NR 606 midterm Exam Study
Guide – Practice Questions
with Verified Answers. GRADED
A+. Latest 2026/2027 Update
Children in the pre-operational stage think _____ and use what to represent
objects? - Answer✔✔-symbolically, use words or pictures
in which stage of piaget's model does thinking become more logical and
organized about events and children can reason inductively - Answer✔✔-
concrete operational (age 7-11)
which stage is defined by the ability to reason abstractly and consider
hypothetical problems as well as moral, ethical, social, and political issues? -
Answer✔✔-formal operations (12+)
Can a parent access information if the provider has concerns about parental
abuse or neglect? - Answer✔✔-the provider can decide whether or not to treat
the parent as a personal representative
If the parent is not the child's personal representative under HIPPA, do they
have access to the health records? - Answer✔✔-depending on state laws- if
,the state has a law against it then no, if the state does permit the provider to
share health information then the provider is able to
A challenge to prescribing psychoactive medications in the perinatal period is -
Answer✔✔-the paucity of evidence regarding the true risks for the pregnant
client and developing fetus
If a pregnant client is stable on their current medication regimen what should
the PMHNP keep in mind - Answer✔✔-keep them on current med rather than
switching
When should the PMHNP refer the patient to a perinatal psychiatrist -
Answer✔✔-when the patient is on a high-risk medication for pregnancy
most common adverse effect associated with SSRIs and SNRIs - Answer✔✔-
neonatal withdrawal syndrome
symptoms of neonatal withdrawal syndrome - Answer✔✔-Symptoms include
tremors, high-pitched crying, and disturbed sleep
increase the risk of atrial septal defects. - Answer✔✔-paroextine
symptoms of newborn toxicity r/t benzodiazepine use during pregnancy -
Answer✔✔-Symptoms include sedation, floppy muscle tone, and potential
breathing issues at birth
bipolar medications that are considered teratogenic and should be avoided
during pregnancy. - Answer✔✔-valproic acid and carbamazepine
, Atypical antipsychotics that increase risk of gestational diabetes and large for
gestational age infants - Answer✔✔-olanzapine and quetiapine
has also been found to increase the risk of musculoskeletal malformations in
infants - Answer✔✔-olanzapine
the most used antipsychotics during pregnancy - Answer✔✔-risperidone and
quetiapine
medications that are safe for breast feeding - Answer✔✔-SSRIs, benzos,
valproic acid, quetiapine
medications that are safe for bottle feeding - Answer✔✔-lithium, lamotrigine,
clozapine
smoking- related pregnancy complications - Answer✔✔-ectopic pregnancy,
placental abruption, placenta previa, fetal mortality, and stillbirth, as well as
preterm birth and low birth weight infants
Smoking-related effects on neonates include - Answer✔✔-sudden infant death
syndrome and birth malformations such as oral clefts and neural tube defects
smoking effects on infants, children, and adolescents include - Answer✔✔-
asthma, cognitive impairment, lower respiratory illness, attention deficit
hyperactivity disorder (ADHD), and central nervous system tumors
Guide – Practice Questions
with Verified Answers. GRADED
A+. Latest 2026/2027 Update
Children in the pre-operational stage think _____ and use what to represent
objects? - Answer✔✔-symbolically, use words or pictures
in which stage of piaget's model does thinking become more logical and
organized about events and children can reason inductively - Answer✔✔-
concrete operational (age 7-11)
which stage is defined by the ability to reason abstractly and consider
hypothetical problems as well as moral, ethical, social, and political issues? -
Answer✔✔-formal operations (12+)
Can a parent access information if the provider has concerns about parental
abuse or neglect? - Answer✔✔-the provider can decide whether or not to treat
the parent as a personal representative
If the parent is not the child's personal representative under HIPPA, do they
have access to the health records? - Answer✔✔-depending on state laws- if
,the state has a law against it then no, if the state does permit the provider to
share health information then the provider is able to
A challenge to prescribing psychoactive medications in the perinatal period is -
Answer✔✔-the paucity of evidence regarding the true risks for the pregnant
client and developing fetus
If a pregnant client is stable on their current medication regimen what should
the PMHNP keep in mind - Answer✔✔-keep them on current med rather than
switching
When should the PMHNP refer the patient to a perinatal psychiatrist -
Answer✔✔-when the patient is on a high-risk medication for pregnancy
most common adverse effect associated with SSRIs and SNRIs - Answer✔✔-
neonatal withdrawal syndrome
symptoms of neonatal withdrawal syndrome - Answer✔✔-Symptoms include
tremors, high-pitched crying, and disturbed sleep
increase the risk of atrial septal defects. - Answer✔✔-paroextine
symptoms of newborn toxicity r/t benzodiazepine use during pregnancy -
Answer✔✔-Symptoms include sedation, floppy muscle tone, and potential
breathing issues at birth
bipolar medications that are considered teratogenic and should be avoided
during pregnancy. - Answer✔✔-valproic acid and carbamazepine
, Atypical antipsychotics that increase risk of gestational diabetes and large for
gestational age infants - Answer✔✔-olanzapine and quetiapine
has also been found to increase the risk of musculoskeletal malformations in
infants - Answer✔✔-olanzapine
the most used antipsychotics during pregnancy - Answer✔✔-risperidone and
quetiapine
medications that are safe for breast feeding - Answer✔✔-SSRIs, benzos,
valproic acid, quetiapine
medications that are safe for bottle feeding - Answer✔✔-lithium, lamotrigine,
clozapine
smoking- related pregnancy complications - Answer✔✔-ectopic pregnancy,
placental abruption, placenta previa, fetal mortality, and stillbirth, as well as
preterm birth and low birth weight infants
Smoking-related effects on neonates include - Answer✔✔-sudden infant death
syndrome and birth malformations such as oral clefts and neural tube defects
smoking effects on infants, children, and adolescents include - Answer✔✔-
asthma, cognitive impairment, lower respiratory illness, attention deficit
hyperactivity disorder (ADHD), and central nervous system tumors
