NRNP 6552 FINAL EXAM QUESTIONS AND
100% CORRECT ANSWERS|2025/2026| GRADED
A+
1. Sheila is pregnant and fearful of getting cervical cancer as her sister recently did. She asks ab
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out receiving the HPV vaccine. How do you respond?
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A. "As long as you're in your first trimester, the HPV vaccine is safe and effective."
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B. "Research has not shown this vaccine to be effective against preventing cervical cancer."
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C. "After the age of 20, the HPV vaccine is not recommended."
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D. "You should not receive the vaccination when you are pregnant." - ANSWER-
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D. "You should not receive the vaccination when you are pregnant."
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2. Jack and Jill present for a preconception health counseling session. Jack is 34, Jill is 33, and t
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hey have a 5 year old son, Jake. Jake is the product of an uncomplicated pregnancy and labor.
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At birth, Jake had an open neural tube defect and now has spina bifida with a loss of function o
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f his lower extremities. Jack and Jill want another child and ask if there is anything they can do
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to prevent the recurrence of a neural tube defect in future pregnancies. What is your best resp
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onse to this couple?
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A. "Jill should take 60 mg/day of an iron supplement to enhance stores to support fetal develo
B B B B B B B B B B B B B B B B
pment."
B. "It is a matter of genetics, and there is nothing you can do."
B B B B B B B B B B B B B
C. "Have a CVS performed at 12 to 14 weeks gestation to determine the health of the fetus."
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,D. "Jill should take 4 mg/day of folic acid, beginning before conception." - ANSWER-
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D. "Jill should take 4 mg/day of folic acid, beginning before conception."
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3. You are invited to speak to a group of public school administrators about recent outbreaks o
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f head lice. As an advocate for children and families you share
B B B B B B B B B B B
A. "no nit" policies that exclude children until all nits are removed are essential to eradicate thi
B B B B B B B B B B B B B B B B
s problem
B
B. the American Academy of Pediatrics and the National Association of School Nurses discoura
B B B B B B B B B B B B B
ge "no nit" policies that exclude children from school
B B B B B B B B
C. occlusive agents, such as petroleum shampoo and herbal oils, applied to suffocate the lice a
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re showing promising results in randomized controlled trials
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D. lindane is recommended by the American Academy of Pediatrics as a treatment choice -
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ANSWER-
B
B. the American Academy of Pediatrics and the National Association of School Nurses d
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iscourage "no nit" policies that exclude children from school
B B B B B B B B
4. What is the simplest and safest method of suppressing lactation after it has started?
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A. administering oral and long-acting injections of hormonal preparations
B B B B B B B B
B. using breast binders
B B B
C. gradually weaning the baby to a bottle or cup over a 3-week period
B B B B B B B B B B B B B
D. stopping "cold-turkey" - ANSWER-
B B B B
C. gradually weaning the baby to a bottle or cup over a 3-week period
B B B B B B B B B B B B B
,5. When can you hear fetal heart tones with a conventional fetoscope?
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A. 7 to 8 weeks
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B. 10 to 12 weeks
B B B B
C. 18 to 20 weeks
B B B B
D. more than 20 weeks - ANSWER-
B B B B B B C. 18 to 20 weeks
B B B B
6. The reaspn most often cited to explain why women who have had a usual length of stay and
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normal delivery discontinue breastfeeding before 8 weeks postpartum is
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A. that the mother returned to work or school
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B. the perception that the infant is not receiving enough milk
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C. the ease of formula use
B B B B B
D. maternal or infant illness - ANSWER-
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B. the perception that the infant is not receiving enough milk
B B B B B B B B B B
7. Pediatric patients may now be prescribed OxyContin for pain. Patients must be already resp
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onding to and tolerating a minimum opioid dose equal to at least 20 mg of oxycodone per day
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before they can be prescribed an equivalent dose of OxyContin. In order to be prescribed Oxy
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Contin, pediatric patient must be
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A. 5 to 16 years
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, B. 11 to 16 years
B B B B
C. 8 to 16 years
B B B B
D. over 10 years - ANSWER-
B B B B B B. 11 to 16 years
B B B B
8. Hegar's sign, a physiological sign of pregnancy is
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A. cervical blueness
B B
B. softness of the uterus and ballottement at the isthmus
B B B B B B B B B
C. cervical softness
B B
D. quickening - ANSWER-
B B B B. softness of the uterus and ballottement at the isthmus
B B B B B B B B B
9. Carrie, of Irish descent, is due to deliver her second baby. During your work-
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up, you note that she hemorrhaged after delivering her first baby 2 years ago, has always had
B B B B B B B B B B B B B B B B B
menorrhagia, and bruises easily. Her lab work reveals a normal blood workup, including a nor
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mal prothrombin time and activated partial thromboplastin time. What do you suspect?
B B B B B B B B B B B
A. Von Willebrand's disease
B B B
B. Hemophilia
B
C. Sickle cell anemia
B B B
D. Beta thalassemia - ANSWER-
B B B B A. Von Willebrand's disease
B B B
100% CORRECT ANSWERS|2025/2026| GRADED
A+
1. Sheila is pregnant and fearful of getting cervical cancer as her sister recently did. She asks ab
B B B B B B B B B B B B B B B B B
out receiving the HPV vaccine. How do you respond?
