Perinatal Mental Health Exam Question
And Answers 2024
What is a PMAD? - correct answers✅A perinatal mood
and anxiety disorder (not just PPD!)
Define the perinatal period. - correct answers✅Time
from conception through 1st year after giving birth.
Define the prenatal or antenatal time - correct
answers✅During pregnancy
Define the postpartum or postnatal time - correct
answers✅1st year after giving birth
What does PMAD mean? - correct answers✅Perinatal
mood (depression, bipolar, psychosis) anxiety (ocd, panic,
had, ptsd) disorders (impact daily functioning).
Can occur at anytime in life but increased risk in perinatal
period and symptoms have unique presentation.
How many infants annually are born to depressed
mothers? - correct answers✅400,000...making
perinatal depression the most under diagnosed obstetric
complication in America
PMADs can affect... - correct answers✅Anyone!
,Perinatal Mental Health Exam Question
And Answers 2024
They do not discriminate. Can affect anyone.
Socioeconomic status is NOT protective
_ in _ women are affected by perinatal depression -
correct answers✅1 in 7 women
Percentage of pregnancy induced HTN vs pre-eclampsia
vs gestational diabetes vs PMADs? - correct
answers✅6-8% PIH, 6-8% pre-eclampsia, 6% gestational
diabetes, 21% PMADs
_ in _ men are affected by perinatal depression - correct
answers✅1 in 10 men
Risks of untreated PMADs - correct
answers✅Relationship problems, poor adherence to
medical care, exacerbation of chronic medical issues, loss
of financial resources, disability, child neglect/abuse,
developmental delays, tobacco/alcohol, drug use, Suicide,
homicide
How many pregnancies are unplanned? - correct
answers✅50%
,Perinatal Mental Health Exam Question
And Answers 2024
Not all pregnancies are planned, wanted. Not all
pregnancies end with a health baby or fulfillment.
Etiology of PPD? - correct answers✅Genetic
predisposition, biological sensitivity to hormonal changes,
social/environmental (Hx of trauma or poor social
support), psychological (relationship with own mom, self
image/perfectionism)
Cultural considerations of ppd - correct answers✅-in
some cultures mothers may not feel safe to express
needs or seek help.
-may report symptoms differently based on culture
What did the landmark study on PPD show? - correct
answers✅22% of women had depression during first
year postpartum: 26% started before pregnancy, 33%
during pregnancy, 40% during postpartum
Of the 22% of postpartum mothers - correct
answers✅68% had unipolar depression
66% had MDD or combo with GAD
22% bipolar depression
, Perinatal Mental Health Exam Question
And Answers 2024
19% had thoughts of harming selves
Prenatal depression relapse rate with meds and without
meds - correct answers✅26% who continued meds
relapsed during pregnancy while 68% who stopped meds
relapsed
Higher relapse rate if you DC meds
Percent of fathers with PPD? - correct answers✅10%
Depression in men: timing, symptoms - correct
answers✅Peaks at 3-6 months postpartum
May not be sad "masked" and irritable, aggressive,
hostile, acting out, checked out, distractions
Do men seek help for their depression? - correct
answers✅Not often. Only 3% sought help.
Men are likely to under report symptoms
And Answers 2024
What is a PMAD? - correct answers✅A perinatal mood
and anxiety disorder (not just PPD!)
Define the perinatal period. - correct answers✅Time
from conception through 1st year after giving birth.
Define the prenatal or antenatal time - correct
answers✅During pregnancy
Define the postpartum or postnatal time - correct
answers✅1st year after giving birth
What does PMAD mean? - correct answers✅Perinatal
mood (depression, bipolar, psychosis) anxiety (ocd, panic,
had, ptsd) disorders (impact daily functioning).
Can occur at anytime in life but increased risk in perinatal
period and symptoms have unique presentation.
How many infants annually are born to depressed
mothers? - correct answers✅400,000...making
perinatal depression the most under diagnosed obstetric
complication in America
PMADs can affect... - correct answers✅Anyone!
,Perinatal Mental Health Exam Question
And Answers 2024
They do not discriminate. Can affect anyone.
Socioeconomic status is NOT protective
_ in _ women are affected by perinatal depression -
correct answers✅1 in 7 women
Percentage of pregnancy induced HTN vs pre-eclampsia
vs gestational diabetes vs PMADs? - correct
answers✅6-8% PIH, 6-8% pre-eclampsia, 6% gestational
diabetes, 21% PMADs
_ in _ men are affected by perinatal depression - correct
answers✅1 in 10 men
Risks of untreated PMADs - correct
answers✅Relationship problems, poor adherence to
medical care, exacerbation of chronic medical issues, loss
of financial resources, disability, child neglect/abuse,
developmental delays, tobacco/alcohol, drug use, Suicide,
homicide
How many pregnancies are unplanned? - correct
answers✅50%
,Perinatal Mental Health Exam Question
And Answers 2024
Not all pregnancies are planned, wanted. Not all
pregnancies end with a health baby or fulfillment.
Etiology of PPD? - correct answers✅Genetic
predisposition, biological sensitivity to hormonal changes,
social/environmental (Hx of trauma or poor social
support), psychological (relationship with own mom, self
image/perfectionism)
Cultural considerations of ppd - correct answers✅-in
some cultures mothers may not feel safe to express
needs or seek help.
-may report symptoms differently based on culture
What did the landmark study on PPD show? - correct
answers✅22% of women had depression during first
year postpartum: 26% started before pregnancy, 33%
during pregnancy, 40% during postpartum
Of the 22% of postpartum mothers - correct
answers✅68% had unipolar depression
66% had MDD or combo with GAD
22% bipolar depression
, Perinatal Mental Health Exam Question
And Answers 2024
19% had thoughts of harming selves
Prenatal depression relapse rate with meds and without
meds - correct answers✅26% who continued meds
relapsed during pregnancy while 68% who stopped meds
relapsed
Higher relapse rate if you DC meds
Percent of fathers with PPD? - correct answers✅10%
Depression in men: timing, symptoms - correct
answers✅Peaks at 3-6 months postpartum
May not be sad "masked" and irritable, aggressive,
hostile, acting out, checked out, distractions
Do men seek help for their depression? - correct
answers✅Not often. Only 3% sought help.
Men are likely to under report symptoms
