PSI Perinatal Mental Health Certification Exam – Verified Questions & Answers PDF

PSI
Perinatal Mental
Health Certification
Exam Questions
with Verified
Answers



Biological sensitivities to hormone changes (sleep), genetic vulnerability (prior
diagnosis), psychological (identity), social/environmental (poor social
support/racism) - ✔✔- ACTUAL ANSWER- Theories of Etiology

,Affects 60-80% of new mothers. Due to hormone changes and sleep deprivation.
Lasts 2 days to 2 weeks. Symptoms include tearful, labile affect, reactivity,
exhaustion, but predominantly happy. Self-esteem remains unchanged. Resolves
without intervention. Self-care strategies recommended. - ✔✔- ACTUAL
ANSWER- Baby Blues

Consider severity, intensity, and duration of symptoms - ✔✔- ACTUAL
ANSWER- Distinguishing Blues from Depression

8-20% - ✔✔- ACTUAL ANSWER- Prevalence of Postpartum Anxiety

15% - ✔✔- ACTUAL ANSWER- Prevalence of Prenatal Anxiety

21% - ✔✔- ACTUAL ANSWER- Prevalence of Postpartum Depression

11% - ✔✔- ACTUAL ANSWER- Prevalence of Postpartum Panic Disorder

11% - ✔✔- ACTUAL ANSWER- Prevalence of Postpartum OCD

9% - ✔✔- ACTUAL ANSWER- Prevalence of Postpartum PTSD

70% - ✔✔- ACTUAL ANSWER- Percentage of Bipolar Symptoms Relapse
without Medication

1-2 out of 1,000 cases - ✔✔- ACTUAL ANSWER- Prevalence of Postpartum
Psychosis

10% of fathers - ✔✔- ACTUAL ANSWER- Prevalence of Paternal Postpartum
Depression

20-30% of cases - ✔✔- ACTUAL ANSWER- Prevalence of Psychosis in Women
with Diagnosed Bipolar Disorder

Recognizes unhealthy thoughts, extreme anxiety, fear of 'snapping', no desire to
harm the baby, frightening thoughts - ✔✔- ACTUAL ANSWER- Traits of
Obsessive-Compulsive Disorder (OCD)

, Lacks insight into unhealthy thoughts/actions, reduced anxiety with delusions, no
awareness of distorted thoughts, delusional beliefs about the baby, ego-syntonic
thoughts of harming the baby - ✔✔- ACTUAL ANSWER- Traits of Psychosis

Intrusive thoughts (flashbacks), avoidance, negative mood, arousal symptoms
(sleep issues, poor concentration, hyper vigilance) - ✔✔- ACTUAL ANSWER-
Traits of Post-Traumatic Stress Disorder (PTSD)

1,200 deaths per year or 14.4 per 100,000 women - ✔✔- ACTUAL ANSWER-
Maternal Mortality Rate (All Women)

43.5 deaths per 100,000 women - ✔✔- ACTUAL ANSWER- Maternal Mortality
Rate (Black Women)

Characterized by at least one full manic and major depressive episode in a
lifetime - ✔✔- ACTUAL ANSWER- Bipolar I Disorder

Mild manic state with elevated mood, talkativeness, charm, and energy lasting up
to 4 days - ✔✔- ACTUAL ANSWER- Hypomania

A mood disorder characterized by a hyperactive, wildly optimistic state where
function is impaired. Can last up to 7 days. - ✔✔- ACTUAL ANSWER- Mania

Approximately 50% - ✔✔- ACTUAL ANSWER- Prevalence of First Diagnosis of
Bipolar Disorder Postpartum

Includes history of bipolar or psychotic disorder, first pregnancy, family history,
recent discontinuation of psychotropic medication. - ✔✔- ACTUAL ANSWER-
Risk Factors for Postpartum Psychosis

Onset typically 2 weeks postpartum. Symptoms include poor concentration,
disorientation, agitation, aloofness, lack of self-care, elated/labile mood, rambling
speech, thought broadcasting/delusion of grandiosity, disorganized thoughts,
flight of ideas, hallucinations. - ✔✔- ACTUAL ANSWER- Postpartum Psychosis
Symptoms