EXAM NEWEST 2025 VERSION COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
Exacerbating factors of postpartum depression - ANSWER-
pain, lack of sleep, abrupt discontinuing of breast feeding,
childcare stress, relationship stress, losses, history of
childhood sexual abuse, complicated pregnancy, health
changes in baby or parents, temperament of baby, climate
stressors: seasonal depression or mania, perfectionism/high
expectations, unresolved grief or attachment with mother,
returning to work
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