PMHNP certification Exam KM| 434 QUESTIONS| WITH
COMPLETE SOLUTIONS|Sure To Pass|Graded A+
1. What does the EPDS assess for that the PHQ-9 doesn't? Anxiety
2. What is the cut off for the EDPS (out of 30)?10-12
3. What are some brief screening assessment measures? EPDS-2 and PHQ 2 (neither
assess for suicidal thoughts)
4. What is the Postpartum Depression Screening Scale (PDSS)? A 35-item, 5 point
Likert scale assessment questionnaire that has a short form and long form that assess 7
subscales
- more thorough evaluation of PMHDs
- costs money
- fewer studies done on this than the EPDS
5. What is the Postpartum Depression Predictors Inventory (PDPI)? identifies women who
are at higher risk for developing PPD
- not self report, must be clinician led
6.
What percentage of new mothers experience the "baby blues" in the first few weeks after
the baby arrives? 80%
7. When do the baby blues typically peak? Day 3-5 after delivery
8. How long do the baby blues typically last? 2 days to 2 weeks after delivery
9. What are the symptoms of baby blues? - tearfulness
- lability
- reactivity
- exhaustion
- unrelated to stress or prior psychiatric hx
10. When making a determination between baby blues and PPD, what should be considered?
severity, onset, and duration
11. What is the DSM code for PPD? Major Unipolar Depression (with peripartum onset)
12. What is the DSM criteria for MDD? SIGECAPS
13. Five (or more) of the following symptoms have been present during the same two-week
period and represent a change from previous functioning; at least one of the symptoms is
either
0. Depressed mood
1. Sleep issues
2. Interest decreased
1
, 3. Guilt/worthlessness/hopelessness
4. Energy decreased
5. Concentration decreased
6. Appetite issues
7. Psychomotor agitation or retardation
8. Suicidality or thoughts of death
14. What is the prevalence of serious depression or anxiety developed during the perinatal
period (beyond just "baby blues")? At least 1 in 7 mothers
15. What is the prevalence of postpartum psychosis? 1-2 in 1,000 mothers
16. What is the prevalence of postpartum depression (PPD) in fathers? 10% of new fathers
17. What is the prevalence of postpartum depression (PPD) in mothers? 21% of new
mothers, 19.3% of whom also experienced suicidal thoughts
18. Suicide is the ____ leading causes of maternal deaths One of the top 3
19. What are some obstacles to care for the perinatal population? - shame and fear
- provider misinformation
- cultural taboos
- provider accessibility
20. What is the PSI motto? You are not alone, you are not to blame, and with help you
will be well.
21. What is the term for mental health disorders that develop during pregnancy or
postpartum? Perinatal Mental Health Disorders (PMHDs)
22. According to the formal definition of perinatal mental health disorders (PMHDs), when
can their onset begin? Anytime during or after pregnancy, up to 1 year postpartum,
including losses.
