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NR 606 / NR606 Midterm Exam – Diagnosis &
Management in Psychiatric Mental Health II
(2026 Update) | Questions & Answers with
Rationale – Chamberlain College of Nursing
Exam Structure:
Subject: Diagnosis & Management in Psychiatric Mental Health II
Source: Chamberlain University, NR606 Midterm Exam
Format: Q&A Guide with Rationale
1: Which pregnancy complications are associated with smoking?
Correct Answer: Ectopic pregnancy, placental abruption, placenta previa,
fetal mortality, stillbirth, preterm birth, and low birth weight infants.
Rationale:
1. Smoking during pregnancy is a well-established risk factor for
numerous obstetric complications.
2. These include abnormal placentation (ectopic pregnancy, previa,
abruption).
3. Poor fetal outcomes (mortality, stillbirth) and adverse birth conditions
(preterm delivery, low birth weight) are also associated.
2: What effects does smoking have on neonates?
Correct Answer: Sudden infant death syndrome (SIDS) and birth
malformations such as oral clefts and neural tube defects.
Rationale:
1. Nicotine and other toxins in cigarettes can disrupt fetal development.
2. This increases the risk of congenital anomalies.
3. It impairs autonomic regulation, which raises the likelihood of SIDS.
3: What are the effects of smoking on infants, children, and
adolescents?
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Correct Answer: Asthma, cognitive impairment, lower respiratory illness,
ADHD, and central nervous system tumors.
Rationale:
1. Secondhand and thirdhand smoke exposure is linked to respiratory
conditions.
2. Neurodevelopmental disorders and oncogenic risks occur due to
carcinogens and neurotoxic compounds.
4: What health problems are associated with alcohol use disorder
during pregnancy?
Correct Answer: Increased risk for miscarriage, stillbirth, congenital
anomalies, low birth weight, small for gestational age, and preterm delivery.
Rationale:
1. Alcohol is a teratogen.
2. Fetal alcohol spectrum disorders (FASD) and other adverse outcomes
result from its toxic effects on developing fetal tissues and organ
systems.
5: What are the risks of using cannabis during the perinatal period?
Correct Answer: Preterm labor, low birth weight, small for gestational age
deliveries, and adverse effects on fetal and adolescent brain growth,
executive functioning, behavior, and academic achievement.
Rationale:
1. THC crosses the placenta and affects fetal brain development.
2. This particularly affects regions governing cognition and behavior.
3. Long-term neurodevelopmental consequences can occur.
6: What poor pregnancy outcomes are linked with cocaine use?
Correct Answer: Premature rupture of membranes, placental abruption,
preterm birth, low birth weight, small for gestational age deliveries, and
long-term effects like lower short-term memory, delinquent behavior,
earlier sexual activity, and substance use in offspring.
Rationale:
1. Cocaine causes vasoconstriction and placental insufficiency.
2. This leads to obstetric emergencies.
3. Lasting neurobehavioral impacts on the child can occur.
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7: What are complications of opioid use during the perinatal period?
Correct Answer: Eclampsia, heart attack, heart failure, sepsis, neonatal
abstinence syndrome, third-trimester bleeding, mortality, postnatal growth
deficiency, microcephaly, neurobehavioral problems, and SIDS.
Rationale:
1. Opioids depress maternal and fetal CNS.
2. They cause withdrawal in neonates.
3. They are associated with cardiovascular events, infection risk, and
impaired fetal growth.
8: What term describes policies, regulations, or laws that intentionally
or unintentionally lead to discrimination?
Correct Answer: Structural stigma.
Rationale:
1. Structural stigma refers to institutional practices that systematically
disadvantage certain groups.
2. These are often embedded in laws or policies.
9: What is an example of structural stigma?
Correct Answer: MAT (Medication-Assisted Treatment) restrictions.
Rationale:
1. Policies limiting access to MAT for opioid use disorder perpetuate
discrimination.
2. This affects individuals with substance use disorders.
10: What encompasses attitudes, beliefs, and behaviors of groups or
individuals that form stereotypes, prejudice, and discrimination?
Correct Answer: Public stigma.
Rationale:
1. Public stigma involves societal negative perceptions and reactions
toward a group.
2. This leads to prejudiced behaviors.
11: What refers to the shame individuals internalize about negative
stereotypes, which may prevent them from seeking help?
Correct Answer: Self-stigma.
