NRNP 6552 MIDTERM EXAM
QUESTIONS AND ANSWERS. VERIFIED
2025/2026.
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." - ANS D. "You should not
receive the vaccination when you are pregnant."
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?
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,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." - ANS D. "Jill should
take 4 mg/day of folic acid, beginning before conception."
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 -
ANS B. the American Academy of Pediatrics and the National Association of School Nurses
discourage "no nit" policies that exclude children from school
4. What is the simplest and safest method of suppressing lactation after it has started?
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,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" - ANS C. gradually weaning the baby to a bottle or cup over a 3-
week period
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 - ANS C. 18 to 20 weeks
6. The reaspn 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
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, C. the ease of formula use
D. maternal or infant illness - ANS B. the perception that the infant is not receiving enough
milk
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 patient must be
A. 5 to 16 years
B. 11 to 16 years
C. 8 to 16 years
D. over 10 years - ANS B. 11 to 16 years
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 - ANS B. softness of the uterus and ballottement at the isthmus
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS. VERIFIED
2025/2026.
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." - ANS D. "You should not
receive the vaccination when you are pregnant."
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?
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,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." - ANS D. "Jill should
take 4 mg/day of folic acid, beginning before conception."
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 -
ANS B. the American Academy of Pediatrics and the National Association of School Nurses
discourage "no nit" policies that exclude children from school
4. What is the simplest and safest method of suppressing lactation after it has started?
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,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" - ANS C. gradually weaning the baby to a bottle or cup over a 3-
week period
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 - ANS C. 18 to 20 weeks
6. The reaspn 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
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, C. the ease of formula use
D. maternal or infant illness - ANS B. the perception that the infant is not receiving enough
milk
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 patient must be
A. 5 to 16 years
B. 11 to 16 years
C. 8 to 16 years
D. over 10 years - ANS B. 11 to 16 years
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 - ANS B. softness of the uterus and ballottement at the isthmus
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