23. Do PMHDs have onset during the "baby blues?" They can, or they can arise later.
24. What are some triggers for later onset of PMHDs? - hormonal triggers
- rapid weaning from breastfeeding
- hormonal birth control
- return to work
- illness or hospitalization
- loss and grief
25. What are risk factors for PMHDs? - financial stress or poverty
- lack of social support
- marital stress
2
, - IPV/history of abuse
- substance dependency in family
- poor relationship with own family
- history of depression, anxiety, OCD
- thyroid imbalance, diabetes, endocrine disorders
- PMS or PMDD
- pregnancy or delivery complications
- infertility, miscarriage, or infant loss
- mothers whose baby is in the NICU
- recent major life stressor/event
- rapid weaning of breastfeeding
- unwanted or unplanned pregnancy
- ambivalence about parental role
- mothers of multiples
26. What is the physical factors that affect the etiology of PMHDs? - genetic
predisposition
- sensitivity to hormonal changes
27. What are some psychosocial factors that affect the etiology of PMHDs? - inadequate
support
- perfectionism, superwoman mentality
28. What are some concurrent stressors that affect the etiology of PMHDs? - sleep
disruption
- poor nutrition
- health challenges
- interpersonal stress
- cultural stress/barriers
29. What are some other causes of PMHDs that should be ruled out? - thyroid/pituitary
imbalances
- anemia
- trauma
- vitamin D imbalance
- medication side effects
- alcohol or drug use
30. What are the different types of PMHDs? - prenatal depression or anxiety
- Major Postpartum Depression
- Postpartum Anxiety or Panic Disorder
- Post-Traumatic Stress Disorder
- Perinatal OCD
- Bipolar Disorders
- Postpartum Psychosis
3
, 31. What are some unexpected/atypical PPD symptoms? - agitation
- anxiety
- anger, rage
- insomnia
- mania
- non-psychotic intrusive thoughts and images
- protectiveness and hypervigilance
- substance dependence
32. What are the stages of recovery from PMHDs? - acute symptoms, initial recovery,
resolution of the acute stage
- first slump, transient ups and downs, resolving
- recovering confidence, grieving, and finding meaning
33. What is the difference in prevalence of PMHDs between the pregnancy and postpartum
periods? They are just as high in each period
34. What are symptoms of prenatal and postpartum depression (PPD)? - sadness, crying
- feeling overwhelmed
- irritability, agitation, anger
- sleep disturbance
- appetite changes
- mood swings
- apathy
- exhaustion
35. Is this normal pregnancy symptoms or PPD? Mood is labile Normal
36. Is this normal pregnancy symptoms or PPD? Mood is gloomy, irritable, agitated, or
enraged PPD
37. Is this normal pregnancy symptoms or PPD? Self esteem is low, feelings of guilt PPD,
in normal pregnancy self-esteem is unchanged
38. Is this normal pregnancy symptoms or PPD? Difficulty initiating or sustaining sleep
PPD (having to urinate or heartburn are normal sx)
39. Is this normal pregnancy symptoms or PPD? Fatigue and rest is not restoring PPD
(fatigue may present in pregnancy but rest is restoring)
40. Is this normal pregnancy symptoms or PPD? Anhedonia PPD
41. Is this normal pregnancy symptoms or PPD? Dysregulation of appetite PPD
42. What are symptoms of prenatal and postpartum anxiety (PPA)? - fears: losing control,
illness, danger, fainting
4
COMPLETE SOLUTIONS|Sure To Pass|Graded A+
1. What does the EPDS assess for that the PHQ-9 doesn't? Anxiety
2. What is the cut off for the EDPS (out of 30)?10-12
3. What are some brief screening assessment measures? EPDS-2 and PHQ 2 (neither
assess for suicidal thoughts)
4. What is the Postpartum Depression Screening Scale (PDSS)? A 35-item, 5 point
Likert scale assessment questionnaire that has a short form and long form that assess 7
subscales
- more thorough evaluation of PMHDs
- costs money
- fewer studies done on this than the EPDS
5. What is the Postpartum Depression Predictors Inventory (PDPI)? identifies women who
are at higher risk for developing PPD
- not self report, must be clinician led
6.
What percentage of new mothers experience the "baby blues" in the first few weeks after
the baby arrives? 80%
7. When do the baby blues typically peak? Day 3-5 after delivery
8. How long do the baby blues typically last? 2 days to 2 weeks after delivery
9. What are the symptoms of baby blues? - tearfulness
- lability
- reactivity
- exhaustion
- unrelated to stress or prior psychiatric hx
10. When making a determination between baby blues and PPD, what should be considered?
severity, onset, and duration
11. What is the DSM code for PPD? Major Unipolar Depression (with peripartum onset)
12. What is the DSM criteria for MDD? SIGECAPS
13. Five (or more) of the following symptoms have been present during the same two-week
period and represent a change from previous functioning; at least one of the symptoms is
either
0. Depressed mood
1. Sleep issues
2. Interest decreased
1
, 3. Guilt/worthlessness/hopelessness
4. Energy decreased
5. Concentration decreased
6. Appetite issues
7. Psychomotor agitation or retardation
8. Suicidality or thoughts of death
14. What is the prevalence of serious depression or anxiety developed during the perinatal
period (beyond just "baby blues")? At least 1 in 7 mothers
15. What is the prevalence of postpartum psychosis? 1-2 in 1,000 mothers
16. What is the prevalence of postpartum depression (PPD) in fathers? 10% of new fathers
17. What is the prevalence of postpartum depression (PPD) in mothers? 21% of new
mothers, 19.3% of whom also experienced suicidal thoughts
18. Suicide is the ____ leading causes of maternal deaths One of the top 3
19. What are some obstacles to care for the perinatal population? - shame and fear
- provider misinformation
- cultural taboos
- provider accessibility
20. What is the PSI motto? You are not alone, you are not to blame, and with help you
will be well.