B B B B B B B B
A. "As long as you're in your first trimester, the HPV vaccine is safe and effective."
B B B B B B B B B B B B B B B
B. "Research has not shown this vaccine to be effective against preventing cervical cancer."
B B B B B B B B B B B B B
C. "After the age of 20, the HPV vaccine is not recommended."
B B B B B B B B B B B
D. "You should not receive the vaccination when you are pregnant." - ANSWER-
B B B B B B B B B B B B
D. "You should not receive the vaccination when you are pregnant."
B B B B B B B B B B
2. Jack and Jill present for a preconception health counseling session. Jack is 34, Jill is 33, and t
B B B B B B B B B B B B B B B B B B
hey have a 5 year old son, Jake. Jake is the product of an uncomplicated pregnancy and labor.
B B B B B B B B B B B B B B B B B B
At birth, Jake had an open neural tube defect and now has spina bifida with a loss of function o
B B B B B B B B B B B B B B B B B B B
f his lower extremities. Jack and Jill want another child and ask if there is anything they can do
B B B B B B B B B B B B B B B B B B B
to prevent the recurrence of a neural tube defect in future pregnancies. What is your best resp
B B B B B B B B B B B B B B B B
onse to this couple?
B B B
A. "Jill should take 60 mg/day of an iron supplement to enhance stores to support fetal develo
B B B B B B B B B B B B B B B B
pment."
B. "It is a matter of genetics, and there is nothing you can do."
B B B B B B B B B B B B B
C. "Have a CVS performed at 12 to 14 weeks gestation to determine the health of the fetus."
B B B B B B B B B B B B B B B B B
,D. "Jill should take 4 mg/day of folic acid, beginning before conception." - ANSWER-
B B B B B B B B B B B B B
D. "Jill should take 4 mg/day of folic acid, beginning before conception."
B B B B B B B B B B B
3. You are invited to speak to a group of public school administrators about recent outbreaks o
B B B B B B B B B B B B B B B B
f head lice. As an advocate for children and families you share
B B B B B B B B B B B
A. "no nit" policies that exclude children until all nits are removed are essential to eradicate thi
B B B B B B B B B B B B B B B B
s problem
B
B. the American Academy of Pediatrics and the National Association of School Nurses discoura
B B B B B B B B B B B B B
ge "no nit" policies that exclude children from school
B B B B B B B B
C. occlusive agents, such as petroleum shampoo and herbal oils, applied to suffocate the lice a
B B B B B B B B B B B B B B B
re showing promising results in randomized controlled trials
B B B B B B B
D. lindane is recommended by the American Academy of Pediatrics as a treatment choice -
B B B B B B B B B B B B B B
ANSWER-
B
B. the American Academy of Pediatrics and the National Association of School Nurses d
B B B B B B B B B B B B B
iscourage "no nit" policies that exclude children from school
B B B B B B B B
4. What is the simplest and safest method of suppressing lactation after it has started?
B B B B B B B B B B B B B B
A. administering oral and long-acting injections of hormonal preparations
B B B B B B B B
B. using breast binders
B B B
C. gradually weaning the baby to a bottle or cup over a 3-week period
B B B B B B B B B B B B B
D. stopping "cold-turkey" - ANSWER-
B B B B
C. gradually weaning the baby to a bottle or cup over a 3-week period
B B B B B B B B B B B B B
,5. When can you hear fetal heart tones with a conventional fetoscope?
B B B B B B B B B B B
A. 7 to 8 weeks
B B B B
B. 10 to 12 weeks
B B B B
C. 18 to 20 weeks
B B B B
D. more than 20 weeks - ANSWER-
B B B B B B C. 18 to 20 weeks
B B B B
6. The reaspn most often cited to explain why women who have had a usual length of stay and
B B B B B B B B B B B B B B B B B B B
normal delivery discontinue breastfeeding before 8 weeks postpartum is
B B B B B B B B
A. that the mother returned to work or school
B B B B B B B B
B. the perception that the infant is not receiving enough milk
B B B B B B B B B B
C. the ease of formula use
B B B B B
D. maternal or infant illness - ANSWER-
B B B B B B
B. the perception that the infant is not receiving enough milk
B B B B B B B B B B
7. Pediatric patients may now be prescribed OxyContin for pain. Patients must be already resp
B B B B B B B B B B B B B B
onding to and tolerating a minimum opioid dose equal to at least 20 mg of oxycodone per day
B B B B B B B B B B B B B B B B B B
before they can be prescribed an equivalent dose of OxyContin. In order to be prescribed Oxy
B B B B B B B B B B B B B B B
Contin, pediatric patient must be
B B B B
A. 5 to 16 years
B B B B
, B. 11 to 16 years
B B B B
C. 8 to 16 years
B B B B
D. over 10 years - ANSWER-
B B B B B B. 11 to 16 years
B B B B
8. Hegar's sign, a physiological sign of pregnancy is
B B B B B B B B
A. cervical blueness
B B
B. softness of the uterus and ballottement at the isthmus
B B B B B B B B B
C. cervical softness
B B
D. quickening - ANSWER-
B B B B. softness of the uterus and ballottement at the isthmus
B B B B B B B B B
9. Carrie, of Irish descent, is due to deliver her second baby. During your work-
B B B B B B B B B B B B B B
up, you note that she hemorrhaged after delivering her first baby 2 years ago, has always had
B B B B B B B B B B B B B B B B B
menorrhagia, and bruises easily. Her lab work reveals a normal blood workup, including a nor
B B B B B B B B B B B B B B
mal prothrombin time and activated partial thromboplastin time. What do you suspect?
B B B B B B B B B B B
A. Von Willebrand's disease
B B B
B. Hemophilia
B
C. Sickle cell anemia
B B B
D. Beta thalassemia - ANSWER-
B B B B A. Von Willebrand's disease
B B B