NSPN 7200 EXAMINATION TEST 2025/2026 QUESTIONS
WITH ANSWERS TAGGED A+
✔✔What are adverse pregnancy outcomes related to abuse? - ✔✔- Depression
- Later prenatal care
- Miscarriage
- Inadequate nutrition
- Low weight gain
- Infection
- Bleeding
- Trauma to uterus and fetus
✔✔What are some ways abusive men exert control over women during pregnancy? -
✔✔- Forced abortions
- Limiting or denying access to prenatal care
- Denying the child is his
- Restricting access to food
- Controlling decision-making about pain relief in labor
- Making negative comments about the gender of the baby
- Forbidding her to breastfeed
- Putting down her parenting abilities
- Threatening to abduct or take custody of the baby
✔✔Why do you think women stay in abusive relationships? - ✔✔- Financial reasons
- Fear of not being believed
- Pressured by family, friends and clergy to stay and make it work
- Feeling responsible for the abuse
- Feeling powerless
- Fear of being killed
- Fear for infant's safety
✔✔What are some barriers to barriers to treatment for substance use problems for
pregnant women? - ✔✔- Fear of losing children
- Lack of child care services during treatment
- Stigma attached to pregnant women or mothers using substances
- Internal feelings of guilt
- Fear
- Shame
- Lack of specific treatment programs specific for pregnant women
✔✔What are 5 reasons why you think people use drugs? - ✔✔- Experience pleasure
- Cope with pain, fear, loneliness, rejection
- To be accepted by social groups
- Habit
- Get sleep
,- Deal with anger or stress
✔✔Risk factors for perinatal depression - ✔✔- Hx Depression
- Hx postpartum depression
- Family Hx Depression
-Contributing factors:
- Poor social support
- Adverse life events
- Maternal instability
- Unwanted pregnancy
- Ambivalence about pregnancy
- Abuse violence
- Chronic maternal health problems
✔✔What are pregnancy complications associated with untreated antenatal depression?
- ✔✔- GHTN
- IUGR
- LBW
- Spontaneous abortion
✔✔S+S of Neonatal Abstinence Syndrome (NAS) - ✔✔- Tremors
- Irritability
- Hypertonicity
- High-pitched cry
- Vomiting
- Diarrhea
- Respiratory distress
- Sneezing
- Diaphoresis
- Poor sucking
✔✔If caring for a mother and infant who have been exposed to substances, what are 4
nursing strategies for the 3 goals (creating a supportive environment; Providing
adequate fluid and nutrition; Promoting attachment)? - ✔✔1)Creating a supportive
environment:
- Quiet room
- Dim lights
- Role model infant care
- Include parents in care of infant
- Teach infant cues
- Rooming-in
2) Providing adequate fluid and nutrition:
- Support mother in making an informed choice of feeding method
- In &outs
- Keep track of weight
, - Minimal handling after feeds
- Support and teaching regarding signs of adequate intake
3) Promoting attachment:
- Rooming-in
- Include family/partner in teaching care
- Provide positive reinforcement of parenting tasks
- Teach parents of withdrawal
- Role model soothing/comforting techniques
✔✔What does exposure to SSRIs in pregnancy increases the risk of? - ✔✔- Preterm
delivery
- LBW
- Lower APGAR scores
- Neurobehavioral abnormalities
- Cardiac abnormalities
- Respiratory abnormalities
✔✔What complications are associated with withdrawal or discontinuation syndrome
from SSRI exposure? - ✔✔- Feeding difficulties
- Sleep disturbances
- Irritability
- Altered tone
- Respiratory distress
- Jaundice (7X higher)
✔✔What factors contribute to increasing rates of preterm birth? - ✔✔- Multiple births
(ART and increased maternal age)
- Increases in obstetric interventions (C-section, medically indicated labor induction)
- Increases in the use of US-based estimates of GA
✔✔Risk factors for PTL? - ✔✔1) Altered Uterine and Cervical Factors:
- MG
- Polyhydramnios
- Uterine anomalies
- Trauma, MVA
- ART
- Cervical injury from an elective abortion or prior cervical surgery related to treatment of
HPV or DES exposure
- Short interconception interval
- Smoking (decreases vit C levels Vit C is important for collagen formation and strength
of the cervix; increased sensitivity of the myometrium to oxytocin)
2) Placental Ischemia:
- Abruptio placentae
- GDM
WITH ANSWERS TAGGED A+
✔✔What are adverse pregnancy outcomes related to abuse? - ✔✔- Depression
- Later prenatal care
- Miscarriage
- Inadequate nutrition
- Low weight gain
- Infection
- Bleeding
- Trauma to uterus and fetus
✔✔What are some ways abusive men exert control over women during pregnancy? -
✔✔- Forced abortions
- Limiting or denying access to prenatal care
- Denying the child is his
- Restricting access to food
- Controlling decision-making about pain relief in labor
- Making negative comments about the gender of the baby
- Forbidding her to breastfeed
- Putting down her parenting abilities
- Threatening to abduct or take custody of the baby
✔✔Why do you think women stay in abusive relationships? - ✔✔- Financial reasons
- Fear of not being believed
- Pressured by family, friends and clergy to stay and make it work
- Feeling responsible for the abuse
- Feeling powerless
- Fear of being killed
- Fear for infant's safety
✔✔What are some barriers to barriers to treatment for substance use problems for
pregnant women? - ✔✔- Fear of losing children
- Lack of child care services during treatment
- Stigma attached to pregnant women or mothers using substances
- Internal feelings of guilt
- Fear
- Shame
- Lack of specific treatment programs specific for pregnant women
✔✔What are 5 reasons why you think people use drugs? - ✔✔- Experience pleasure
- Cope with pain, fear, loneliness, rejection
- To be accepted by social groups
- Habit
- Get sleep
,- Deal with anger or stress
✔✔Risk factors for perinatal depression - ✔✔- Hx Depression
- Hx postpartum depression
- Family Hx Depression
-Contributing factors:
- Poor social support
- Adverse life events
- Maternal instability
- Unwanted pregnancy
- Ambivalence about pregnancy
- Abuse violence
- Chronic maternal health problems
✔✔What are pregnancy complications associated with untreated antenatal depression?
- ✔✔- GHTN
- IUGR
- LBW
- Spontaneous abortion
✔✔S+S of Neonatal Abstinence Syndrome (NAS) - ✔✔- Tremors
- Irritability
- Hypertonicity
- High-pitched cry
- Vomiting
- Diarrhea
- Respiratory distress
- Sneezing
- Diaphoresis
- Poor sucking
✔✔If caring for a mother and infant who have been exposed to substances, what are 4
nursing strategies for the 3 goals (creating a supportive environment; Providing
adequate fluid and nutrition; Promoting attachment)? - ✔✔1)Creating a supportive
environment:
- Quiet room
- Dim lights
- Role model infant care
- Include parents in care of infant
- Teach infant cues
- Rooming-in
2) Providing adequate fluid and nutrition:
- Support mother in making an informed choice of feeding method
- In &outs
- Keep track of weight
, - Minimal handling after feeds
- Support and teaching regarding signs of adequate intake
3) Promoting attachment:
- Rooming-in
- Include family/partner in teaching care
- Provide positive reinforcement of parenting tasks
- Teach parents of withdrawal
- Role model soothing/comforting techniques
✔✔What does exposure to SSRIs in pregnancy increases the risk of? - ✔✔- Preterm
delivery
- LBW
- Lower APGAR scores
- Neurobehavioral abnormalities
- Cardiac abnormalities
- Respiratory abnormalities
✔✔What complications are associated with withdrawal or discontinuation syndrome
from SSRI exposure? - ✔✔- Feeding difficulties
- Sleep disturbances
- Irritability
- Altered tone
- Respiratory distress
- Jaundice (7X higher)
✔✔What factors contribute to increasing rates of preterm birth? - ✔✔- Multiple births
(ART and increased maternal age)
- Increases in obstetric interventions (C-section, medically indicated labor induction)
- Increases in the use of US-based estimates of GA
✔✔Risk factors for PTL? - ✔✔1) Altered Uterine and Cervical Factors:
- MG
- Polyhydramnios
- Uterine anomalies
- Trauma, MVA
- ART
- Cervical injury from an elective abortion or prior cervical surgery related to treatment of
HPV or DES exposure
- Short interconception interval
- Smoking (decreases vit C levels Vit C is important for collagen formation and strength
of the cervix; increased sensitivity of the myometrium to oxytocin)
2) Placental Ischemia:
- Abruptio placentae
- GDM
