1
NR 602 / NR602 Midterm Exam Primary Care
Childbearing Childrearing Family Actual Exam
2026/2027 | Complete Exam-Style Questions |
100% Verified – Detailed Rationales – Pass
Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Preconception and Prenatal Care | Q1 – Q15
Section 2 | Labor, Delivery, and Postpartum Care | Q16 – Q30
Section 3 | Newborn and Infant Primary Care | Q31 – Q45
Section 4 | Child and Adolescent Primary Care | Q46 – Q60
Section 5 | Reproductive Health and Family Planning | Q61 – Q75
SECTION 1: PRECONCEPTION AND PRENATAL CARE
Question 1 of 75
A 28-year-old female presents for a preconception visit. She has a history of well-controlled
epilepsy and takes levetiracetam. She is concerned about how her medication and health history
will affect a future pregnancy. She asks what supplements she should start taking now.
A. "You should start a high-dose vitamin A supplement to prevent fetal malformations."
B. "Since you are healthy, you only need to increase your dietary intake of leafy greens."
C. "You should begin taking folic acid 4 mg daily at least one month before conception." ✓
CORRECT
D. "You should wait until you have a positive pregnancy test before starting any prenatal
vitamins."
Correct Answer: C
Rationale: Women with a history of neural tube defect risk factors, such as epilepsy, require a
higher dose of folic acid (4 mg) starting at least one month prior to conception to reduce the risk
,2
of neural tube defects. Starting only after a positive pregnancy test is too late because neural tube
closure occurs by the 28th day post-conception. High-dose vitamin A is teratogenic and should be
avoided in pregnancy.
Question 2 of 75
A 32-year-old female at 10 weeks' gestation presents for her initial prenatal visit. She states she
has never had chickenpox and is worried about exposure. Her blood work reveals that she is non-
immune to Varicella.
A. "You should receive the MMR vaccine today to protect you and the fetus."
B. "You should receive the Varicella vaccine after you deliver this pregnancy." ✓ CORRECT
C. "You need to be isolated from all children until you give birth to avoid exposure."
D. "You should receive the Varicella vaccine immediately because the risk to the fetus is low."
Correct Answer: B
Rationale: The Varicella vaccine is a live attenuated vaccine and is contraindicated during
pregnancy; therefore, vaccination should be deferred to the immediate postpartum period. The
MMR vaccine also contains live viruses and is contraindicated during pregnancy. While avoidance
is prudent, isolation is not the standard of care, and giving a live vaccine is unsafe.
Question 3 of 75
A 24-year-old female at 9 weeks' gestation presents with severe nausea and vomiting. She reports
she has lost 3 lbs since her last visit one week ago and is unable to keep down fluids or food. Her
urine ketones are 2+.
A. "Prescribe pyridoxine (vitamin B6) and doxylamine as first-line therapy for nausea." ✓
CORRECT
D. "Recommend that she increase her intake of ginger tea and stop all prenatal vitamins
immediately."
C. "Admit her to the hospital for immediate IV hydration and total parenteral nutrition."
,3
D. "Advise her to switch to a low-carbohydrate, high-protein diet to reduce metabolic demands."
Correct Answer: A
Rationale: The American College of Obstetricians and Gynecologists (ACOG) recommends
pyridoxine (vitamin B6) combined with doxylamine as the first-line pharmacological treatment
for nausea and vomiting of pregnancy. While hospitalization may be needed if she is dehydrated
and unable to tolerate oral intake, first-line outpatient management involves the vitamin
combination before escalating to IV fluids or parenteral nutrition. Stopping prenatal vitamins is
not advised.
Question 4 of 75
A 35-year-old pregnant patient at 12 weeks' gestation asks about non-invasive prenatal testing
(NIPT). She is concerned about the risk of miscarriage associated with invasive diagnostic
procedures like amniocentesis.
A. "NIPT is a diagnostic test that will tell you with 100% certainty if the baby has Down
syndrome."
B. "You should wait until 20 weeks for a detailed anatomy scan to assess for chromosomal
abnormalities."
