4/5/25, 7:28 PSI Perinatal Mental Health Certification Exam |
PM
PSI PERINATAL MENTAL HEALTH CERTIFICATION EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE GRADED A++
Practice questions for this set
Learn 1/7 Study using Learn
15%
Select the correct term
1Prevalence of prenatal anxiety 2Prevalence of postpartum anxiety
3couples therapy
4Prevalence of postpartum PTSD
Don't know?
Terms in this set (135)
biological sensitivities to hormone changes (sleep), genetic vulnerability (prior
Theories of etiology diagnosis), psychological (identity), social/environmental (poor social
support/racism)
Affects 60-80% new mothers. Due to hormone changes and sleep deprivation.
lasts 2 days to 2 weeks. Tearful, labile affect, reactivity, exhaustion BUT
Baby Blues
predominately happy, self-esteem remains unchanged. Resolves
without intervention. Recommend self care strategies.
How to determine is it blues or severity, intensity, duration of symptoms
depression
Prevalence of postpartum anxiety 8-20%
Prevalence of prenatal anxiety 15%
Prevalence of postpartum depression 21%
Prevalence of postpartum panic disorder 11%
Prevalence of postpartum OCD 11%
Prevalence of postpartum PTSD 9%
Percentage of bipolar symptoms that 70%
relapse w/o meds
Prevalence of postpartum psychosis 1-2 out of 1,000
Prevalence of PPD in fathers 10%
Prevalence psychosis in women with 20-30%
known bipolar disorder
recognizes that thoughts are unhealthy, extreme anxiety related to
Traits of OCD thoughts/images, concerned about "snapping". parent does not want to harm the
baby, thoughts are frightening.
1/
6
, 4/5/25, 7:28 PSI Perinatal Mental Health Certification Exam |
PM
does not recognize actions/thoughts are unhealthy, may seem to have less
anxiety when indulging in thoughts/behaviors, no insight about distortion of
Traits of psychosis
thoughts, parent has delusional beliefs about the baby, thoughts of harming the
baby are ego-syntonic
intrusive thoughts (flashbacks), avoidance, negative cognitions and mood, arousal
Traits of PTSD
(sleep disturbance, poor concentration, aggression, hyper vigilance)
maternal mortality-all women 1,200 a year or 14.4 per 100,000
maternal mortality-black women 43.5 per 100,000
a type of bipolar disorder marked by at least one lifetime full manic and major
Bipolar 1 Disorder
depressive episodes
A mild manic state in which the individual seems infectiously merry, extremely
Hypomania
talkative, charming, and tireless. up to 4 days in length
a mood disorder marked by a hyperactive, wildly optimistic state-function is
mania
impaired. can last 7 days
prevalence of first diagnosis of bipolar 50%
disorder postpartum
History of bipolar or psychotic disorder, first pregnancy, family history, recent
Risk factors for postpartum psychosis
discontinuation of psychotropic medication
onset-2 weeks postpartum, poor concentration, disorientation, agitation,
aloof, lack of self care, elated/labile mood, rambling speech, thought
Postpartum psychosis symptoms
broadcasting/delusion of grandiosity, disorganized thoughts, flight of ideas,
hallucinations
stay on bipolar medication, treat immediately in women with history of psychosis
reducing risk of postpartum psychosis
and bipolar, good sleep is essential
previous PMADS (family history, personal history, symptoms during pregnancy),
history of mood/anxiety disorders (personal or family history of depression,
Evidence based risk factors for PMADS
anxiety, OCD, eating disorders, bipolar disorders), significant mood reactions of
hormonal changes (puberty, PMS, hormonal birth control)
endocrine dysfunction (diabetes, thyroid imbalance, fertility challenges), social
More evidence based risk factors
factors (IPV, low support, financial stress, racism), high stress parenting (military
for PMADS
families, adolescent parents, parents of multiples, single parents)
pain, lack of sleep, abrupt discontinuing of breast feeding, childcare stress,
relationship stress, losses, history of childhood sexual abuse, complicated
Exacerbating factors of postpartum
pregnancy, health changes in baby or parents, temperament of baby, climate
depression
stressors: seasonal depression or mania, perfectionism/high expectations,
unresolved grief or attachment with mother, returning to work
Substance Use in Pregnancy 5.4% all women use illicit drugs during pregnancy, 14.6% of adolescent moms
Alcohol use in pregnancy 8.5% of women drank within last month, most during first trimester (17.9%)
Postpartum substance abuse 40-49% report alcohol use, 4.5-8.5% report marijuana use
twice as likely to report depressive and anxious symptoms over partnered
Risks for single parents
parents.
10-15% of babies spend time in the NICU
NICU rates NICU parents often traumatized
high rate of anxiety and depression
Maternal psychological impact of parents: difficulty bonding, poor attunement, smile less, less eye contact,
neonate avoid physical contact, less verbalization
when mom is depressed, babies are more often: delayed in speech and cog
the depressive dyad development, short attention span, sleep problems, feeding issues, increased
frequency of GI upset, prone to colic, excessive crying, irritability.
