NR602 WEEK 8 FINAL EXAM (2026/2027) / NR
602 PRIMARY CARE OF THE CHILDBEARING
& CHILDREARING FAMILY FINAL EXAM
TEST BANK: 100 QUESTIONS & ANSWERS
WITH RATIONALES | CHAMBERLAIN
UNIVERSITY | RATED A+
Core Domains:
• Growth and Developmental Milestones (Infancy, Childhood,
Adolescence)
• Pediatric Primary Care and Well-Child Visits
• Common Acute Pediatric Illnesses and Infections
• Chronic Pediatric Conditions and Management
• Women's Health and Reproductive Health
• Prenatal, Intrapartum, and Postpartum Care
• Breastfeeding and Newborn Care
• Adolescent Health and Risk Behaviors
• Health Promotion, Disease Prevention, and Immunizations
• Pharmacologic Management in Childbearing and Childrearing Families
Introduction
This comprehensive examination is designed for NR602 Primary Care of the
Childbearing and Childrearing Family students preparing for the Week 8 Final
,Exam at Chamberlain University. The assessment evaluates the Family Nurse
Practitioner student's mastery of primary care concepts across the lifespan,
with a focused emphasis on pediatric and women's health. Through 100
multiple-choice questions and clinical scenarios spanning growth and
development, acute and chronic pediatric conditions, prenatal and postpartum
care, women's health, and health promotion, students are challenged to
integrate evidence-based guidelines, clinical reasoning, and patient-centered
care. This resource reflects current guidelines from the American Academy of
Pediatrics, ACOG, and the Chamberlain University NR602 curriculum for the
2026/2027 academic year. Successful completion demonstrates readiness for
the clinical practicum component and board certification preparation.
SECTION ONE: QUESTIONS 1–100
Question 1
How much of an infant's total body weight is comprised of water?
A. 50%
B. 65%
C. 75%
D. 85%
C. 75%
RATIONALE: Infants have a higher percentage of body water than adults,
with approximately 75% of their body weight being water. This increased
proportion of extracellular fluid makes infants more susceptible to
dehydration and fluid shifts. The high metabolic rate and immature renal
concentrating ability further contribute to their vulnerability to fluid and
electrolyte imbalances.
,Question 2
Why do infants and toddlers experience more water loss through evaporation
compared to older children and adults?
A. Higher metabolic rate
B. Higher ratio of surface area to weight
C. Increased respiratory rate
D. Immature kidney function
B. Higher ratio of surface area to weight
RATIONALE: Infants and toddlers have a higher ratio of surface area to
body weight, which increases insensible water loss through evaporation. This
makes them more prone to dehydration, especially during febrile illness or in
hot environments.
Question 3
A 4-month-old infant is brought to the clinic for a well-child visit. Which
developmental milestone would the nurse practitioner expect the infant to
have achieved?
A. Sitting without support
B. Rolling over from front to back
C. Standing with assistance
D. Pincer grasp
B. Rolling over from front to back
RATIONALE: By 4 months of age, infants typically can roll from front to
back. Sitting without support typically occurs at 6-8 months, standing with
assistance at 8-10 months, and pincer grasp at 9-10 months. Assessment of
developmental milestones is essential during well-child visits.
, Question 4
A mother presents with her 3-month-old infant and complains of a "goopy"
eye that is sometimes matted shut after naps. Upon examination, the
conjunctiva is clear with some mild crusting to the eyelashes. What is the
most appropriate diagnosis and patient teaching?
A. Bacterial conjunctivitis; prescribe erythromycin ointment TID
B. Probable nasolacrimal duct obstruction; daily massage and warm
compresses
C. Viral conjunctivitis; cold compresses and artificial tears
D. Blepharitis; lid scrubs with baby shampoo
B. Probable nasolacrimal duct obstruction; daily massage and warm
compresses
RATIONALE: Clear conjunctiva with crusting in an infant indicates
nasolacrimal duct obstruction rather than infection. Parents should be taught
lacrimal duct massage and warm compresses while monitoring for signs of
infection (erythema, purulent discharge). Most cases resolve spontaneously
by 12 months of age without intervention.
Question 5
A 3-week-old infant presents with persistent jaundice, pale stools, and dark
urine. Which of the following is the most concerning diagnosis that must be
ruled out?