C. "NIPT is not recommended for women under 40 due to high false-positive rates."
D. "NIPT is a screening tool that assesses the risk of chromosomal abnormalities with high
sensitivity and no miscarriage risk." ✓ CORRECT
Correct Answer: D
Rationale: NIPT is a highly sensitive screening test that analyzes cell-free fetal DNA in maternal
blood to estimate the risk of aneuploidy without the risk of pregnancy loss associated with invasive
procedures like amniocentesis. It is not a diagnostic test; positive results must be confirmed by
invasive diagnostic testing. It is appropriate for all pregnant patients regardless of maternal age,
though sensitivity is higher in older women.
Question 5 of 75
, 4
A 29-year-old female at 28 weeks' gestation presents for her routine prenatal visit. Her blood
pressure is 142/92 mm Hg, and she has a trace amount of protein in her urine on dipstick. She
reports no headaches or visual disturbances.
A. "Schedule an induction of labor immediately due to severe preeclampsia."
B. "Reassure her that blood pressure normally decreases in the third trimester."
C. "Obtain a 24-hour urine collection to assess for proteinuria and monitor for signs of
preeclampsia." ✓ CORRECT
D. "Advise her to reduce her sodium intake and return for a blood pressure check in one week."
Correct Answer: C
Rationale: The presence of new-onset hypertension after 20 weeks' gestation requires a diagnostic
workup, including a 24-hour urine collection to quantify proteinuria and rule out preeclampsia.
While sodium restriction is often advised, it is not a diagnostic or management step for confirmed
hypertensive disorders in pregnancy. Immediate induction is not indicated without severe features
or diagnostic confirmation.
Question 6 of 75
A 34-year-old primigravida at 18 weeks' gestation asks for advice regarding exercise during
pregnancy. She was a runner prior to pregnancy but has reduced her activity due to fatigue.
A. "You should stop running completely and switch to walking to avoid preterm labor."
B. "You may continue running if you were a runner prior to pregnancy, but you should avoid
overheating and dehydration." ✓ CORRECT
C. "You should keep your heart rate below 140 beats per minute to prevent fetal distress."
D. "You should limit exercise to yoga and pilates to avoid joint injury."
Correct Answer: B
Rationale: Current guidelines allow women who were regular runners prior to pregnancy to
continue running during pregnancy, provided they avoid overheating, dehydration, and
overexertion. The specific heart rate limit of 140 bpm is an outdated guideline; current
NR 602 / NR602 Midterm Exam Primary Care
Childbearing Childrearing Family Actual Exam
2026/2027 | Complete Exam-Style Questions |
100% Verified – Detailed Rationales – Pass
Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Preconception and Prenatal Care | Q1 – Q15
Section 2 | Labor, Delivery, and Postpartum Care | Q16 – Q30
Section 3 | Newborn and Infant Primary Care | Q31 – Q45
Section 4 | Child and Adolescent Primary Care | Q46 – Q60
Section 5 | Reproductive Health and Family Planning | Q61 – Q75
SECTION 1: PRECONCEPTION AND PRENATAL CARE
Question 1 of 75
A 28-year-old female presents for a preconception visit. She has a history of well-controlled
epilepsy and takes levetiracetam. She is concerned about how her medication and health history
will affect a future pregnancy. She asks what supplements she should start taking now.
A. "You should start a high-dose vitamin A supplement to prevent fetal malformations."
B. "Since you are healthy, you only need to increase your dietary intake of leafy greens."
C. "You should begin taking folic acid 4 mg daily at least one month before conception." ✓
CORRECT
D. "You should wait until you have a positive pregnancy test before starting any prenatal
vitamins."
Correct Answer: C
Rationale: Women with a history of neural tube defect risk factors, such as epilepsy, require a
higher dose of folic acid (4 mg) starting at least one month prior to conception to reduce the risk
,2
of neural tube defects. Starting only after a positive pregnancy test is too late because neural tube
closure occurs by the 28th day post-conception. High-dose vitamin A is teratogenic and should be
avoided in pregnancy.
Question 2 of 75
A 32-year-old female at 10 weeks' gestation presents for her initial prenatal visit. She states she
has never had chickenpox and is worried about exposure. Her blood work reveals that she is non-
immune to Varicella.
A. "You should receive the MMR vaccine today to protect you and the fetus."
B. "You should receive the Varicella vaccine after you deliver this pregnancy." ✓ CORRECT
C. "You need to be isolated from all children until you give birth to avoid exposure."
D. "You should receive the Varicella vaccine immediately because the risk to the fetus is low."
Correct Answer: B
Rationale: The Varicella vaccine is a live attenuated vaccine and is contraindicated during
pregnancy; therefore, vaccination should be deferred to the immediate postpartum period. The
MMR vaccine also contains live viruses and is contraindicated during pregnancy. While avoidance
is prudent, isolation is not the standard of care, and giving a live vaccine is unsafe.
