Perinatal Mental Health Exam (New 2026/
2027 Update) Questions & Answers {Grade
A} 100% Correct (Verified Solutions)
What percent of women present as depressed? - Correct answer 60% of those with
bipolar 1 present as depressed initially
50% of women with bipolar are first diagnosed in the postpartum period!
Bipolar is a huge risk for psychosis!
Bipolar is high risk for... - Correct answer Psychosis! It occurs in 20-30% of those with
bipolar. Many of those with bipolar experience relapse during pregnancy and
postpartum
What is the ppd imposter? - Correct answer Bipolar 2: hypo mania and severe
depression. Often presents with depressive symptoms and resistant to SSRIs often.
How common is perinatal psychosis? - Correct answer 1-2 in 1000 women experience
this.
5% die by suicide. 4% commit infanticide
,50% never had past history of psych issues
When does perinatal psychosis occur? - Correct answer Usually 2 weeks postpartum,
rapid onset.
Risk factors for psychosis - Correct answer First child
DC mood stabilizer
Complications
Perinatal loss
Previous bipolar, or psychosis (30% recurrence)
Family history of these
Sleep deprivation
Key is to stay on meds or start immediately postpartum
,Postpartum psychosis onset, cognition, behavior, mood, speech - Correct answer
Onset: 2 weeks-1 year
Behavior: agitation, hyperactive, distant, aloof, no self care
Mood: elated, labile, dysphoric
Speech: rambling
Psychosis thought content - Correct answer Thought broadcasting
Ideas of reference
Infant being harmed
Persecution, jealously, paranoid
Being controlled
Delusion of grandiosity
thought process - Correct answer Disorganized, flight of ideas.
Perceptions (psychosis) - Correct answer Hallucinations-commanding auditory
Organic (visual, olfactory, tactile)
, How do you reduce risk of postpartum psychosis? - Correct answer Women with
bipolar should remain on medication during pregnancy
Initiate treatment immediately postpartum in those with history of psychosis
Good sleep!!!!
Almost all individuals achieve full remission!
29% risk of recurrence
PPD in dads parenting consequences - Correct answer Irritability/anger towards kids.
Decreased positive parenting behaviors
4 times more likely to report spanking.
Child more at risk of developing depression at 18 y/o
Risk factors for PMADs - Correct answer Psychiatric history: family or personal
history of PMADs, family or personal history of anxiety, ocd, etc. history of childhood
sexual abuse
2027 Update) Questions & Answers {Grade
A} 100% Correct (Verified Solutions)
What percent of women present as depressed? - Correct answer 60% of those with
bipolar 1 present as depressed initially
50% of women with bipolar are first diagnosed in the postpartum period!
Bipolar is a huge risk for psychosis!
Bipolar is high risk for... - Correct answer Psychosis! It occurs in 20-30% of those with
bipolar. Many of those with bipolar experience relapse during pregnancy and
postpartum
What is the ppd imposter? - Correct answer Bipolar 2: hypo mania and severe
depression. Often presents with depressive symptoms and resistant to SSRIs often.
How common is perinatal psychosis? - Correct answer 1-2 in 1000 women experience
this.
5% die by suicide. 4% commit infanticide
,50% never had past history of psych issues
When does perinatal psychosis occur? - Correct answer Usually 2 weeks postpartum,
rapid onset.
Risk factors for psychosis - Correct answer First child
DC mood stabilizer
Complications
Perinatal loss
Previous bipolar, or psychosis (30% recurrence)
Family history of these
Sleep deprivation
Key is to stay on meds or start immediately postpartum
,Postpartum psychosis onset, cognition, behavior, mood, speech - Correct answer
Onset: 2 weeks-1 year
Behavior: agitation, hyperactive, distant, aloof, no self care
Mood: elated, labile, dysphoric
Speech: rambling
Psychosis thought content - Correct answer Thought broadcasting
Ideas of reference
Infant being harmed
Persecution, jealously, paranoid
Being controlled
Delusion of grandiosity
thought process - Correct answer Disorganized, flight of ideas.
Perceptions (psychosis) - Correct answer Hallucinations-commanding auditory
Organic (visual, olfactory, tactile)
, How do you reduce risk of postpartum psychosis? - Correct answer Women with
bipolar should remain on medication during pregnancy
Initiate treatment immediately postpartum in those with history of psychosis
Good sleep!!!!
Almost all individuals achieve full remission!
29% risk of recurrence
PPD in dads parenting consequences - Correct answer Irritability/anger towards kids.
Decreased positive parenting behaviors
4 times more likely to report spanking.
Child more at risk of developing depression at 18 y/o
Risk factors for PMADs - Correct answer Psychiatric history: family or personal
history of PMADs, family or personal history of anxiety, ocd, etc. history of childhood
sexual abuse