NICU family prevalence of PMADS 20-30% of diagnosable mental health disorder. more experience PTSD
2/
6
PM
PSI PERINATAL MENTAL HEALTH CERTIFICATION EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE GRADED A++
Practice questions for this set
Learn 1/7 Study using Learn
15%
Select the correct term
1Prevalence of prenatal anxiety 2Prevalence of postpartum anxiety
3couples therapy
4Prevalence of postpartum PTSD
Don't know?
Terms in this set (135)
biological sensitivities to hormone changes (sleep), genetic vulnerability (prior
Theories of etiology diagnosis), psychological (identity), social/environmental (poor social
support/racism)
Affects 60-80% new mothers. Due to hormone changes and sleep deprivation.
lasts 2 days to 2 weeks. Tearful, labile affect, reactivity, exhaustion BUT
Baby Blues
predominately happy, self-esteem remains unchanged. Resolves
without intervention. Recommend self care strategies.
How to determine is it blues or severity, intensity, duration of symptoms
depression
Prevalence of postpartum anxiety 8-20%
Prevalence of prenatal anxiety 15%
Prevalence of postpartum depression 21%
Prevalence of postpartum panic disorder 11%
Prevalence of postpartum OCD 11%
Prevalence of postpartum PTSD 9%
Percentage of bipolar symptoms that 70%
relapse w/o meds
Prevalence of postpartum psychosis 1-2 out of 1,000
Prevalence of PPD in fathers 10%
Prevalence psychosis in women with 20-30%
known bipolar disorder
recognizes that thoughts are unhealthy, extreme anxiety related to
Traits of OCD thoughts/images, concerned about "snapping". parent does not want to harm the
baby, thoughts are frightening.
1/
6
, 4/5/25, 7:28 PSI Perinatal Mental Health Certification Exam |
PM
does not recognize actions/thoughts are unhealthy, may seem to have less
anxiety when indulging in thoughts/behaviors, no insight about distortion of
Traits of psychosis
thoughts, parent has delusional beliefs about the baby, thoughts of harming the
baby are ego-syntonic
intrusive thoughts (flashbacks), avoidance, negative cognitions and mood, arousal
Traits of PTSD
(sleep disturbance, poor concentration, aggression, hyper vigilance)
maternal mortality-all women 1,200 a year or 14.4 per 100,000
maternal mortality-black women 43.5 per 100,000
a type of bipolar disorder marked by at least one lifetime full manic and major
Bipolar 1 Disorder
depressive episodes
A mild manic state in which the individual seems infectiously merry, extremely
Hypomania
talkative, charming, and tireless. up to 4 days in length
a mood disorder marked by a hyperactive, wildly optimistic state-function is
mania
impaired. can last 7 days
prevalence of first diagnosis of bipolar 50%
disorder postpartum
History of bipolar or psychotic disorder, first pregnancy, family history, recent
Risk factors for postpartum psychosis
discontinuation of psychotropic medication
onset-2 weeks postpartum, poor concentration, disorientation, agitation,
aloof, lack of self care, elated/labile mood, rambling speech, thought
Postpartum psychosis symptoms
broadcasting/delusion of grandiosity, disorganized thoughts, flight of ideas,
hallucinations
stay on bipolar medication, treat immediately in women with history of psychosis
reducing risk of postpartum psychosis
and bipolar, good sleep is essential
previous PMADS (family history, personal history, symptoms during pregnancy),
history of mood/anxiety disorders (personal or family history of depression,
Evidence based risk factors for PMADS
anxiety, OCD, eating disorders, bipolar disorders), significant mood reactions of
hormonal changes (puberty, PMS, hormonal birth control)
endocrine dysfunction (diabetes, thyroid imbalance, fertility challenges), social
More evidence based risk factors
factors (IPV, low support, financial stress, racism), high stress parenting (military
for PMADS
families, adolescent parents, parents of multiples, single parents)
pain, lack of sleep, abrupt discontinuing of breast feeding, childcare stress,
relationship stress, losses, history of childhood sexual abuse, complicated
Exacerbating factors of postpartum
pregnancy, health changes in baby or parents, temperament of baby, climate
depression
stressors: seasonal depression or mania, perfectionism/high expectations,
unresolved grief or attachment with mother, returning to work
Substance Use in Pregnancy 5.4% all women use illicit drugs during pregnancy, 14.6% of adolescent moms
Alcohol use in pregnancy 8.5% of women drank within last month, most during first trimester (17.9%)
Postpartum substance abuse 40-49% report alcohol use, 4.5-8.5% report marijuana use
twice as likely to report depressive and anxious symptoms over partnered
Risks for single parents
parents.
10-15% of babies spend time in the NICU
NICU rates NICU parents often traumatized
high rate of anxiety and depression
Maternal psychological impact of parents: difficulty bonding, poor attunement, smile less, less eye contact,
neonate avoid physical contact, less verbalization
when mom is depressed, babies are more often: delayed in speech and cog
the depressive dyad development, short attention span, sleep problems, feeding issues, increased
frequency of GI upset, prone to colic, excessive crying, irritability.
NICU family prevalence of PMADS 20-30% of diagnosable mental health disorder. more experience PTSD
2/
6
