Perinatal Mental Health - Identification and Management

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Please enter Full Legal Name (First and Last Name) to be printed on the certificate. Must provide full licensee number (e.g. RN283757, DN24868 etc.) with pre-fix for timely reporting to CE Broker.

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Perinatal Mental Health - Identification and Management

Question 1:

Which time frame defines the perinatal period in mental health?

A) Conception to 6 weeks postpartum

B) Pregnancy through one year postpartum

C) Delivery through 6 months postpartum

D) First trimester only

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Perinatal Mental Health - Identification and Management

Question 2:

A postpartum patient reports racing thoughts, little sleep, but high energy, and new irritability after starting an SSRI. What should be suspected?

A) Bipolar disorder activation

B) Panic disorder

C) OCD

D) Normal adjustment

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Perinatal Mental Health - Identification and Management

Question 3:

Perinatal mental health disorders affect at least 1 in 5 birthing people and are often underdiagnosed.

A) True

B) False

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Perinatal Mental Health - Identification and Management

Question 4:

Which screening tool is designed specifically for perinatal depression?

A) PHQ-9

B) GAD-7

C) Edinburgh Postnatal Depression Scale (EPDS)

D) PCL-5

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Perinatal Mental Health - Identification and Management

Question 5:

The Patient Safety Screener-3 (PSS-3) assesses which domains?

A) Depressed mood, suicidal thoughts, and prior suicide attempt

B) Mania and psychosis

C) Anxiety frequency

D) Birth trauma

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Perinatal Mental Health - Identification and Management

Question 6:

What distinguishes “baby blues” from perinatal depression?

A) Baby blues require medication.

B) Both last longer than a month.

C) Depression begins only after delivery.

D) Baby blues resolve within about two weeks

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Perinatal Mental Health - Identification and Management

Question 7 :

Which of the following best exemplifies interprofessional collaboration?

A) The OB provider introduces a patient directly to behavioral health for a “warm handoff.”

B) Handing the patient a referral list

C) Recommending online resources only

D) Waiting until symptoms worsen

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Perinatal Mental Health - Identification and Management

Question 8 :

The hallmark feature of postpartum psychosis is:

A) Rapid onset of psychotic and mood symptoms within days postpartum

B) Gradual anxiety progression

C) Absence of sleep disturbance

D) Isolated irritability

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Perinatal Mental Health - Identification and Management

Question 9 :

It is recommended to screen once during pregnancy for depression.

A) True

B) False

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Perinatal Mental Health - Identification and Management

Question 10 :

A score ≥ 10 on the EPDS should prompt which next step?

A) Immediate antidepressant prescription without evaluation

B) Reassurance only

C) No repeat screening for six months

D) Further clinical evaluation and possible referral

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Perinatal Mental Health - Identification and Management

Question 11 :

Which SSRI is most often preferred during pregnancy and lactation for safety?

A) Sertraline

B) Paroxetine

C) Citalopram

D) Fluvoxamine

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Perinatal Mental Health - Identification and Management

Question 12 :

Which factor most increases the likelihood of perinatal mental health risk?

A) Multiparity

B) Intimate partner violence or poor social support

C) Prenatal vitamin use

D) Elective cesarean delivery

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Perinatal Mental Health - Identification and Management

Question 13 :

The PCL-C is used to screen for:

A) Bipolar disorder

B) Severe depression

C) PTSD

D) Borderline personality disorder

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Perinatal Mental Health - Identification and Management

Question 14 :

For mild to moderate perinatal depression, the first-line treatment is:

A) Psychotherapy such as CBT or IPT

B) Antipsychotic medication

C) Hospitalization

D) Electroconvulsive therapy

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Perinatal Mental Health - Identification and Management

Question 15 :

Which screening intervals are recommended by ACOG?

A) First prenatal visit, third trimester, and postpartum

B) First trimester only

C) At delivery and six weeks

D) Only when symptoms are obvious

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Perinatal Mental Health - Identification and Management

Question 16 :

Intrusive, unwanted thoughts about the infant that cause distress and lead to ritualistic behaviors are characteristic of:

A) Postpartum psychosis

B) Generalized anxiety disorder

C) Normal parental worry

D) Perinatal obsessive–compulsive disorder (OCD)

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Perinatal Mental Health - Identification and Management

Question 17 :

Which screening tool helps differentiate bipolar from unipolar depression?

A) Postpartum psychosis

B) PHQ-9

C) GAD-7

D) PSS-3

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Perinatal Mental Health - Identification and Management

Question 18 :

A major maternal consequence of untreated perinatal depression is:

A) Reduced fertility only

B) Increased risk of suicide and overdose

C) Higher breastfeeding rates

D) Lower obstetric complications

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Perinatal Mental Health - Identification and Management

Question 19 :

Which lifestyle factor most worsens maternal and infant outcomes?

A) Moderate caffeine intake

B) Prenatal yoga

C) Early ambulation

D) Substance misuse (tobacco, alcohol, opioids)

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Perinatal Mental Health - Identification and Management

Question 20 :

Which tool distinguishes state vs trait anxiety in perinatal populations?

A) STAI-6 (State-Trait Anxiety Inventory, short form)

B) GAD-7

C) EPDS subscale

D) PHQ-9

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Perinatal Mental Health - Identification and Management

Question 21 :

What is a “relative infant dose” (RID) in lactation counseling?

A) The infant’s drug exposure as a % of the mother’s weight-adjusted dose

B) The amount secreted per feeding

C) The milk concentration divided by maternal blood volume

D) The half-life of the drug in breast milk

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Perinatal Mental Health - Identification and Management

Question 22 :

Which perinatal disorder is most associated with fear of childbirth, flashbacks, and avoidance of hospitals?

A) OCD

B) Perinatal PTSD

C) Bipolar depression

D) Anxiety disorder NOS

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Perinatal Mental Health - Identification and Management

Question 23 :

Which statement best reflects trauma-informed, equitable perinatal care?

A) “These questions may not apply to you.”

B) “We screen only if you seem upset.”

C) “I’d like to explain why we ask about mood—this is standard and supportive.”

D) “You can skip the questionnaire if it seems too time-consuming.”

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Perinatal Mental Health - Identification and Management

Question 24 :

Which protective factor is consistently linked to reduced perinatal depression and anxiety?

A) Strong partner and social support

B) Cesarean delivery

C) Strict bed rest

D) Early weaning

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Perinatal Mental Health - Identification and Management

Question 25 :

Which new oral medication for postpartum depression acts on the GABA_A system for rapid symptom relief?

A) Brexanolone

B) Sertraline

C) Zuranolone

D) Lamotrigine

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