NR 606 MIDTERM FLASHCARDS EXAM
WITH CORRECT QUESTIONS AND
ANSWERS 2025
Children in the pre-operational stage think _____ and use what to represent objects? -
CORRECT-ANSWERSsymbolically, 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 - CORRECT-ANSWERSconcrete 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? - CORRECT-
ANSWERSformal operations (12+)
Can a parent access information if the provider has concerns about parental abuse or
neglect? - CORRECT-ANSWERSthe 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? - CORRECT-ANSWERSdepending 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 -
CORRECT-ANSWERSthe 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 - CORRECT-ANSWERSkeep them on current med rather than switching
When should the PMHNP refer the patient to a perinatal psychiatrist - CORRECT-
ANSWERSwhen the patient is on a high-risk medication for pregnancy
most common adverse effect associated with SSRIs and SNRIs - CORRECT-
ANSWERSneonatal withdrawal syndrome
symptoms of neonatal withdrawal syndrome - CORRECT-ANSWERSSymptoms include
tremors, high-pitched crying, and disturbed sleep
increase the risk of atrial septal defects. - CORRECT-ANSWERSparoextine
symptoms of newborn toxicity r/t benzodiazepine use during pregnancy - CORRECT-
ANSWERSSymptoms include sedation, floppy muscle tone, and potential breathing
issues at birth
bipolar medications that are considered teratogenic and should be avoided during
pregnancy. - CORRECT-ANSWERSvalproic acid and carbamazepine
Atypical antipsychotics that increase risk of gestational diabetes and large for gestational
age infants - CORRECT-ANSWERSolanzapine and quetiapine
has also been found to increase the risk of musculoskeletal malformations in infants -
CORRECT-ANSWERSolanzapine
the most used antipsychotics during pregnancy - CORRECT-ANSWERSrisperidone and
quetiapine
medications that are safe for breast feeding - CORRECT-ANSWERSSSRIs, benzos,
valproic acid, quetiapine
, medications that are safe for bottle feeding - CORRECT-ANSWERSlithium, lamotrigine,
clozapine
smoking- related pregnancy complications - CORRECT-ANSWERSectopic 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 - CORRECT-ANSWERSsudden infant
death syndrome and birth malformations such as oral clefts and neural tube defects
smoking effects on infants, children, and adolescents include - CORRECT-
ANSWERSasthma, cognitive impairment, lower respiratory illness, attention deficit
hyperactivity disorder (ADHD), and central nervous system tumors
Health problems associated with alcohol use disorder include - CORRECT-
ANSWERSincreased risk for miscarriage, stillbirth, congenital anomalies, low birth
weight, small for gestational age, and preterm delivery
risk of using cannabis during the perinatal period - CORRECT-ANSWERSincluding
preterm labor, low birth weight and small for gestational age deliveries, and adverse
effects on fetal and adolescent brain growth, executive functioning skills, behavioral
problems, and academic achievement
Cocaine use during pregnancy is linked with poor pregnancy-related outcomes including
- CORRECT-ANSWERSpremature rupture of membranes, placental abruption, preterm
birth, low birth weight, and small for gestational age deliveries, as well as long-term
effects in children and adolescents including lower short-term memory, child and
adolescent delinquent behavior, earlier age of sexual activity, and substance use
WITH CORRECT QUESTIONS AND
ANSWERS 2025
Children in the pre-operational stage think _____ and use what to represent objects? -
CORRECT-ANSWERSsymbolically, 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 - CORRECT-ANSWERSconcrete 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? - CORRECT-
ANSWERSformal operations (12+)
Can a parent access information if the provider has concerns about parental abuse or
neglect? - CORRECT-ANSWERSthe 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? - CORRECT-ANSWERSdepending 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 -
CORRECT-ANSWERSthe 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 - CORRECT-ANSWERSkeep them on current med rather than switching
When should the PMHNP refer the patient to a perinatal psychiatrist - CORRECT-
ANSWERSwhen the patient is on a high-risk medication for pregnancy
most common adverse effect associated with SSRIs and SNRIs - CORRECT-
ANSWERSneonatal withdrawal syndrome
symptoms of neonatal withdrawal syndrome - CORRECT-ANSWERSSymptoms include
tremors, high-pitched crying, and disturbed sleep
increase the risk of atrial septal defects. - CORRECT-ANSWERSparoextine
symptoms of newborn toxicity r/t benzodiazepine use during pregnancy - CORRECT-
ANSWERSSymptoms include sedation, floppy muscle tone, and potential breathing
issues at birth
bipolar medications that are considered teratogenic and should be avoided during
pregnancy. - CORRECT-ANSWERSvalproic acid and carbamazepine
Atypical antipsychotics that increase risk of gestational diabetes and large for gestational
age infants - CORRECT-ANSWERSolanzapine and quetiapine
has also been found to increase the risk of musculoskeletal malformations in infants -
CORRECT-ANSWERSolanzapine
the most used antipsychotics during pregnancy - CORRECT-ANSWERSrisperidone and
quetiapine
medications that are safe for breast feeding - CORRECT-ANSWERSSSRIs, benzos,
valproic acid, quetiapine
, medications that are safe for bottle feeding - CORRECT-ANSWERSlithium, lamotrigine,
clozapine
smoking- related pregnancy complications - CORRECT-ANSWERSectopic 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 - CORRECT-ANSWERSsudden infant
death syndrome and birth malformations such as oral clefts and neural tube defects
smoking effects on infants, children, and adolescents include - CORRECT-
ANSWERSasthma, cognitive impairment, lower respiratory illness, attention deficit
hyperactivity disorder (ADHD), and central nervous system tumors
Health problems associated with alcohol use disorder include - CORRECT-
ANSWERSincreased risk for miscarriage, stillbirth, congenital anomalies, low birth
weight, small for gestational age, and preterm delivery
risk of using cannabis during the perinatal period - CORRECT-ANSWERSincluding
preterm labor, low birth weight and small for gestational age deliveries, and adverse
effects on fetal and adolescent brain growth, executive functioning skills, behavioral
problems, and academic achievement
Cocaine use during pregnancy is linked with poor pregnancy-related outcomes including
- CORRECT-ANSWERSpremature rupture of membranes, placental abruption, preterm
birth, low birth weight, and small for gestational age deliveries, as well as long-term
effects in children and adolescents including lower short-term memory, child and
adolescent delinquent behavior, earlier age of sexual activity, and substance use
