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PERINATAL MENTAL HEALTH CERTIFICATION (PMH-C) EXAM QUESTIONS AND ANSWERS

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PERINATAL MENTAL HEALTH CERTIFICATION (PMH-C) EXAM QUESTIONS AND ANSWERS PERINATAL MENTAL HEALTH CERTIFICATION (PMH-C) EXAM QUESTIONS AND ANSWERS What are some services that Postpartum Support International (PSI) offers? - ANSWER-- English & Spanish support - Connecting to local support voluntee...

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  • April 5, 2025
  • 34
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • PERINATAL MENTAL HEALTH CERTIFICATION
  • PERINATAL MENTAL HEALTH CERTIFICATION
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PERINATAL MENTAL HEALTH
CERTIFICATION (PMH-C) EXAM
QUESTIONS AND ANSWERS
What are some services that Postpartum Support International (PSI) offers? -
ANSWER-- English & Spanish support
- Connecting to local support volunteers and resources
- "Chat with an Expert" phone forums
- Educational DVDs
- Online support groups
- Professional trainings and conferences

Does the PSI Helpline offer phone or text support? - ANSWER-Both! At 1-800-944-
4773. Remember it is not a crisis hotline.

What is the National Maternal Mental Health Hotline? - ANSWER-A national hotline for
the perinatal population that offers support 24hr/365d. 1-833-TLC-MAMA

What is the definition of "perinatal"? - ANSWER-Anytime during pregnancy through the
first year postpartum

What percentage of new mothers experience the "baby blues" in the first few weeks
after the baby arrives? - ANSWER-80%

When do the baby blues typically peak? - ANSWER-Day 3-5 after delivery

How long do the baby blues typically last? - ANSWER-2 days to 2 weeks after delivery

What are the symptoms of baby blues? - ANSWER-- tearfulness
- lability
- reactivity
- exhaustion
- unrelated to stress or prior psychiatric hx

When making a determination between baby blues and PPD, what should be
considered? - ANSWER-severity, onset, and duration

What is the DSM code for PPD? - ANSWER-Major Unipolar Depression (with
peripartum onset)

What is the DSM criteria for MDD? - ANSWER-SIGECAPS

,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
3. Guilt/worthlessness/hopelessness
4. Energy decreased
5. Concentration decreased
6. Appetite issues
7. Psychomotor agitation or retardation
8. Suicidality or thoughts of death

What is the prevalence of serious depression or anxiety developed during the perinatal
period (beyond just "baby blues")? - ANSWER-At least 1 in 7 mothers

What is the prevalence of postpartum psychosis? - ANSWER-1-2 in 1,000 mothers

What is the prevalence of postpartum depression (PPD) in fathers? - ANSWER-10% of
new fathers

What are the different types of PMHDs? - ANSWER-- prenatal depression or anxiety
- Major Postpartum Depression
- Postpartum Anxiety or Panic Disorder
- Post-Traumatic Stress Disorder
- Perinatal OCD
- Bipolar Disorders
- Postpartum Psychosis

What are some unexpected/atypical PPD symptoms? - ANSWER-- agitation
- anxiety
- anger, rage
- insomnia
- mania
- non-psychotic intrusive thoughts and images
- protectiveness and hypervigilance
- substance dependence

What are the stages of recovery from PMHDs? - ANSWER-- acute symptoms, initial
recovery, resolution of the acute stage
- first slump, transient ups and downs, resolving
- recovering confidence, grieving, and finding meaning

What is the difference in prevalence of PMHDs between the pregnancy and postpartum
periods? - ANSWER-They are just as high in each period

,What is the prevalence of postpartum depression (PPD) in mothers? - ANSWER-21% of
new mothers, 19.3% of whom also experienced suicidal thoughts

Suicide is the ____ leading causes of maternal deaths - ANSWER-One of the top 3

What are some obstacles to care for the perinatal population? - ANSWER-- shame and
fear
- provider misinformation
- cultural taboos
- provider accessibility

What is the PSI motto? - ANSWER-You are not alone, you are not to blame, and with
help you will be well.

What is the term for mental health disorders that develop during pregnancy or
postpartum? - ANSWER-Perinatal Mental Health Disorders (PMHDs)

According to the formal definition of perinatal mental health disorders (PMHDs), when
can their onset begin? - ANSWER-Anytime during or after pregnancy, up to 1 year
postpartum, including losses.

Do PMHDs have onset during the "baby blues?" - ANSWER-They can, or they can arise
later.

What are some triggers for later onset of PMHDs? - ANSWER-- hormonal triggers
- rapid weaning from breastfeeding
- hormonal birth control
- return to work
- illness or hospitalization
- loss and grief

What are risk factors for PMHDs? - ANSWER-- financial stress or poverty
- lack of social support
- marital stress
- 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

What is the physical factors that affect the etiology of PMHDs? - ANSWER-- genetic
predisposition
- sensitivity to hormonal changes

What are some psychosocial factors that affect the etiology of PMHDs? - ANSWER--
inadequate support
- perfectionism, superwoman mentality

What are some concurrent stressors that affect the etiology of PMHDs? - ANSWER--
sleep disruption
- poor nutrition
- health challenges
- interpersonal stress
- cultural stress/barriers

What are some other causes of PMHDs that should be ruled out? - ANSWER--
thyroid/pituitary imbalances
- anemia
- trauma
- vitamin D imbalance
- medication side effects
- alcohol or drug use


What are symptoms of prenatal and postpartum depression (PPD)? - ANSWER--
sadness, crying
- feeling overwhelmed
- irritability, agitation, anger
- sleep disturbance
- appetite changes
- mood swings
- apathy
- exhaustion

Is this normal pregnancy symptoms or PPD? Mood is labile - ANSWER-Normal

Is this normal pregnancy symptoms or PPD? Mood is gloomy, irritable, agitated, or
enraged - ANSWER-PPD

Is this normal pregnancy symptoms or PPD? Self esteem is low, feelings of guilt -
ANSWER-PPD, in normal pregnancy self-esteem is unchanged

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