A. Physiologic jaundice
B. Breastfeeding jaundice
C. Biliary atresia
D. Glucose-6-phosphate dehydrogenase deficiency
C. Biliary atresia
602 PRIMARY CARE OF THE CHILDBEARING
& CHILDREARING FAMILY FINAL EXAM
TEST BANK: 100 QUESTIONS & ANSWERS
WITH RATIONALES | CHAMBERLAIN
UNIVERSITY | RATED A+
Core Domains:
• Growth and Developmental Milestones (Infancy, Childhood,
Adolescence)
• Pediatric Primary Care and Well-Child Visits
• Common Acute Pediatric Illnesses and Infections
• Chronic Pediatric Conditions and Management
• Women's Health and Reproductive Health
• Prenatal, Intrapartum, and Postpartum Care
• Breastfeeding and Newborn Care
• Adolescent Health and Risk Behaviors
• Health Promotion, Disease Prevention, and Immunizations
• Pharmacologic Management in Childbearing and Childrearing Families
Introduction
This comprehensive examination is designed for NR602 Primary Care of the
Childbearing and Childrearing Family students preparing for the Week 8 Final
,Exam at Chamberlain University. The assessment evaluates the Family Nurse
Practitioner student's mastery of primary care concepts across the lifespan,
with a focused emphasis on pediatric and women's health. Through 100
multiple-choice questions and clinical scenarios spanning growth and
development, acute and chronic pediatric conditions, prenatal and postpartum
care, women's health, and health promotion, students are challenged to
integrate evidence-based guidelines, clinical reasoning, and patient-centered
care. This resource reflects current guidelines from the American Academy of
Pediatrics, ACOG, and the Chamberlain University NR602 curriculum for the
2026/2027 academic year. Successful completion demonstrates readiness for
the clinical practicum component and board certification preparation.
SECTION ONE: QUESTIONS 1–100
Question 1
How much of an infant's total body weight is comprised of water?
A. 50%
B. 65%
C. 75%
D. 85%
C. 75%
RATIONALE: Infants have a higher percentage of body water than adults,
with approximately 75% of their body weight being water. This increased
proportion of extracellular fluid makes infants more susceptible to
dehydration and fluid shifts. The high metabolic rate and immature renal
concentrating ability further contribute to their vulnerability to fluid and
electrolyte imbalances.
,Question 2
Why do infants and toddlers experience more water loss through evaporation
compared to older children and adults?
A. Higher metabolic rate
B. Higher ratio of surface area to weight
C. Increased respiratory rate
D. Immature kidney function
B. Higher ratio of surface area to weight
RATIONALE: Infants and toddlers have a higher ratio of surface area to
body weight, which increases insensible water loss through evaporation. This
makes them more prone to dehydration, especially during febrile illness or in
hot environments.
Question 3
A 4-month-old infant is brought to the clinic for a well-child visit. Which
developmental milestone would the nurse practitioner expect the infant to
have achieved?
A. Sitting without support
B. Rolling over from front to back
C. Standing with assistance
D. Pincer grasp
B. Rolling over from front to back
RATIONALE: By 4 months of age, infants typically can roll from front to
back. Sitting without support typically occurs at 6-8 months, standing with
assistance at 8-10 months, and pincer grasp at 9-10 months. Assessment of
developmental milestones is essential during well-child visits.
, Question 4
A mother presents with her 3-month-old infant and complains of a "goopy"
eye that is sometimes matted shut after naps. Upon examination, the
conjunctiva is clear with some mild crusting to the eyelashes. What is the
most appropriate diagnosis and patient teaching?
A. Bacterial conjunctivitis; prescribe erythromycin ointment TID
B. Probable nasolacrimal duct obstruction; daily massage and warm
compresses
C. Viral conjunctivitis; cold compresses and artificial tears
D. Blepharitis; lid scrubs with baby shampoo
B. Probable nasolacrimal duct obstruction; daily massage and warm
compresses
RATIONALE: Clear conjunctiva with crusting in an infant indicates
nasolacrimal duct obstruction rather than infection. Parents should be taught
lacrimal duct massage and warm compresses while monitoring for signs of
infection (erythema, purulent discharge). Most cases resolve spontaneously
by 12 months of age without intervention.
Question 5
A 3-week-old infant presents with persistent jaundice, pale stools, and dark
urine. Which of the following is the most concerning diagnosis that must be
ruled out?
A. Physiologic jaundice
B. Breastfeeding jaundice
C. Biliary atresia
D. Glucose-6-phosphate dehydrogenase deficiency
C. Biliary atresia
