Perinatal Mental
Health Certification
Exam Questions
with Verified
Answers
Biological nsensitivities nto nhormone nchanges n(sleep), ngenetic nvulnerability n(prior
ndiagnosis), npsychological n(identity), nsocial/environmental n(poor nsocial
nsupport/racism) n- n✔✔- nACTUAL nANSWER- nTheories nof nEtiology
,Affects n60-80% nof nnew nmothers. nDue nto nhormone nchanges nand nsleep
ndeprivation. nLasts n2 ndays nto n2 nweeks. nSymptoms ninclude ntearful, nlabile
naffect, nreactivity, nexhaustion, nbut npredominantly nhappy. nSelf-esteem nremains
nunchanged. nResolves nwithout nintervention. nSelf-care nstrategies
nrecommended. n- n✔✔- nACTUAL nANSWER- nBaby nBlues
Consider nseverity, nintensity, nand nduration nof nsymptoms n- n✔✔-
nACTUAL nANSWER- nDistinguishing nBlues nfrom nDepression
8-20% n- n✔✔- nACTUAL nANSWER- nPrevalence nof nPostpartum
Anxiety n15% n- n✔✔- nACTUAL nANSWER- nPrevalence nof nPrenatal
n
Anxiety
n
21% n- n✔✔- nACTUAL nANSWER- nPrevalence nof nPostpartum nDepression
11% n- n✔✔- nACTUAL nANSWER- nPrevalence nof nPostpartum nPanic
n
Disorder n11% n- n✔✔- nACTUAL nANSWER- nPrevalence nof nPostpartum
n
OCD
n
9% n- n✔✔- nACTUAL nANSWER- nPrevalence nof nPostpartum nPTSD
70% n- n✔✔- nACTUAL nANSWER- nPercentage nof nBipolar nSymptoms
nRelapse nwithout nMedication
1-2 nout nof n1,000 ncases n- n✔✔- nACTUAL nANSWER- nPrevalence nof
nPostpartum nPsychosis
10% nof nfathers n- n✔✔- nACTUAL nANSWER- nPrevalence nof nPaternal
nPostpartum nDepression
20-30% nof ncases n- n✔✔- nACTUAL nANSWER- nPrevalence nof nPsychosis nin
nWomen nwith nDiagnosed nBipolar nDisorder
Recognizes nunhealthy nthoughts, nextreme nanxiety, nfear nof n'snapping', nno
ndesire nto nharm nthe nbaby, nfrightening nthoughts n- n✔✔- nACTUAL nANSWER-
nTraits nof nObsessive-Compulsive nDisorder n(OCD)
, Lacks ninsight ninto nunhealthy nthoughts/actions, nreduced nanxiety nwith
ndelusions, nno nawareness nof ndistorted nthoughts, ndelusional nbeliefs nabout nthe
nbaby, nego-syntonic nthoughts nof nharming nthe nbaby n- n✔✔- nACTUAL
nANSWER- nTraits nof nPsychosis
Intrusive nthoughts n(flashbacks), navoidance, nnegative nmood, narousal
nsymptoms n(sleep nissues, npoor nconcentration, nhyper nvigilance) n- n✔✔-
nACTUAL nANSWER- nTraits nof nPost-Traumatic nStress nDisorder n(PTSD)
1,200 ndeaths nper nyear nor n14.4 nper n100,000 nwomen n- n✔✔- nACTUAL
nANSWER- nMaternal nMortality nRate n(All nWomen)
43.5 ndeaths nper n100,000 nwomen n- n✔✔- nACTUAL nANSWER- nMaternal
nMortality nRate n(Black nWomen)
Characterized nby nat nleast none nfull nmanic nand nmajor ndepressive nepisode
nin na nlifetime n- n✔✔- nACTUAL nANSWER- nBipolar nI nDisorder
Mild nmanic nstate nwith nelevated nmood, ntalkativeness, ncharm, nand nenergy
nlasting nup nto n4 ndays n- n✔✔- nACTUAL nANSWER- nHypomania
A nmood ndisorder ncharacterized nby na nhyperactive, nwildly noptimistic nstate
nwhere nfunction nis nimpaired. nCan nlast nup nto n7 ndays. n- n✔✔- nACTUAL
nANSWER- nMania
Approximately n50% n- n✔✔- nACTUAL nANSWER- nPrevalence nof nFirst
nDiagnosis nof nBipolar nDisorder nPostpartum
Includes nhistory nof nbipolar nor npsychotic ndisorder, nfirst npregnancy, nfamily
nhistory, nrecent ndiscontinuation nof npsychotropic nmedication. n- n✔✔-
nACTUAL nANSWER- nRisk nFactors nfor nPostpartum nPsychosis
Onset ntypically n2 nweeks npostpartum. nSymptoms ninclude npoor nconcentration,
ndisorientation, nagitation, naloofness, nlack nof nself-care, nelated/labile nmood,
nrambling nspeech, nthought nbroadcasting/delusion nof ngrandiosity, ndisorganized
nthoughts, nflight nof nideas, nhallucinations. n- n✔✔- nACTUAL nANSWER-
nPostpartum nPsychosis nSymptoms