PERINATAL MENTAL HEALTH TEST PAPER 2025/2026
QUESTIONS AND ANSWERS GRADED A++
✔✔Screening completed by PCP's - ✔✔46%
✔✔When do symptoms spike for fathers? - ✔✔3-6M
✔✔Baby Blues Prevalence - ✔✔60-80% new mothers
✔✔Timeframe of Baby Blues - ✔✔2 days - 2 weeks/birther
✔✔PP substance abuse - ✔✔40-49% alcohol; 4.5-8.5% marijuana
✔✔# infants born to depressed mothers - ✔✔400,000
✔✔PMAD Prevalence - ✔✔1/5-7 women; 1/10 men
✔✔% of unplanned pregnancies - ✔✔50%
✔✔Prevalence of first dx of BPD PP - ✔✔50%
✔✔Substance use in pregnancy - ✔✔5.4% women use elicit drugs; 14.6% adolescent
moms
✔✔alcohol use in pregnancy - ✔✔8.5% women
✔✔Prevalence of psychosis in women with known BPD - ✔✔20-30%
✔✔Exacerbating Factors for PMAD's - ✔✔lack of sleep; physical pain and or
inflammation; unresolved grief and or loss; complications in pregnancy; health
challenges in baby or parents; temperament of baby; age related stressors;
perfectionism/high expectations
✔✔Risks of Stillbirth - tobacco - ✔✔1.8 -2.8x more likely
✔✔Risks of stillbirth - marijuana - ✔✔2.3x more likely
✔✔Risk of stillbirth - stimulant or prescription pain reliever - ✔✔2.2x more likely
✔✔AAP recommendations - breastfeeing - ✔✔human milk exclusively for 6M
✔✔Relationship between breastfeeding and PMADs - ✔✔breastfeeding and
depressions are a bi-directional relationship; breastfeeding may support maternal
, mental health; exclusively breastfeeding women may be less likely to be depressed;
depression leads to lower breastfeeding rates and earlier cessation
✔✔Hormones and Lactation - ✔✔depression suppresses the two hormones essential to
lactation: prolactin and oxytocin
✔✔Additional causes of oxytocin suppression - ✔✔C-section; stressful or traumatic
labor/birth; epidurals
✔✔Reglan - ✔✔medication to increase milk supply; increases risk of depression by 7x
✔✔Race and Breastfeeding - ✔✔black infants consistently had the lowest rates of
breastfeeding initiation and duration across all study years
✔✔Apps to support breastfeeding and medication - ✔✔Mother to Baby; Infant Risk;
LactFacts
✔✔Teen birth rates - ✔✔18.8/1,000
✔✔Medical risks for teenage mothers - ✔✔high blood pressure; anemia; nutritional
deficiencies; early labor; LBW; sexually transmitted infections; higher rates of infant
mortality; obstructed labor
✔✔PMAD risk factors in Adolescent Mother's - ✔✔untreated depression in their mother
or primary caregiver; social isolation and peer rejection; weight/shape disturbance; low
maternal self efficacy; family conflict; low self esteem; physical and sexual abuse
✔✔Military PMAD Risk - ✔✔3.4x/likely for PPD when spouse is deployed; 66% of
military spouses "worried that looking for assistance for their own issues would harm
their loved ones' chances of promotion"
✔✔NICU + PMAD's - ✔✔20-30% of NICU parents experience mental health disorders
within a year PP
✔✔PPD in NICU - ✔✔25.5% to 63%
✔✔Anxiety in NICU - ✔✔27%
✔✔Suicidal Ideation in NICU - ✔✔33%
✔✔PTSD in NICU - ✔✔15%-53% Mothers; 8-33% fathers
✔✔PPD NICU (fathers) - ✔✔30%
QUESTIONS AND ANSWERS GRADED A++
✔✔Screening completed by PCP's - ✔✔46%
✔✔When do symptoms spike for fathers? - ✔✔3-6M
✔✔Baby Blues Prevalence - ✔✔60-80% new mothers
✔✔Timeframe of Baby Blues - ✔✔2 days - 2 weeks/birther
✔✔PP substance abuse - ✔✔40-49% alcohol; 4.5-8.5% marijuana
✔✔# infants born to depressed mothers - ✔✔400,000
✔✔PMAD Prevalence - ✔✔1/5-7 women; 1/10 men
✔✔% of unplanned pregnancies - ✔✔50%
✔✔Prevalence of first dx of BPD PP - ✔✔50%
✔✔Substance use in pregnancy - ✔✔5.4% women use elicit drugs; 14.6% adolescent
moms
✔✔alcohol use in pregnancy - ✔✔8.5% women
✔✔Prevalence of psychosis in women with known BPD - ✔✔20-30%
✔✔Exacerbating Factors for PMAD's - ✔✔lack of sleep; physical pain and or
inflammation; unresolved grief and or loss; complications in pregnancy; health
challenges in baby or parents; temperament of baby; age related stressors;
perfectionism/high expectations
✔✔Risks of Stillbirth - tobacco - ✔✔1.8 -2.8x more likely
✔✔Risks of stillbirth - marijuana - ✔✔2.3x more likely
✔✔Risk of stillbirth - stimulant or prescription pain reliever - ✔✔2.2x more likely
✔✔AAP recommendations - breastfeeing - ✔✔human milk exclusively for 6M
✔✔Relationship between breastfeeding and PMADs - ✔✔breastfeeding and
depressions are a bi-directional relationship; breastfeeding may support maternal
, mental health; exclusively breastfeeding women may be less likely to be depressed;
depression leads to lower breastfeeding rates and earlier cessation
✔✔Hormones and Lactation - ✔✔depression suppresses the two hormones essential to
lactation: prolactin and oxytocin
✔✔Additional causes of oxytocin suppression - ✔✔C-section; stressful or traumatic
labor/birth; epidurals
✔✔Reglan - ✔✔medication to increase milk supply; increases risk of depression by 7x
✔✔Race and Breastfeeding - ✔✔black infants consistently had the lowest rates of
breastfeeding initiation and duration across all study years
✔✔Apps to support breastfeeding and medication - ✔✔Mother to Baby; Infant Risk;
LactFacts
✔✔Teen birth rates - ✔✔18.8/1,000
✔✔Medical risks for teenage mothers - ✔✔high blood pressure; anemia; nutritional
deficiencies; early labor; LBW; sexually transmitted infections; higher rates of infant
mortality; obstructed labor
✔✔PMAD risk factors in Adolescent Mother's - ✔✔untreated depression in their mother
or primary caregiver; social isolation and peer rejection; weight/shape disturbance; low
maternal self efficacy; family conflict; low self esteem; physical and sexual abuse
✔✔Military PMAD Risk - ✔✔3.4x/likely for PPD when spouse is deployed; 66% of
military spouses "worried that looking for assistance for their own issues would harm
their loved ones' chances of promotion"
✔✔NICU + PMAD's - ✔✔20-30% of NICU parents experience mental health disorders
within a year PP
✔✔PPD in NICU - ✔✔25.5% to 63%
✔✔Anxiety in NICU - ✔✔27%
✔✔Suicidal Ideation in NICU - ✔✔33%
✔✔PTSD in NICU - ✔✔15%-53% Mothers; 8-33% fathers
✔✔PPD NICU (fathers) - ✔✔30%