21. What is the term for mental health disorders that develop during pregnancy or
postpartum? Perinatal Mental Health Disorders (PMHDs)
22. According to the formal definition of perinatal mental health disorders (PMHDs), when
can their onset begin? Anytime during or after pregnancy, up to 1 year postpartum,
including losses.
23. Do PMHDs have onset during the "baby blues?" They can, or they can arise later.
24. What are some triggers for later onset of PMHDs? - hormonal triggers
- rapid weaning from breastfeeding
- hormonal birth control
- return to work
- illness or hospitalization
- loss and grief
25. What are risk factors for PMHDs? - financial stress or poverty
- lack of social support
- marital stress
2
, - IPV/history of abuse
- substance dependency in family
- poor relationship with own family
- history of depression, anxiety, OCD
- thyroid imbalance, diabetes, endocrine disorders
- PMS or PMDD
- pregnancy or delivery complications
- infertility, miscarriage, or infant loss
- mothers whose baby is in the NICU
- recent major life stressor/event
- rapid weaning of breastfeeding
- unwanted or unplanned pregnancy
- ambivalence about parental role
- mothers of multiples
26. What is the physical factors that affect the etiology of PMHDs? - genetic
predisposition
- sensitivity to hormonal changes
27. What are some psychosocial factors that affect the etiology of PMHDs? - inadequate
support
- perfectionism, superwoman mentality
28. What are some concurrent stressors that affect the etiology of PMHDs? - sleep
disruption
- poor nutrition
- health challenges
- interpersonal stress
- cultural stress/barriers
29. What are some other causes of PMHDs that should be ruled out? - thyroid/pituitary
imbalances
- anemia
- trauma
- vitamin D imbalance
- medication side effects
- alcohol or drug use
30. What are the different types of PMHDs? - prenatal depression or anxiety
- Major Postpartum Depression
- Postpartum Anxiety or Panic Disorder
- Post-Traumatic Stress Disorder
- Perinatal OCD
- Bipolar Disorders
- Postpartum Psychosis
3
, 31. What are some unexpected/atypical PPD symptoms? - agitation
- anxiety
- anger, rage
- insomnia
- mania
- non-psychotic intrusive thoughts and images
- protectiveness and hypervigilance
- substance dependence
32. What are the stages of recovery from PMHDs? - acute symptoms, initial recovery,
resolution of the acute stage
- first slump, transient ups and downs, resolving
- recovering confidence, grieving, and finding meaning
33. What is the difference in prevalence of PMHDs between the pregnancy and postpartum
periods? They are just as high in each period
34. What are symptoms of prenatal and postpartum depression (PPD)? - sadness, crying
- feeling overwhelmed
- irritability, agitation, anger
- sleep disturbance
- appetite changes
- mood swings
- apathy
- exhaustion
35. Is this normal pregnancy symptoms or PPD? Mood is labile Normal
36. Is this normal pregnancy symptoms or PPD? Mood is gloomy, irritable, agitated, or
enraged PPD
37. Is this normal pregnancy symptoms or PPD? Self esteem is low, feelings of guilt PPD,
in normal pregnancy self-esteem is unchanged
38. Is this normal pregnancy symptoms or PPD? Difficulty initiating or sustaining sleep
PPD (having to urinate or heartburn are normal sx)
39. Is this normal pregnancy symptoms or PPD? Fatigue and rest is not restoring PPD
(fatigue may present in pregnancy but rest is restoring)
40. Is this normal pregnancy symptoms or PPD? Anhedonia PPD
41. Is this normal pregnancy symptoms or PPD? Dysregulation of appetite PPD
42. What are symptoms of prenatal and postpartum anxiety (PPA)? - fears: losing control,
illness, danger, fainting
4
