NR 606 MIDTERM EXAMPREP STUDY GUIDE
2026 TESTED QUESTIONS WITH ACCURATE
ANSWERS
◉ in which stage of piaget's model does thinking become more
logical and organized about events and children can reason
inductively Answer: concrete 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? Answer: formal operations (12+)
◉ Can a parent access information if the provider has concerns
about parental abuse or neglect? Answer: the 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? Answer:
depending 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 Answer: the 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 Answer: keep them on
current med rather than switching
◉ When should the PMHNP refer the patient to a perinatal
psychiatrist Answer: when the patient is on a high-risk medication
for pregnancy
◉ most common adverse effect associated with SSRIs and SNRIs
Answer: neonatal withdrawal syndrome
◉ symptoms of neonatal withdrawal syndrome Answer: Symptoms
include tremors, high-pitched crying, and disturbed sleep
◉ increase the risk of atrial septal defects. Answer: paroextine
◉ symptoms of newborn toxicity r/t benzodiazepine use during
pregnancy Answer: Symptoms include sedation, floppy muscle tone,
and potential breathing issues at birth
, ◉ bipolar medications that are considered teratogenic and should
be avoided during pregnancy. Answer: valproic acid and
carbamazepine
◉ Atypical antipsychotics that increase risk of gestational diabetes
and large for gestational age infants Answer: olanzapine and
quetiapine
◉ has also been found to increase the risk of musculoskeletal
malformations in infants Answer: olanzapine
◉ the most used antipsychotics during pregnancy Answer:
risperidone and quetiapine
◉ medications that are safe for breast feeding Answer: SSRIs,
benzos, valproic acid, quetiapine
◉ medications that are safe for bottle feeding Answer: lithium,
lamotrigine, clozapine
◉ smoking- related pregnancy complications Answer: ectopic
pregnancy, placental abruption, placenta previa, fetal mortality, and
stillbirth, as well as preterm birth and low birth weight infants
2026 TESTED QUESTIONS WITH ACCURATE
ANSWERS
◉ in which stage of piaget's model does thinking become more
logical and organized about events and children can reason
inductively Answer: concrete 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? Answer: formal operations (12+)
◉ Can a parent access information if the provider has concerns
about parental abuse or neglect? Answer: the 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? Answer:
depending 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 Answer: the 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 Answer: keep them on
current med rather than switching
◉ When should the PMHNP refer the patient to a perinatal
psychiatrist Answer: when the patient is on a high-risk medication
for pregnancy
◉ most common adverse effect associated with SSRIs and SNRIs
Answer: neonatal withdrawal syndrome
◉ symptoms of neonatal withdrawal syndrome Answer: Symptoms
include tremors, high-pitched crying, and disturbed sleep
◉ increase the risk of atrial septal defects. Answer: paroextine
◉ symptoms of newborn toxicity r/t benzodiazepine use during
pregnancy Answer: Symptoms include sedation, floppy muscle tone,
and potential breathing issues at birth
, ◉ bipolar medications that are considered teratogenic and should
be avoided during pregnancy. Answer: valproic acid and
carbamazepine
◉ Atypical antipsychotics that increase risk of gestational diabetes
and large for gestational age infants Answer: olanzapine and
quetiapine
◉ has also been found to increase the risk of musculoskeletal
malformations in infants Answer: olanzapine
◉ the most used antipsychotics during pregnancy Answer:
risperidone and quetiapine
◉ medications that are safe for breast feeding Answer: SSRIs,
benzos, valproic acid, quetiapine
◉ medications that are safe for bottle feeding Answer: lithium,
lamotrigine, clozapine
◉ smoking- related pregnancy complications Answer: ectopic
pregnancy, placental abruption, placenta previa, fetal mortality, and
stillbirth, as well as preterm birth and low birth weight infants