Rationale:
NR 606 / NR606 Midterm Exam – Diagnosis &
Management in Psychiatric Mental Health II
(2026 Update) | Questions & Answers with
Rationale – Chamberlain College of Nursing
Exam Structure:
Subject: Diagnosis & Management in Psychiatric Mental Health II
Source: Chamberlain University, NR606 Midterm Exam
Format: Q&A Guide with Rationale
1: Which pregnancy complications are associated with smoking?
Correct Answer: Ectopic pregnancy, placental abruption, placenta previa,
fetal mortality, stillbirth, preterm birth, and low birth weight infants.
Rationale:
1. Smoking during pregnancy is a well-established risk factor for
numerous obstetric complications.
2. These include abnormal placentation (ectopic pregnancy, previa,
abruption).
3. Poor fetal outcomes (mortality, stillbirth) and adverse birth conditions
(preterm delivery, low birth weight) are also associated.
2: What effects does smoking have on neonates?
Correct Answer: Sudden infant death syndrome (SIDS) and birth
malformations such as oral clefts and neural tube defects.
Rationale:
1. Nicotine and other toxins in cigarettes can disrupt fetal development.
2. This increases the risk of congenital anomalies.
3. It impairs autonomic regulation, which raises the likelihood of SIDS.
3: What are the effects of smoking on infants, children, and
adolescents?
, 2|Page
Correct Answer: Asthma, cognitive impairment, lower respiratory illness,
ADHD, and central nervous system tumors.
Rationale:
1. Secondhand and thirdhand smoke exposure is linked to respiratory
conditions.
2. Neurodevelopmental disorders and oncogenic risks occur due to
carcinogens and neurotoxic compounds.
4: What health problems are associated with alcohol use disorder
during pregnancy?
Correct Answer: Increased risk for miscarriage, stillbirth, congenital
anomalies, low birth weight, small for gestational age, and preterm delivery.
Rationale:
1. Alcohol is a teratogen.
2. Fetal alcohol spectrum disorders (FASD) and other adverse outcomes
result from its toxic effects on developing fetal tissues and organ
systems.
5: What are the risks of using cannabis during the perinatal period?
Correct Answer: Preterm labor, low birth weight, small for gestational age
deliveries, and adverse effects on fetal and adolescent brain growth,
executive functioning, behavior, and academic achievement.
Rationale:
1. THC crosses the placenta and affects fetal brain development.
2. This particularly affects regions governing cognition and behavior.
3. Long-term neurodevelopmental consequences can occur.
6: What poor pregnancy outcomes are linked with cocaine use?
Correct Answer: Premature rupture of membranes, placental abruption,
preterm birth, low birth weight, small for gestational age deliveries, and
long-term effects like lower short-term memory, delinquent behavior,
earlier sexual activity, and substance use in offspring.
Rationale:
1. Cocaine causes vasoconstriction and placental insufficiency.
2. This leads to obstetric emergencies.
3. Lasting neurobehavioral impacts on the child can occur.
, 3|Page
7: What are complications of opioid use during the perinatal period?
Correct Answer: Eclampsia, heart attack, heart failure, sepsis, neonatal
abstinence syndrome, third-trimester bleeding, mortality, postnatal growth
deficiency, microcephaly, neurobehavioral problems, and SIDS.
Rationale:
1. Opioids depress maternal and fetal CNS.
2. They cause withdrawal in neonates.
3. They are associated with cardiovascular events, infection risk, and
impaired fetal growth.
8: What term describes policies, regulations, or laws that intentionally
or unintentionally lead to discrimination?
Correct Answer: Structural stigma.
Rationale:
1. Structural stigma refers to institutional practices that systematically
disadvantage certain groups.
2. These are often embedded in laws or policies.
9: What is an example of structural stigma?
Correct Answer: MAT (Medication-Assisted Treatment) restrictions.
Rationale:
1. Policies limiting access to MAT for opioid use disorder perpetuate
discrimination.
2. This affects individuals with substance use disorders.
10: What encompasses attitudes, beliefs, and behaviors of groups or
individuals that form stereotypes, prejudice, and discrimination?
Correct Answer: Public stigma.
Rationale:
1. Public stigma involves societal negative perceptions and reactions
toward a group.
2. This leads to prejudiced behaviors.
11: What refers to the shame individuals internalize about negative
stereotypes, which may prevent them from seeking help?
Correct Answer: Self-stigma.
Rationale:
