NRNP 6552 MIDTERM EXAM (WEEK 6) /
2026-2027 UPDATE WITH EXAM-READY
QUESTIONS AND STEP-BY-STEP VERIFIED
ANSWERS / ALREADY GRADED A+
1. Sheila is pregnant and fearful of getting cervical cancer as her
sister recently did. She asks about receiving the HPV vaccine. How
do you respond?
A. "As long as you're in your first trimester, the HPV vaccine is safe
and effective."
B. "Research has not shown this vaccine to be effective against
preventing cervical cancer."
C. "After the age of 20, the HPV vaccine is not recommended."
D. "You should not receive the vaccination when you are
pregnant."
D. "You should not receive the vaccination when you are
pregnant."
2. Jack and Jill present for a preconception health counseling
session. Jack is 34, Jill is 33, and they have a 5 year old son, Jake.
Jake is the product of an uncomplicated pregnancy and labor. At
birth, Jake had an open neural tube defect and now has spina bifida
with a loss of function of his lower extremities. Jack and Jill want
another child and ask if there is anything they can do to prevent the
recurrence of a neural tube defect in future pregnancies. What is
your best response to this couple?
A. "Jill should take 60 mg/day of an iron supplement to enhance
stores to support fetal development."
,B. "It is a matter of genetics, and there is nothing you can do."
C. "Have a CVS performed at 12 to 14 weeks gestation to determine
the health of the fetus."
D. "Jill should take 4 mg/day of folic acid, beginning before
conception."
D. "Jill should take 4 mg/day of folic acid, beginning before
conception."
3. You are invited to speak to a group of public school
administrators about recent outbreaks of head lice. As an advocate
for children and families you share
A. "no nit" policies that exclude children until all nits are removed
are essential to eradicate this problem
B. the American Academy of Pediatrics and the National
Association of School Nurses discourage "no nit" policies that
exclude children from school
C. occlusive agents, such as petroleum shampoo and herbal oils,
applied to suffocate the lice are showing promising results in
randomized controlled trials
D. lindane is recommended by the American Academy of Pediatrics
as a treatment choice
B. the American Academy of Pediatrics and the National
Association of School Nurses discourage "no nit" policies that
exclude children from school
4. What is the simplest and safest method of suppressing lactation
after it has started?
A. administering oral and long-acting injections of hormonal
preparations
B. using breast binders
C. gradually weaning the baby to a bottle or cup over a 3-week
period
,D. stopping "cold-turkey"
C. gradually weaning the baby to a bottle or cup over a 3-week
period
5. When can you hear fetal heart tones with a conventional
fetoscope?
A. 7 to 8 weeks
B. 10 to 12 weeks
C. 18 to 20 weeks
D. more than 20 weeks
C. 18 to 20 weeks
6. The reaspn most often cited to explain why women who have had
a usual length of stay and normal delivery discontinue
breastfeeding before 8 weeks postpartum is
A. that the mother returned to work or school
B. the perception that the infant is not receiving enough milk
C. the ease of formula use
D. maternal or infant illness
B. the perception that the infant is not receiving enough milk
7. Pediatric patients may now be prescribed OxyContin for pain.
Patients must be already responding to and tolerating a minimum
opioid dose equal to at least 20 mg of oxycodone per day before
they can be prescribed an equivalent dose of OxyContin. In order to
be prescribed OxyContin, pediatric patient must be
A. 5 to 16 years
B. 11 to 16 years
C. 8 to 16 years
D. over 10 years
, B. 11 to 16 years
8. Hegar's sign, a physiological sign of pregnancy is
A. cervical blueness
B. softness of the uterus and ballottement at the isthmus
C. cervical softness
D. quickening
B. softness of the uterus and ballottement at the isthmus
9. Carrie, of Irish descent, is due to deliver her second baby. During
your work-up, you note that she hemorrhaged after delivering her
first baby 2 years ago, has always had menorrhagia, and bruises
easily. Her lab work reveals a normal blood workup, including a
normal prothrombin time and activated partial thromboplastin time.
What do you suspect?
A. Von Willebrand's disease
B. Hemophilia
C. Sickle cell anemia
D. Beta thalassemia
A. Von Willebrand's disease
10. Koplik spots are small, white spots that occur on the inside of
the cheeks early in the course of
A. measles
B. varicella
C. fifth disease
D. rheumatic fever
A. measles
11. Aida, who is 29 weeks pregnant, received a blunt trauma to the
abdomen during an argument with her boyfriend. She has no
obvious injuries and denies pain. Aida needs to be monitored for
2026-2027 UPDATE WITH EXAM-READY
QUESTIONS AND STEP-BY-STEP VERIFIED
ANSWERS / ALREADY GRADED A+
1. Sheila is pregnant and fearful of getting cervical cancer as her
sister recently did. She asks about receiving the HPV vaccine. How
do you respond?
A. "As long as you're in your first trimester, the HPV vaccine is safe
and effective."
B. "Research has not shown this vaccine to be effective against
preventing cervical cancer."
C. "After the age of 20, the HPV vaccine is not recommended."
D. "You should not receive the vaccination when you are
pregnant."
D. "You should not receive the vaccination when you are
pregnant."
2. Jack and Jill present for a preconception health counseling
session. Jack is 34, Jill is 33, and they have a 5 year old son, Jake.
Jake is the product of an uncomplicated pregnancy and labor. At
birth, Jake had an open neural tube defect and now has spina bifida
with a loss of function of his lower extremities. Jack and Jill want
another child and ask if there is anything they can do to prevent the
recurrence of a neural tube defect in future pregnancies. What is
your best response to this couple?
A. "Jill should take 60 mg/day of an iron supplement to enhance
stores to support fetal development."
,B. "It is a matter of genetics, and there is nothing you can do."
C. "Have a CVS performed at 12 to 14 weeks gestation to determine
the health of the fetus."
D. "Jill should take 4 mg/day of folic acid, beginning before
conception."
D. "Jill should take 4 mg/day of folic acid, beginning before
conception."
3. You are invited to speak to a group of public school
administrators about recent outbreaks of head lice. As an advocate
for children and families you share
A. "no nit" policies that exclude children until all nits are removed
are essential to eradicate this problem
B. the American Academy of Pediatrics and the National
Association of School Nurses discourage "no nit" policies that
exclude children from school
C. occlusive agents, such as petroleum shampoo and herbal oils,
applied to suffocate the lice are showing promising results in
randomized controlled trials
D. lindane is recommended by the American Academy of Pediatrics
as a treatment choice
B. the American Academy of Pediatrics and the National
Association of School Nurses discourage "no nit" policies that
exclude children from school
4. What is the simplest and safest method of suppressing lactation
after it has started?
A. administering oral and long-acting injections of hormonal
preparations
B. using breast binders
C. gradually weaning the baby to a bottle or cup over a 3-week
period
,D. stopping "cold-turkey"
C. gradually weaning the baby to a bottle or cup over a 3-week
period
5. When can you hear fetal heart tones with a conventional
fetoscope?
A. 7 to 8 weeks
B. 10 to 12 weeks
C. 18 to 20 weeks
D. more than 20 weeks
C. 18 to 20 weeks
6. The reaspn most often cited to explain why women who have had
a usual length of stay and normal delivery discontinue
breastfeeding before 8 weeks postpartum is
A. that the mother returned to work or school
B. the perception that the infant is not receiving enough milk
C. the ease of formula use
D. maternal or infant illness
B. the perception that the infant is not receiving enough milk
7. Pediatric patients may now be prescribed OxyContin for pain.
Patients must be already responding to and tolerating a minimum
opioid dose equal to at least 20 mg of oxycodone per day before
they can be prescribed an equivalent dose of OxyContin. In order to
be prescribed OxyContin, pediatric patient must be
A. 5 to 16 years
B. 11 to 16 years
C. 8 to 16 years
D. over 10 years
, B. 11 to 16 years
8. Hegar's sign, a physiological sign of pregnancy is
A. cervical blueness
B. softness of the uterus and ballottement at the isthmus
C. cervical softness
D. quickening
B. softness of the uterus and ballottement at the isthmus
9. Carrie, of Irish descent, is due to deliver her second baby. During
your work-up, you note that she hemorrhaged after delivering her
first baby 2 years ago, has always had menorrhagia, and bruises
easily. Her lab work reveals a normal blood workup, including a
normal prothrombin time and activated partial thromboplastin time.
What do you suspect?
A. Von Willebrand's disease
B. Hemophilia
C. Sickle cell anemia
D. Beta thalassemia
A. Von Willebrand's disease
10. Koplik spots are small, white spots that occur on the inside of
the cheeks early in the course of
A. measles
B. varicella
C. fifth disease
D. rheumatic fever
A. measles
11. Aida, who is 29 weeks pregnant, received a blunt trauma to the
abdomen during an argument with her boyfriend. She has no
obvious injuries and denies pain. Aida needs to be monitored for
