NR 603 Week 7 Quiz Exam 2026/2028 – Primary Care
of the Childbearing & Childrearing Family | 100
Scenario-Based Questions with Answers & Rationales
| pdf
1. A 26-year-old pregnant patient at 10 weeks gestation presents with nausea and
vomiting but is able to tolerate small amounts of fluids. What is the most
appropriate initial management?
A. Hospitalize for IV fluids
B. Prescribe ondansetron immediately
C. Recommend dietary modifications
D. Initiate total parenteral nutrition
Answer: C. Recommend dietary modifications
Rationale: First-line treatment for mild nausea and vomiting in early pregnancy includes small
frequent meals, ginger, and vitamin B6 before pharmacologic therapy.*
2. A pregnant patient at 28 weeks gestation presents with BP 148/92 mmHg and
proteinuria. What is the most likely diagnosis?
A. Chronic hypertension
B. Gestational hypertension
C. Preeclampsia
D. Eclampsia
Answer: C. Preeclampsia
Rationale: Hypertension after 20 weeks gestation with proteinuria meets criteria for
preeclampsia.
3. A 4-year-old child presents for a well-child exam. Which developmental
milestone is expected?
A. Copies a circle
B. States first and last name
C. Rides a two-wheel bicycle
D. Reads simple sentences
,Answer: B. States first and last name
Rationale: By age 4, children can state their full name and have improved language skills.*
4. Which vaccine is contraindicated during pregnancy?
A. Tdap
B. Influenza (inactivated)
C. MMR
D. COVID-19 vaccine
Answer: C. MMR
Rationale: Live vaccines such as MMR are contraindicated during pregnancy.*
5. A 2-month-old infant presents with projectile vomiting after feeding. What is
the most likely diagnosis?
A. GERD
B. Pyloric stenosis
C. Intussusception
D. Milk allergy
Answer: B. Pyloric stenosis
Rationale: Projectile vomiting in a young infant is classic for hypertrophic pyloric stenosis.*
6. A breastfeeding mother reports sore, cracked nipples. What is the best
recommendation?
A. Stop breastfeeding
B. Apply topical antibiotic ointment
C. Assess latch technique
D. Pump exclusively
Answer: C. Assess latch technique
Rationale: Poor latch is the most common cause of nipple trauma.*
7. A 3-year-old child presents with barking cough and inspiratory stridor. What
is the most likely diagnosis?
, A. Epiglottitis
B. Croup
C. Asthma
D. Bronchiolitis
Answer: B. Croup
Rationale: Barking cough and stridor are hallmark signs of croup.*
8. Which screening is recommended at 24–28 weeks gestation?
A. GBS screening
B. Gestational diabetes screening
C. Anatomy ultrasound
D. Quad screen
Answer: B. Gestational diabetes screening
Rationale: All pregnant patients are screened for GDM between 24–28 weeks.*
9. A 6-year-old presents with polyuria, polydipsia, and weight loss. What should
be suspected?
A. Type 2 diabetes
B. Urinary tract infection
C. Type 1 diabetes
D. Diabetes insipidus
Answer: C. Type 1 diabetes
Rationale: Classic triad of type 1 diabetes in children.*
10. A pregnant patient at 36 weeks tests positive for Group B Streptococcus.
What is the management plan?
A. Oral antibiotics now
B. No treatment needed
C. IV antibiotics during labor
D. Schedule cesarean section
Answer: C. IV antibiotics during labor
Rationale: GBS-positive mothers receive intrapartum IV antibiotics to prevent neonatal
infection.*
of the Childbearing & Childrearing Family | 100
Scenario-Based Questions with Answers & Rationales
1. A 26-year-old pregnant patient at 10 weeks gestation presents with nausea and
vomiting but is able to tolerate small amounts of fluids. What is the most
appropriate initial management?
A. Hospitalize for IV fluids
B. Prescribe ondansetron immediately
C. Recommend dietary modifications
D. Initiate total parenteral nutrition
Answer: C. Recommend dietary modifications
Rationale: First-line treatment for mild nausea and vomiting in early pregnancy includes small
frequent meals, ginger, and vitamin B6 before pharmacologic therapy.*
2. A pregnant patient at 28 weeks gestation presents with BP 148/92 mmHg and
proteinuria. What is the most likely diagnosis?
A. Chronic hypertension
B. Gestational hypertension
C. Preeclampsia
D. Eclampsia
Answer: C. Preeclampsia
Rationale: Hypertension after 20 weeks gestation with proteinuria meets criteria for
preeclampsia.
3. A 4-year-old child presents for a well-child exam. Which developmental
milestone is expected?
A. Copies a circle
B. States first and last name
C. Rides a two-wheel bicycle
D. Reads simple sentences
,Answer: B. States first and last name
Rationale: By age 4, children can state their full name and have improved language skills.*
4. Which vaccine is contraindicated during pregnancy?
A. Tdap
B. Influenza (inactivated)
C. MMR
D. COVID-19 vaccine
Answer: C. MMR
Rationale: Live vaccines such as MMR are contraindicated during pregnancy.*
5. A 2-month-old infant presents with projectile vomiting after feeding. What is
the most likely diagnosis?
A. GERD
B. Pyloric stenosis
C. Intussusception
D. Milk allergy
Answer: B. Pyloric stenosis
Rationale: Projectile vomiting in a young infant is classic for hypertrophic pyloric stenosis.*
6. A breastfeeding mother reports sore, cracked nipples. What is the best
recommendation?
A. Stop breastfeeding
B. Apply topical antibiotic ointment
C. Assess latch technique
D. Pump exclusively
Answer: C. Assess latch technique
Rationale: Poor latch is the most common cause of nipple trauma.*
7. A 3-year-old child presents with barking cough and inspiratory stridor. What
is the most likely diagnosis?
, A. Epiglottitis
B. Croup
C. Asthma
D. Bronchiolitis
Answer: B. Croup
Rationale: Barking cough and stridor are hallmark signs of croup.*
8. Which screening is recommended at 24–28 weeks gestation?
A. GBS screening
B. Gestational diabetes screening
C. Anatomy ultrasound
D. Quad screen
Answer: B. Gestational diabetes screening
Rationale: All pregnant patients are screened for GDM between 24–28 weeks.*
9. A 6-year-old presents with polyuria, polydipsia, and weight loss. What should
be suspected?
A. Type 2 diabetes
B. Urinary tract infection
C. Type 1 diabetes
D. Diabetes insipidus
Answer: C. Type 1 diabetes
Rationale: Classic triad of type 1 diabetes in children.*
10. A pregnant patient at 36 weeks tests positive for Group B Streptococcus.
What is the management plan?
A. Oral antibiotics now
B. No treatment needed
C. IV antibiotics during labor
D. Schedule cesarean section
Answer: C. IV antibiotics during labor
Rationale: GBS-positive mothers receive intrapartum IV antibiotics to prevent neonatal
infection.*
