PMH C PERINATAL MENTAL HEALTH
CERTIFICATION UPDATED ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS FULL
SOLUTION GRADED A+
◉ Baby Blues. Answer: Affects 60-80% new mothers. Due to
hormone changes and sleep deprivation. lasts 2 days to 2 weeks.
Tearful, labile affect, reactivity, exhaustion BUT predominately
happy, self-esteem remains unchanged. Resolves without intervention.
Recommend self care strategies.
◉ How to determine is it blues or depression. Answer: severity,
intensity, duration of symptoms
◉ Prevalence of postpartum anxiety. Answer: 8-20%
◉ Prevalence of prenatal anxiety. Answer: 15%
◉ Prevalence of postpartum depression. Answer: 21%
◉ Prevalence of postpartum panic disorder. Answer: 11%
◉ Prevalence of postpartum OCD. Answer: 11%
,◉ Prevalence of postpartum PTSD. Answer: 9%
◉ Percentage of bipolar symptoms that relapse w/o meds. Answer:
70%
◉ Prevalence of postpartum psychosis. Answer: 1-2 out of 1,000
◉ Prevalence of PPD in fathers. Answer: 10%
◉ Prevalence psychosis in women with known bipolar disorder.
Answer: 20-30%
◉ Traits of OCD. Answer: recognizes that thoughts are unhealthy,
extreme anxiety related to thoughts/images, concerned about
"snapping". parent does not want to harm the baby, thoughts are
frightening.
◉ Traits of psychosis. Answer: does not recognize actions/thoughts
are unhealthy, may seem to have less anxiety when indulging in
thoughts/behaviors, no insight about distortion of thoughts, parent has
delusional beliefs about the baby, thoughts of harming the baby are
ego-syntonic
◉ Traits of PTSD. Answer: intrusive thoughts (flashbacks),
avoidance, negative cognitions and mood, arousal (sleep disturbance,
poor concentration, aggression, hyper vigilance)
, ◉ maternal mortality-all women. Answer: 1,200 a year or 14.4 per
100,000
◉ maternal mortality-black women. Answer: 43.5 per 100,000
◉ Bipolar 1 Disorder. Answer: a type of bipolar disorder marked by at
least one lifetime full manic and major depressive episodes
◉ Hypomania. Answer: A mild manic state in which the individual
seems infectiously merry, extremely talkative, charming, and tireless.
up to 4 days in length
◉ mania. Answer: a mood disorder marked by a hyperactive, wildly
optimistic state-function is impaired. can last 7 days
◉ prevalence of first diagnosis of bipolar disorder postpartum.
Answer: 50%
◉ Risk factors for postpartum psychosis. Answer: History of bipolar
or psychotic disorder, first pregnancy, family history, recent
discontinuation of psychotropic medication
◉ Postpartum psychosis symptoms. Answer: onset-2 weeks
postpartum, poor concentration, disorientation, agitation, aloof, lack
of self care, elated/labile mood, rambling speech, thought
CERTIFICATION UPDATED ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS FULL
SOLUTION GRADED A+
◉ Baby Blues. Answer: Affects 60-80% new mothers. Due to
hormone changes and sleep deprivation. lasts 2 days to 2 weeks.
Tearful, labile affect, reactivity, exhaustion BUT predominately
happy, self-esteem remains unchanged. Resolves without intervention.
Recommend self care strategies.
◉ How to determine is it blues or depression. Answer: severity,
intensity, duration of symptoms
◉ Prevalence of postpartum anxiety. Answer: 8-20%
◉ Prevalence of prenatal anxiety. Answer: 15%
◉ Prevalence of postpartum depression. Answer: 21%
◉ Prevalence of postpartum panic disorder. Answer: 11%
◉ Prevalence of postpartum OCD. Answer: 11%
,◉ Prevalence of postpartum PTSD. Answer: 9%
◉ Percentage of bipolar symptoms that relapse w/o meds. Answer:
70%
◉ Prevalence of postpartum psychosis. Answer: 1-2 out of 1,000
◉ Prevalence of PPD in fathers. Answer: 10%
◉ Prevalence psychosis in women with known bipolar disorder.
Answer: 20-30%
◉ Traits of OCD. Answer: recognizes that thoughts are unhealthy,
extreme anxiety related to thoughts/images, concerned about
"snapping". parent does not want to harm the baby, thoughts are
frightening.
◉ Traits of psychosis. Answer: does not recognize actions/thoughts
are unhealthy, may seem to have less anxiety when indulging in
thoughts/behaviors, no insight about distortion of thoughts, parent has
delusional beliefs about the baby, thoughts of harming the baby are
ego-syntonic
◉ Traits of PTSD. Answer: intrusive thoughts (flashbacks),
avoidance, negative cognitions and mood, arousal (sleep disturbance,
poor concentration, aggression, hyper vigilance)
, ◉ maternal mortality-all women. Answer: 1,200 a year or 14.4 per
100,000
◉ maternal mortality-black women. Answer: 43.5 per 100,000
◉ Bipolar 1 Disorder. Answer: a type of bipolar disorder marked by at
least one lifetime full manic and major depressive episodes
◉ Hypomania. Answer: A mild manic state in which the individual
seems infectiously merry, extremely talkative, charming, and tireless.
up to 4 days in length
◉ mania. Answer: a mood disorder marked by a hyperactive, wildly
optimistic state-function is impaired. can last 7 days
◉ prevalence of first diagnosis of bipolar disorder postpartum.
Answer: 50%
◉ Risk factors for postpartum psychosis. Answer: History of bipolar
or psychotic disorder, first pregnancy, family history, recent
discontinuation of psychotropic medication
◉ Postpartum psychosis symptoms. Answer: onset-2 weeks
postpartum, poor concentration, disorientation, agitation, aloof, lack
of self care, elated/labile mood, rambling speech, thought
