NR 602 Midterm Exam: Primary Care of Women and Pediatrics 2026
Chamberlain College
1. At what age should a child be able to walk independently according to
standard developmental milestones?
A. 12 to 15 months
B. 6 to 9 months
C. 18 to 24 months
D. 24 to 30 months
Answer: A
Rationale: Most children achieve independent walking by 12 to 15 months. Failure to walk
by 18 months warrants further evaluation.
2. Which of the following is a classic clinical finding in a child with
Intussusception?
A. Currant jelly stools
B. Projectile non-bilious vomiting
C. Painful abdominal mass in the left lower quadrant
D. High-grade fever and cough
Answer: A
Rationale: Currant jelly stools (blood and mucus) are a late but classic sign of
intussusception, often accompanied by paroxysmal abdominal pain.
,3. According to ACOG guidelines, at what age should routine cervical cancer
screening (Pap smears) begin?
A. At the onset of sexual activity
B. Age 18
C. Age 21
D. Age 25
Answer: C
Rationale: Cervical cancer screening should start at age 21, regardless of the age of onset
of sexual activity.
4. A 15-year-old female presents with primary amenorrhea and a short stature.
Which condition should be suspected?
A. Polycystic Ovary Syndrome
B. Klinefelter Syndrome
C. Cushing Syndrome
D. Turner Syndrome
Answer: D
Rationale: Turner Syndrome (45,X) often presents with short stature, webbed neck, and
primary amenorrhea due to ovarian streak gonads.
5. Which physical exam maneuver is used to screen for adolescent idiopathic
scoliosis?
A. Lachman test
B. McMurray test
C. Phalen test
D. Adams Forward Bend test
Answer: D
Rationale: The Adams Forward Bend test is the standard screening tool used to look for
rib hump or spinal asymmetry indicative of scoliosis.
, 6. What is the primary treatment for Bacterial Vaginosis (BV)?
A. Metronidazole
B. Fluconazole
C. Azithromycin
D. Ceftriaxone
Answer: A
Rationale: Metronidazole (oral or vaginal) or Clindamycin are the recommended
treatments for Bacterial Vaginosis.
7. A 4-year-old presents with a ‘barking’ cough and inspiratory stridor. What is
the most likely diagnosis?
A. Epiglottitis
B. Bronchiolitis
C. Croup (Laryngotracheobronchitis)
D. Asthma exacerbation
Answer: C
Rationale: Croup is characterized by a barking cough, hoarseness, and inspiratory stridor,
usually caused by the parainfluenza virus.
8. At what age is the first dose of the Measles, Mumps, and Rubella (MMR)
vaccine typically administered?
A. 12 to 15 months
B. 2 months
C. 6 months
D. Birth
Answer: A
Rationale: The first dose of MMR is recommended between 12 and 15 months of age, with
the second dose at 4 to 6 years.
Chamberlain College
1. At what age should a child be able to walk independently according to
standard developmental milestones?
A. 12 to 15 months
B. 6 to 9 months
C. 18 to 24 months
D. 24 to 30 months
Answer: A
Rationale: Most children achieve independent walking by 12 to 15 months. Failure to walk
by 18 months warrants further evaluation.
2. Which of the following is a classic clinical finding in a child with
Intussusception?
A. Currant jelly stools
B. Projectile non-bilious vomiting
C. Painful abdominal mass in the left lower quadrant
D. High-grade fever and cough
Answer: A
Rationale: Currant jelly stools (blood and mucus) are a late but classic sign of
intussusception, often accompanied by paroxysmal abdominal pain.
,3. According to ACOG guidelines, at what age should routine cervical cancer
screening (Pap smears) begin?
A. At the onset of sexual activity
B. Age 18
C. Age 21
D. Age 25
Answer: C
Rationale: Cervical cancer screening should start at age 21, regardless of the age of onset
of sexual activity.
4. A 15-year-old female presents with primary amenorrhea and a short stature.
Which condition should be suspected?
A. Polycystic Ovary Syndrome
B. Klinefelter Syndrome
C. Cushing Syndrome
D. Turner Syndrome
Answer: D
Rationale: Turner Syndrome (45,X) often presents with short stature, webbed neck, and
primary amenorrhea due to ovarian streak gonads.
5. Which physical exam maneuver is used to screen for adolescent idiopathic
scoliosis?
A. Lachman test
B. McMurray test
C. Phalen test
D. Adams Forward Bend test
Answer: D
Rationale: The Adams Forward Bend test is the standard screening tool used to look for
rib hump or spinal asymmetry indicative of scoliosis.
, 6. What is the primary treatment for Bacterial Vaginosis (BV)?
A. Metronidazole
B. Fluconazole
C. Azithromycin
D. Ceftriaxone
Answer: A
Rationale: Metronidazole (oral or vaginal) or Clindamycin are the recommended
treatments for Bacterial Vaginosis.
7. A 4-year-old presents with a ‘barking’ cough and inspiratory stridor. What is
the most likely diagnosis?
A. Epiglottitis
B. Bronchiolitis
C. Croup (Laryngotracheobronchitis)
D. Asthma exacerbation
Answer: C
Rationale: Croup is characterized by a barking cough, hoarseness, and inspiratory stridor,
usually caused by the parainfluenza virus.
8. At what age is the first dose of the Measles, Mumps, and Rubella (MMR)
vaccine typically administered?
A. 12 to 15 months
B. 2 months
C. 6 months
D. Birth
Answer: A
Rationale: The first dose of MMR is recommended between 12 and 15 months of age, with
the second dose at 4 to 6 years.
