NR 602 PRIMARY CARE OF THE
CHILDBEARING AND CHILDREARING
FAMILY ADVANCED EXAM QUESTIONS
AND ANSWERS
1. A 24-year-old pregnant patient presents for her first prenatal visit. Her LMP was May 10th.
Using Naegele’s rule, what is her estimated date of delivery (EDD)?
A. February 3rd
B. February 17th
C. February 10th
D. January 17th
Answer: B
Conceptual Explanation: Naegele’s rule is calculated by subtracting 3 months from the
LMP and adding 7 days and 1 year. May 10 minus 3 months is February 10, plus 7 days is
February 17.
,2. According to ACOG guidelines, what is the recommended total weight gain for a pregnant
woman with a pre-pregnancy BMI of 22 (normal)?
A. 11-20 lbs
B. 15-25 lbs
C. 25-35 lbs
D. 28-40 lbs
Answer: C
Conceptual Explanation: For women with a normal BMI (18.5-24.9), the recommended
weight gain during pregnancy is 25 to 35 pounds.
3. Which of the following screenings is typically performed between 24 and 28 weeks of
gestation?
A. Glucose Challenge Test (GCT)
B. Group B Streptococcus (GBS) culture
C. Nuchal translucency ultrasound
D. Cystic Fibrosis carrier screening
Answer: A
Conceptual Explanation: Screening for gestational diabetes using a 1-hour glucose
challenge test is standard practice between 24 and 28 weeks gestation.
, 4. A pregnant patient at 36 weeks gestation tests positive for Group B Streptococcus (GBS).
What is the appropriate management?
A. Immediate treatment with oral Penicillin for 10 days
B. Intravenous antibiotics during labor
C. Scheduled Cesarean section at 39 weeks
D. No treatment is necessary unless she is symptomatic
Answer: B
Conceptual Explanation: GBS positive patients require intrapartum antibiotic prophylaxis
(IAP) to prevent neonatal transmission; oral antibiotics during pregnancy do not eliminate
the risk.
5. At what gestational age is the fundal height typically at the level of the umbilicus?
A. 20 weeks
B. 16 weeks
C. 24 weeks
D. 28 weeks
Answer: A
Conceptual Explanation: The fundal height usually reaches the umbilicus at 20 weeks
gestation, after which it correlates roughly with the number of weeks in centimeters.
CHILDBEARING AND CHILDREARING
FAMILY ADVANCED EXAM QUESTIONS
AND ANSWERS
1. A 24-year-old pregnant patient presents for her first prenatal visit. Her LMP was May 10th.
Using Naegele’s rule, what is her estimated date of delivery (EDD)?
A. February 3rd
B. February 17th
C. February 10th
D. January 17th
Answer: B
Conceptual Explanation: Naegele’s rule is calculated by subtracting 3 months from the
LMP and adding 7 days and 1 year. May 10 minus 3 months is February 10, plus 7 days is
February 17.
,2. According to ACOG guidelines, what is the recommended total weight gain for a pregnant
woman with a pre-pregnancy BMI of 22 (normal)?
A. 11-20 lbs
B. 15-25 lbs
C. 25-35 lbs
D. 28-40 lbs
Answer: C
Conceptual Explanation: For women with a normal BMI (18.5-24.9), the recommended
weight gain during pregnancy is 25 to 35 pounds.
3. Which of the following screenings is typically performed between 24 and 28 weeks of
gestation?
A. Glucose Challenge Test (GCT)
B. Group B Streptococcus (GBS) culture
C. Nuchal translucency ultrasound
D. Cystic Fibrosis carrier screening
Answer: A
Conceptual Explanation: Screening for gestational diabetes using a 1-hour glucose
challenge test is standard practice between 24 and 28 weeks gestation.
, 4. A pregnant patient at 36 weeks gestation tests positive for Group B Streptococcus (GBS).
What is the appropriate management?
A. Immediate treatment with oral Penicillin for 10 days
B. Intravenous antibiotics during labor
C. Scheduled Cesarean section at 39 weeks
D. No treatment is necessary unless she is symptomatic
Answer: B
Conceptual Explanation: GBS positive patients require intrapartum antibiotic prophylaxis
(IAP) to prevent neonatal transmission; oral antibiotics during pregnancy do not eliminate
the risk.
5. At what gestational age is the fundal height typically at the level of the umbilicus?
A. 20 weeks
B. 16 weeks
C. 24 weeks
D. 28 weeks
Answer: A
Conceptual Explanation: The fundal height usually reaches the umbilicus at 20 weeks
gestation, after which it correlates roughly with the number of weeks in centimeters.
