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Perinatal Mental Health Certification: Questions & Detailed Solutions
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Perinatal Mental Health Certification: Questions & Detailed Solutions
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Perinatal Mental Health Certification: Questions &Detailed Solutions
Risk Factors for Perinatal Psychosis Right Ans - 1st baby; stopping mood
stabilizer; obstetric complications; perinatal/neonatal loss; previous
bipolar/psychosis; family history; sleep deprivation
3 Biggest fears of panic disorder Right Ans - dying; losing control; going
crazy
Maternal Mortality Rate (all women) Right Ans - 1,200/year or 14.4/1,000
Maternal Mortality Rate (black women) Right Ans - 43.5/1,000
Prevalence of PP PTSD Right Ans - 9%
% of bipolar symptoms that relapse without medications Right Ans - 70%
Prevalence of PP Psychosis Right Ans - 1-2/1,000
Prevalence of PPD in Fathers Right Ans - 10%
Prevalence of PP Anxiety Right Ans - 8-20%
Prevalence of prenatal anxiety Right Ans - 15%
Prevalence of PP depression Right Ans - 21%
Prevalence of PP panic disorder Right Ans - 11%
Prevalence of PP OCD Right Ans - 11%
PP PTSD Themes Right Ans - 1) lack of caring 2) poor communication 3)
feeling powerless 4) do ends justify means
Maternal Mortality Right Ans - 1,200 with complications that are fatal;
60,000 complications that are near fatal
,PP Psychosis Clinical Features (onset) Right Ans - <2 weeks PP
PP Psychosis Clinical Features (cognition) Right Ans - decreased
concentration, decreased sensations, disorientation
PP Psychosis Clinical Features (behavioral) Right Ans - agitated,
hyperactive, distant, aloof, decreased self care
PP Psychosis Clinical Features (Mood) Right Ans - labile, elated, and
dysphoric
PP Psychosis Clinical Features (Speech) Right Ans - Rambling
Psychotic Thoughts Right Ans - delusions, ego-syntonic thoughts
OCD Thoughts Right Ans - Parents don't want to harm baby, no
delusions/hallucinations, parents have taken steps to protect baby
DSM-5 Criteria for PTSD Right Ans - qualify for four categories
1) stressor
2)Intrusions
3)Avoidance
4)Negativity in cognition/mood
5)arousal
Causes of Birth Trauma Right Ans - Emergency C-section, pre-eclampsia,
PP hemorrhage, NICU stay, prematurity, still birth, 3rd/4th degree tears,
hyperemesis, fetal anomaly, shoulder dystocia
DSM-5 Criteria for OCD (obsessions) Right Ans - Recurrent and persistent
thoughts/urges/impulses that are intrusive/unwanted; individual attempts to
ignore or suppress thoughts/urges/impulses
DSM-5 Criteria for OCD (compulsions) Right Ans - repetitive behaviors that
individuals feel driven to do; aimed at preventing or reducing anxiety
Common perinatal OCD Presentations Right Ans - 41% deliberate harm
29% contamination
18% accidental harm
, 6% ordering/arranging
3% religious
3% checking
DSM-5 Criteria for Major Depression Right Ans - 5+ symptoms present
during 2 week period
depressed mood; loss of interest/joy/pleasure; significant weight
change/appetite change; psychomotor agitation; fatigue/loss energy; poor
concentration; feeling worthless; excessive guilt; recurrent death thoughts/SI
DSM-5 Criteria for Anxiety Right Ans - excessive anxiety or worrying;
difficulty controlling ones worry (rumination); agitation/irritability;
restlessness; poor concentration; easily fatigued; increased somatic symptoms
DSM-5 Criteria for Panic Disorder Right Ans - Episodes of intense
fear/discomfort; SOB/CP/Dizziness; hot/cold flashes; increase in HR;
Restlessness/agitation; excessive worry/fear; persistent fear "going crazy";
often no trigger
Screening completed by PCP's Right Ans - 46%
When do symptoms spike for fathers? Right Ans - 3-6M
Baby Blues Prevalence Right Ans - 60-80% new mothers
Timeframe of Baby Blues Right Ans - 2 days - 2 weeks/birther
PP substance abuse Right Ans - 40-49% alcohol; 4.5-8.5% marijuana
# infants born to depressed mothers Right Ans - 400,000
PMAD Prevalence Right Ans - 1/5-7 women; 1/10 men
% of unplanned pregnancies Right Ans - 50%
Prevalence of first dx of BPD PP Right Ans - 50%
Substance use in pregnancy Right Ans - 5.4% women use elicit drugs;
14.6% adolescent moms
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