NRNP 6552 Week 6 Midterm Exam - Walden
University | Comprehensive Actual Exam
Questions with Verified Correct Answers &
Rationales | Latest 2026/2027 Edition | Already
Graded A+
Question 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."
Answer: D
Rationale: The HPV vaccine is contraindicated during pregnancy. It should be delayed
until after delivery, and there is no evidence that it is safe or effective during pregnancy.
Question 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."
Answer: D
pg. 1
,Rationale: For women with a previous pregnancy affected by a neural tube defect, a
higher dose of folic acid (4 mg/day) is recommended beginning before conception to
reduce the risk of recurrence.
Question 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.
Answer: B
Rationale: The AAP and National Association of School Nurses discourage "no nit"
policies because they are not effective and unnecessarily exclude children from school.
Question 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"
Answer: C
Rationale: Gradually weaning the baby over a 3-week period is the simplest and safest
method to suppress lactation, allowing milk production to decrease naturally.
Question 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
Answer: C
pg. 2
,Rationale: Fetal heart tones can be heard with a conventional fetoscope at
approximately 18 to 20 weeks' gestation. Doppler ultrasound can detect them earlier
(10-12 weeks).
Question 6
The reason 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
Answer: B
Rationale: The most common reason cited for early discontinuation of breastfeeding is
the perception that the infant is not receiving enough milk, often leading to unnecessary
formula supplementation.
Question 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 patients must be:
A. 5 to 16 years
B. 11 to 16 years
C. 8 to 16 years
D. Over 10 years
Answer: B
Rationale: OxyContin is approved for pediatric patients aged 11 to 16 years who are
already receiving and tolerating opioid therapy equivalent to at least 20 mg of
oxycodone per day.
Question 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
Answer: B
pg. 3
, Rationale: Hegar's sign is the softening of the uterus and ballottement at the isthmus
(the area between the cervix and the uterus), which is a probable sign of pregnancy.
Question 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
Answer: A
Rationale: Von Willebrand's disease is the most common inherited bleeding disorder
and can present with menorrhagia, easy bruising, and postpartum hemorrhage. Normal
PT and PTT are common, requiring specific testing for vWF levels.
Question 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
Answer: A
Rationale: Koplik spots are a pathognomonic sign of measles (rubeola), appearing 1-2
days before the rash. They are small, white spots on a red base on the buccal mucosa.
Question 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 the occurrence of:
A. Abruptio placentae
B. Liver hemorrhage
C. Ruptured spleen
pg. 4
University | Comprehensive Actual Exam
Questions with Verified Correct Answers &
Rationales | Latest 2026/2027 Edition | Already
Graded A+
Question 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."
Answer: D
Rationale: The HPV vaccine is contraindicated during pregnancy. It should be delayed
until after delivery, and there is no evidence that it is safe or effective during pregnancy.
Question 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."
Answer: D
pg. 1
,Rationale: For women with a previous pregnancy affected by a neural tube defect, a
higher dose of folic acid (4 mg/day) is recommended beginning before conception to
reduce the risk of recurrence.
Question 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.
Answer: B
Rationale: The AAP and National Association of School Nurses discourage "no nit"
policies because they are not effective and unnecessarily exclude children from school.
Question 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"
Answer: C
Rationale: Gradually weaning the baby over a 3-week period is the simplest and safest
method to suppress lactation, allowing milk production to decrease naturally.
Question 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
Answer: C
pg. 2
,Rationale: Fetal heart tones can be heard with a conventional fetoscope at
approximately 18 to 20 weeks' gestation. Doppler ultrasound can detect them earlier
(10-12 weeks).
Question 6
The reason 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
Answer: B
Rationale: The most common reason cited for early discontinuation of breastfeeding is
the perception that the infant is not receiving enough milk, often leading to unnecessary
formula supplementation.
Question 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 patients must be:
A. 5 to 16 years
B. 11 to 16 years
C. 8 to 16 years
D. Over 10 years
Answer: B
Rationale: OxyContin is approved for pediatric patients aged 11 to 16 years who are
already receiving and tolerating opioid therapy equivalent to at least 20 mg of
oxycodone per day.
Question 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
Answer: B
pg. 3
, Rationale: Hegar's sign is the softening of the uterus and ballottement at the isthmus
(the area between the cervix and the uterus), which is a probable sign of pregnancy.
Question 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
Answer: A
Rationale: Von Willebrand's disease is the most common inherited bleeding disorder
and can present with menorrhagia, easy bruising, and postpartum hemorrhage. Normal
PT and PTT are common, requiring specific testing for vWF levels.
Question 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
Answer: A
Rationale: Koplik spots are a pathognomonic sign of measles (rubeola), appearing 1-2
days before the rash. They are small, white spots on a red base on the buccal mucosa.
Question 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 the occurrence of:
A. Abruptio placentae
B. Liver hemorrhage
C. Ruptured spleen
pg. 4