Question 3 of 75
A 24-year-old female at 9 weeks' gestation presents with severe nausea and vomiting. She reports
she has lost 3 lbs since her last visit one week ago and is unable to keep down fluids or food. Her
urine ketones are 2+.
A. "Prescribe pyridoxine (vitamin B6) and doxylamine as first-line therapy for nausea." ✓
CORRECT
D. "Recommend that she increase her intake of ginger tea and stop all prenatal vitamins
immediately."
C. "Admit her to the hospital for immediate IV hydration and total parenteral nutrition."
,3
D. "Advise her to switch to a low-carbohydrate, high-protein diet to reduce metabolic demands."
Correct Answer: A
Rationale: The American College of Obstetricians and Gynecologists (ACOG) recommends
pyridoxine (vitamin B6) combined with doxylamine as the first-line pharmacological treatment
for nausea and vomiting of pregnancy. While hospitalization may be needed if she is dehydrated
and unable to tolerate oral intake, first-line outpatient management involves the vitamin
combination before escalating to IV fluids or parenteral nutrition. Stopping prenatal vitamins is
not advised.
Question 4 of 75
A 35-year-old pregnant patient at 12 weeks' gestation asks about non-invasive prenatal testing
(NIPT). She is concerned about the risk of miscarriage associated with invasive diagnostic
procedures like amniocentesis.
A. "NIPT is a diagnostic test that will tell you with 100% certainty if the baby has Down
syndrome."
B. "You should wait until 20 weeks for a detailed anatomy scan to assess for chromosomal
abnormalities."
C. "NIPT is not recommended for women under 40 due to high false-positive rates."
D. "NIPT is a screening tool that assesses the risk of chromosomal abnormalities with high
sensitivity and no miscarriage risk." ✓ CORRECT
Correct Answer: D
Rationale: NIPT is a highly sensitive screening test that analyzes cell-free fetal DNA in maternal
blood to estimate the risk of aneuploidy without the risk of pregnancy loss associated with invasive
procedures like amniocentesis. It is not a diagnostic test; positive results must be confirmed by
invasive diagnostic testing. It is appropriate for all pregnant patients regardless of maternal age,
though sensitivity is higher in older women.
Question 5 of 75
, 4
A 29-year-old female at 28 weeks' gestation presents for her routine prenatal visit. Her blood
pressure is 142/92 mm Hg, and she has a trace amount of protein in her urine on dipstick. She
reports no headaches or visual disturbances.
A. "Schedule an induction of labor immediately due to severe preeclampsia."
B. "Reassure her that blood pressure normally decreases in the third trimester."
C. "Obtain a 24-hour urine collection to assess for proteinuria and monitor for signs of
preeclampsia." ✓ CORRECT
D. "Advise her to reduce her sodium intake and return for a blood pressure check in one week."
Correct Answer: C
Rationale: The presence of new-onset hypertension after 20 weeks' gestation requires a diagnostic
workup, including a 24-hour urine collection to quantify proteinuria and rule out preeclampsia.
While sodium restriction is often advised, it is not a diagnostic or management step for confirmed
hypertensive disorders in pregnancy. Immediate induction is not indicated without severe features
or diagnostic confirmation.
Question 6 of 75
A 34-year-old primigravida at 18 weeks' gestation asks for advice regarding exercise during
pregnancy. She was a runner prior to pregnancy but has reduced her activity due to fatigue.
A. "You should stop running completely and switch to walking to avoid preterm labor."
B. "You may continue running if you were a runner prior to pregnancy, but you should avoid
overheating and dehydration." ✓ CORRECT
C. "You should keep your heart rate below 140 beats per minute to prevent fetal distress."
D. "You should limit exercise to yoga and pilates to avoid joint injury."
Correct Answer: B
Rationale: Current guidelines allow women who were regular runners prior to pregnancy to
continue running during pregnancy, provided they avoid overheating, dehydration, and
overexertion. The specific heart rate limit of 140 bpm is an outdated guideline; current
