS & CORRECT
ANSWERS GRADED A
Risk Factors for Perinatal Psychosis - ANSWER-1st baby; stopping mood
stabilizer; obstetric complications; perinatal/neonatal loss; previous
bipolar/psychosis; family history; sleep deprivation
3 Biggest fears of panic disorder - ANSWER-dying; losing control; going crazy
Maternal Mortality Rate (all women) - ANSWER-1,200/year or 14.4/1,000
Maternal Mortality Rate (black women) - ANSWER-43.5/1,000
Prevalence of PP PTSD - ANSWER-9%
% of bipolar symptoms that relapse without medications - ANSWER-70%
Prevalence of PP Psychosis - ANSWER-1-2/1,000
Prevalence of PPD in Fathers - ANSWER-10%
Prevalence of PP Anxiety - ANSWER-8-20%
Prevalence of prenatal anxiety - ANSWER-15%
,Prevalence of PP depression - ANSWER-21%
Prevalence of PP panic disorder - ANSWER-11%
Prevalence of PP OCD - ANSWER-11%
PP PTSD Themes - ANSWER-1) lack of caring 2) poor communication 3) feeling
powerless 4) do ends justify means
Maternal Mortality - ANSWER-1,200 with complications that are fatal; 60,000
complications that are near fatal
PP Psychosis Clinical Features (onset) - ANSWER-<2 weeks PP
PP Psychosis Clinical Features (cognition) - ANSWER-decreased concentration,
decreased sensations, disorientation
PP Psychosis Clinical Features (behavioral) - ANSWER-agitated, hyperactive,
distant, aloof, decreased self care
PP Psychosis Clinical Features (Mood) - ANSWER-labile, elated, and dysphoric
PP Psychosis Clinical Features (Speech) - ANSWER-Rambling
Psychotic Thoughts - ANSWER-delusions, ego-syntonic thoughts
, OCD Thoughts - ANSWER-Parents don't want to harm baby, no
delusions/hallucinations, parents have taken steps to protect baby
DSM-5 Criteria for PTSD - ANSWER-qualify for four categories
1) stressor
2)Intrusions
3)Avoidance
4)Negativity in cognition/mood
5)arousal
Causes of Birth Trauma - ANSWER-Emergency C-section, pre-eclampsia, PP
hemorrhage, NICU stay, prematurity, still birth, 3rd/4th degree tears, hyperemesis,
fetal anomaly, shoulder dystocia
DSM-5 Criteria for OCD (obsessions) - ANSWER-Recurrent and persistent
thoughts/urges/impulses that are intrusive/unwanted; individual attempts to ignore
or suppress thoughts/urges/impulses
DSM-5 Criteria for OCD (compulsions) - ANSWER-repetitive behaviors that
individuals feel driven to do; aimed at preventing or reducing anxiety
Common perinatal OCD Presentations - ANSWER-41% deliberate harm
29% contamination
18% accidental harm
6% ordering/arranging
3% religious
3% checking