PMH-C Assessment and Screening 3

Question 1

Which of the following is a validated screening tool specifically designed to assess for perinatal bipolar disorder risk?

Accepted Answer

Mood Disorder Questionnaire (MDQ)

Answer

The Mood Disorder Questionnaire (MDQ) is a validated self-report tool used to identify patients at risk for bipolar spectrum disorders in perinatal settings.

Question 2

A patient at her 6-week postpartum visit denies depression but reports her partner has noticed she 'seems off.' Which clinical action is most appropriate?

Accepted Answer

Administer a standardized screening tool and conduct a collateral interview

Answer

Collateral reports from partners or family members are clinically significant and should prompt formal screening and collateral interviewing even when the patient denies symptoms.

Question 3

Which clinical feature best distinguishes postpartum psychosis from severe postpartum depression during assessment?

Accepted Answer

Rapid cycling of mood with confusion and hallucinations

Answer

Postpartum psychosis is characterized by rapid mood fluctuations, confusion, disorganized thinking, and hallucinations — features not typical of postpartum depression.

Question 4

When screening for substance use in perinatal patients, which tool is commonly recommended?

Accepted Answer

4P's Plus

Answer

The 4P's Plus (Parents, Partner, Past, Pregnancy) is a validated brief screening tool designed to identify perinatal substance use risk.

Question 5

An obstetric provider notices a pregnant patient has a PHQ-2 score of 3. What is the recommended next step?

Accepted Answer

Administer the full PHQ-9 for further evaluation

Answer

A PHQ-2 score of 3 or higher is a positive screen that warrants follow-up with the full PHQ-9 to assess severity and guide treatment planning.

(PMH-C) Perinatal Mental Health Certification Practice Test

(PMH-C) Perinatal Mental Health Certification Practice Test

PMH-C Assessment and Screening 3