PSI Postpartum Mood & Anxiety Disorders Knowledge 4

Question 1

According to PSI, what is the approximate prevalence of postpartum depression among new mothers in the United States?

Accepted Answer

1 in 7 (approximately 15%)

Answer

PSI cites that approximately 1 in 7 women (roughly 15%) experience postpartum depression, making it the most common complication of childbirth.

Question 2

A postpartum woman endorses hearing voices telling her she is a bad mother and believing her baby has been replaced by an imposter. This is most consistent with:

Accepted Answer

Severe postpartum depression with psychotic features

Answer

Auditory hallucinations and delusions (such as Capgras-like belief that the baby is an imposter) in the postpartum period indicate postpartum psychosis or severe postpartum depression with psychotic features.

Question 3

Which of the following is NOT a recognized risk factor for postpartum depression according to PSI?

Accepted Answer

Vaginal delivery (versus cesarean)

Answer

Mode of delivery (vaginal vs. cesarean) is not an established independent risk factor for postpartum depression; however, a traumatic birth experience of any type can contribute.

Question 4

Brexanolone (Zulresso) is notable in postpartum depression treatment because it:

Accepted Answer

Is the first IV neuroactive steroid FDA-approved specifically for postpartum depression

Answer

Brexanolone (Zulresso), approved by the FDA in 2019, is the first medication specifically approved for postpartum depression; it is a synthetic analog of allopregnanolone administered intravenously.

Question 5

The Edinburgh Postnatal Depression Scale (EPDS) item 10 specifically assesses which symptom and warrants immediate follow-up if endorsed?

Accepted Answer

Thoughts of self-harm or suicide

Answer

EPDS item 10 directly asks about thoughts of self-harm or suicide, and any positive response requires immediate clinical follow-up regardless of the total score.

PSI - Postpartum Support International Practice Test

PSI - Postpartum Support International Practice Test

PSI Postpartum Mood & Anxiety Disorders Knowledge 4