PSI PERINATAL MENTAL HEALTH CERTIFICATION EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS

PSI PERINATAL MENTAL HEALTH
CERTIFICATION EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS
TheoriesA2ofA2etiologyA2-A2Ans--
biologicalA2sensitivitiesA2toA2hormoneA2changesA2(sleep),A2geneticA2vulnerabilityA2(priorA2d
iagnosis),A2psychologicalA2(identity),A2social/environmentalA2(poorA2socialA2support/
racism)

BabyA2BluesA2-A2Ans--AffectsA260-
80%A2newA2mothers.A2DueA2toA2hormoneA2changesA2andA2sleepA2deprivation.A2lastsA22A2
daysA2toA22A2weeks.A2Tearful,A2labileA2affect,A2reactivity,A2exhaustionA2BUTA2predominate
lyA2happy,A2self-
esteemA2remainsA2unchanged.A2ResolvesA2withoutA2intervention.A2RecommendA2selfA2ca
reA2strategies.

HowA2toA2determineA2isA2itA2bluesA2orA2depressionA2-A2Ans--
severity,A2intensity,A2durationA2ofA2symptoms

PrevalenceA2ofA2postpartumA2anxietyA2-A2Ans--8-20%

PrevalenceA2ofA2prenatalA2anxietyA2-A2Ans--15%

PrevalenceA2ofA2postpartumA2depressionA2-A2Ans--21%

PrevalenceA2ofA2postpartumA2panicA2disorderA2-A2Ans--11%

PrevalenceA2ofA2postpartumA2OCDA2-A2Ans--11%

PrevalenceA2ofA2postpartumA2PTSDA2-A2Ans--9%

PercentageA2ofA2bipolarA2symptomsA2thatA2relapseA2w/oA2medsA2-A2Ans--70%

PrevalenceA2ofA2postpartumA2psychosisA2-A2Ans--1-2A2outA2ofA21,000

PrevalenceA2ofA2PPDA2inA2fathersA2-A2Ans--10%

PrevalenceA2psychosisA2inA2womenA2withA2knownA2bipolarA2disorderA2-A2Ans--20-30%

TraitsA2ofA2OCDA2-A2Ans--
recognizesA2thatA2thoughtsA2areA2unhealthy,A2extremeA2anxietyA2relatedA2toA2thoughts/
images,A2concernedA2aboutA2"snapping".A2parentA2doesA2notA2wantA2toA2harmA2theA2baby
,A2thoughtsA2areA2frightening.

, TraitsA2ofA2psychosisA2-A2Ans--doesA2notA2recognizeA2actions/
thoughtsA2areA2unhealthy,A2mayA2seemA2toA2haveA2lessA2anxietyA2whenA2indulgingA2inA2th
oughts/
behaviors,A2noA2insightA2aboutA2distortionA2ofA2thoughts,A2parentA2hasA2delusionalA2belief
sA2aboutA2theA2baby,A2thoughtsA2ofA2harmingA2theA2babyA2areA2ego-syntonic

TraitsA2ofA2PTSDA2-A2Ans--
intrusiveA2thoughtsA2(flashbacks),A2avoidance,A2negativeA2cognitionsA2andA2mood,A2arou
salA2(sleepA2disturbance,A2poorA2concentration,A2aggression,A2hyperA2vigilance)

maternalA2mortality-allA2womenA2-A2Ans--1,200A2aA2yearA2orA214.4A2perA2100,000

maternalA2mortality-blackA2womenA2-A2Ans--43.5A2perA2100,000

BipolarA21A2DisorderA2-A2Ans--
aA2typeA2ofA2bipolarA2disorderA2markedA2byA2atA2leastA2oneA2lifetimeA2fullA2manicA2andA2m
ajorA2depressiveA2episodes

HypomaniaA2-A2Ans--
AA2mildA2manicA2stateA2inA2whichA2theA2individualA2seemsA2infectiouslyA2merry,A2extremel
yA2talkative,A2charming,A2andA2tireless.A2upA2toA24A2daysA2inA2length

maniaA2-A2Ans--
aA2moodA2disorderA2markedA2byA2aA2hyperactive,A2wildlyA2optimisticA2state-
functionA2isA2impaired.A2canA2lastA27A2days

prevalenceA2ofA2firstA2diagnosisA2ofA2bipolarA2disorderA2postpartumA2-A2Ans--50%

RiskA2factorsA2forA2postpartumA2psychosisA2-A2Ans--
HistoryA2ofA2bipolarA2orA2psychoticA2disorder,A2firstA2pregnancy,A2familyA2history,A2recentA2
discontinuationA2ofA2psychotropicA2medication

PostpartumA2psychosisA2symptomsA2-A2Ans--onset-
2A2weeksA2postpartum,A2poorA2concentration,A2disorientation,A2agitation,A2aloof,A2lackA2of
A2selfA2care,A2elated/labileA2mood,A2ramblingA2speech,A2thoughtA2broadcasting/
delusionA2ofA2grandiosity,A2disorganizedA2thoughts,A2flightA2ofA2ideas,A2hallucinations

reducingA2riskA2ofA2postpartumA2psychosisA2-A2Ans--
stayA2onA2bipolarA2medication,A2treatA2immediatelyA2inA2womenA2withA2historyA2ofA2psycho
sisA2andA2bipolar,A2goodA2sleepA2isA2essential

EvidenceA2basedA2riskA2factorsA2forA2PMADSA2-A2Ans--
previousA2PMADSA2(familyA2history,A2personalA2history,A2symptomsA2duringA2pregnancy),
A2historyA2ofA2mood/
anxietyA2disordersA2(personalA2orA2familyA2historyA2ofA2depression,A2anxiety,A2OCD,A2eati