1|Page
NR 606 MIDTERM EXAM NEWEST 2025 ACTUAL
EXAM TEST BANK| NR606 DIAGNOSIS &
MANAGEMENT IN PSYCHIATRIC MENTAL HEALTH
II MIDTERM EXAM WITH 550 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
What two psych med classes have concern for addiction? - ANSWER -
stimulants and benzodiazepines
What is first-line treatment for depression and anxiety in pregnancy?
What is also considered safe? - ANSWER - First-line- SSRI
tricyclic antidepressants and bupropion are also safe
What is the most common adverse effect associated with SSRIs and
SNRIs in pregnancy? - ANSWER - neonatal withdrawal syndrome,
which impacts up to 30% of babies
What symptoms occur in neonatal withdrawal syndrome from SSRI and
SNRI? - ANSWER - tremors, high-pitched crying, and disturbed sleep.
Incidence of symptoms typically peaks between 2-4 days after birth
Paroxetine risk in pregnancy - ANSWER - may increase the risk of atrial
septal defects
pg. 1
,2|Page
What are symptoms of benzo newborn toxicity? - ANSWER - sedation,
floppy muscle tone, and potential breathing issues at birth
Which medication in considered safe for bipolar during pregnancy? -
ANSWER - Lamotrigine, but may not be effective for manic episodes
What are barriers to treatment for peripartum women? - ANSWER -
Financial concerns is the primary concern followed by structural
reasons.
What are risks with lithium exposure in the first trimester? - ANSWER -
a small but statistically significant risk of cardiac malformations, which
increases with higher doses of the medication. Closely monitor mother's
lithium level]
What medications for bipolar are considered teratogenic and should be
avoided during pregnancy - ANSWER - valproic acid and
carbamazepine
What psych medications are safe for breastfeeding? - ANSWER - SSRIs
benzodiazepines
valproic acid
quetiapine
olanzapine
pg. 2
,3|Page
What psych medications should the infant be bottle fed? - ANSWER -
lithium
lamotrigine
clozapine
What are 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
What are smoking related effects on neonates? - ANSWER - sudden
infant death syndrome and birth malformations such as oral clefts and
neural tube defects,
What are smoking effects on infants, children, and adolescents? -
ANSWER - asthma, cognitive impairment, lower respiratory illness,
ADHD, and central nervous system tumors
What trimester has the greatest risk for alcohol related birth outcomes? -
ANSWER - first-trimester
What are health problems associated with alcohol use disorder? -
ANSWER - increased risk for miscarriage, stillbirth, congenital
anomalies, low birth weight, small for gestational age, and preterm
delivery
pg. 3
, 4|Page
Lifelong effects for children from drinking alcohol while pregnant
include? - ANSWER - fetal alcohol spectrum disorders (FASDs),
neurodevelopmental and central nervous system deficits, speech and
language challenges, cognitive and behavioral deficits, impaired
executive functioning, and psychosocial difficulties in adulthood
What adverse pregnancy outcomes are associated with cannabis use? -
ANSWER - preterm labor, low birth weight and small for gestational
age deliveries
What adverse fetal/adolescent outcomes are associated with cannabis
use? - ANSWER - adverse effects on fetal and adolescent brain growth,
executive functioning skills, behavioral problems, and academic
achievement
What adverse pregnancy outcomes are associated with cocaine use? -
ANSWER - premature rupture of membranes, placental abruption,
preterm birth, low birth weight, and small for gestational age deliveries
What adverse fetal/adolescent outcomes are associated with cocaine
use? - ANSWER - lower short-term memory, child and adolescent
delinquent behavior, earlier age of sexual activity, and substance use
What effects do opioids have on pregnancy? - ANSWER - increases the
risk of maternal life-threatening health problems and death by 50%
greater risk of eclampsia, heart attack or heart failure, and sepsis.
pg. 4
NR 606 MIDTERM EXAM NEWEST 2025 ACTUAL
EXAM TEST BANK| NR606 DIAGNOSIS &
MANAGEMENT IN PSYCHIATRIC MENTAL HEALTH
II MIDTERM EXAM WITH 550 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
What two psych med classes have concern for addiction? - ANSWER -
stimulants and benzodiazepines
What is first-line treatment for depression and anxiety in pregnancy?
What is also considered safe? - ANSWER - First-line- SSRI
tricyclic antidepressants and bupropion are also safe
What is the most common adverse effect associated with SSRIs and
SNRIs in pregnancy? - ANSWER - neonatal withdrawal syndrome,
which impacts up to 30% of babies
What symptoms occur in neonatal withdrawal syndrome from SSRI and
SNRI? - ANSWER - tremors, high-pitched crying, and disturbed sleep.
Incidence of symptoms typically peaks between 2-4 days after birth
Paroxetine risk in pregnancy - ANSWER - may increase the risk of atrial
septal defects
pg. 1
,2|Page
What are symptoms of benzo newborn toxicity? - ANSWER - sedation,
floppy muscle tone, and potential breathing issues at birth
Which medication in considered safe for bipolar during pregnancy? -
ANSWER - Lamotrigine, but may not be effective for manic episodes
What are barriers to treatment for peripartum women? - ANSWER -
Financial concerns is the primary concern followed by structural
reasons.
What are risks with lithium exposure in the first trimester? - ANSWER -
a small but statistically significant risk of cardiac malformations, which
increases with higher doses of the medication. Closely monitor mother's
lithium level]
What medications for bipolar are considered teratogenic and should be
avoided during pregnancy - ANSWER - valproic acid and
carbamazepine
What psych medications are safe for breastfeeding? - ANSWER - SSRIs
benzodiazepines
valproic acid
quetiapine
olanzapine
pg. 2
,3|Page
What psych medications should the infant be bottle fed? - ANSWER -
lithium
lamotrigine
clozapine
What are 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
What are smoking related effects on neonates? - ANSWER - sudden
infant death syndrome and birth malformations such as oral clefts and
neural tube defects,
What are smoking effects on infants, children, and adolescents? -
ANSWER - asthma, cognitive impairment, lower respiratory illness,
ADHD, and central nervous system tumors
What trimester has the greatest risk for alcohol related birth outcomes? -
ANSWER - first-trimester
What are health problems associated with alcohol use disorder? -
ANSWER - increased risk for miscarriage, stillbirth, congenital
anomalies, low birth weight, small for gestational age, and preterm
delivery
pg. 3
, 4|Page
Lifelong effects for children from drinking alcohol while pregnant
include? - ANSWER - fetal alcohol spectrum disorders (FASDs),
neurodevelopmental and central nervous system deficits, speech and
language challenges, cognitive and behavioral deficits, impaired
executive functioning, and psychosocial difficulties in adulthood
What adverse pregnancy outcomes are associated with cannabis use? -
ANSWER - preterm labor, low birth weight and small for gestational
age deliveries
What adverse fetal/adolescent outcomes are associated with cannabis
use? - ANSWER - adverse effects on fetal and adolescent brain growth,
executive functioning skills, behavioral problems, and academic
achievement
What adverse pregnancy outcomes are associated with cocaine use? -
ANSWER - premature rupture of membranes, placental abruption,
preterm birth, low birth weight, and small for gestational age deliveries
What adverse fetal/adolescent outcomes are associated with cocaine
use? - ANSWER - lower short-term memory, child and adolescent
delinquent behavior, earlier age of sexual activity, and substance use
What effects do opioids have on pregnancy? - ANSWER - increases the
risk of maternal life-threatening health problems and death by 50%
greater risk of eclampsia, heart attack or heart failure, and sepsis.
pg. 4
