NR 602 PRIMARY CARE OF THE
CHILDBEARING AND CHILDREARING
FAMILY FINAL EXAM QUESTIONS AND
ANSWERS
1. A 24-year-old primigravida at 32 weeks gestation presents with a blood pressure of 155/95
mmHg and 2+ proteinuria. She denies headaches or visual changes. What is the most
appropriate next step in management?
A. Immediate delivery via Cesarean section
B. Initiation of Magnesium Sulfate and hospital admission
C. Twice weekly non-stress tests and monitoring for severe features
D. Prescribing oral Labetalol 100mg twice daily
Answer: C
Conceptual Explanation: This patient meets the criteria for preeclampsia without severe
features. Management involves close monitoring, including fetal surveillance (NSTs) and
monitoring for progression to severe features, rather than immediate delivery or
antihypertensive therapy at this specific BP threshold.
,2. A mother brings her 4-month-old infant for a well-child visit. Which developmental
milestone would be considered a ‘red flag’ if not achieved by this age?
A. Sitting without support
B. Transferring objects from hand to hand
C. Pushing up to elbows when prone
D. Pincer grasp
Answer: C
Conceptual Explanation: By 4 months, an infant should be able to push up to their elbows
when lying on their stomach. Sitting without support is a 6-month milestone, transferring
objects is a 6-month milestone, and pincer grasp is a 9-month milestone.
3. A 28-year-old woman at 10 weeks gestation presents with vaginal bleeding and midline
pelvic pain. On examination, the cervical os is open, and products of conception are visible in
the vaginal canal. What is the diagnosis?
A. Threatened abortion
B. Inevitable abortion
C. Missed abortion
D. Incomplete abortion
Answer: D
, Conceptual Explanation: An incomplete abortion is characterized by an open cervical os
and the partial expulsion of products of conception. In an inevitable abortion, the os is open
but no tissue has passed yet.
4. Which of the following findings on a wet mount is pathognomonic for Bacterial Vaginosis
(BV)?
A. Hyphae and spores
B. Trichomonads
C. Clue cells
D. Increased white blood cells
Answer: C
Conceptual Explanation: Clue cells (epithelial cells covered in bacteria) are a classic
finding for BV according to Amsel’s criteria. Hyphae suggest candidiasis, and trichomonads
suggest trichomoniasis.
5. A 6-year-old child presents with a ‘barking’ cough and inspiratory stridor that worsens at
night. The child is afebrile. What is the most likely diagnosis?
A. Laryngotracheobronchitis (Croup)
B. Bronchiolitis
C. Epiglottitis
D. Pertussis
CHILDBEARING AND CHILDREARING
FAMILY FINAL EXAM QUESTIONS AND
ANSWERS
1. A 24-year-old primigravida at 32 weeks gestation presents with a blood pressure of 155/95
mmHg and 2+ proteinuria. She denies headaches or visual changes. What is the most
appropriate next step in management?
A. Immediate delivery via Cesarean section
B. Initiation of Magnesium Sulfate and hospital admission
C. Twice weekly non-stress tests and monitoring for severe features
D. Prescribing oral Labetalol 100mg twice daily
Answer: C
Conceptual Explanation: This patient meets the criteria for preeclampsia without severe
features. Management involves close monitoring, including fetal surveillance (NSTs) and
monitoring for progression to severe features, rather than immediate delivery or
antihypertensive therapy at this specific BP threshold.
,2. A mother brings her 4-month-old infant for a well-child visit. Which developmental
milestone would be considered a ‘red flag’ if not achieved by this age?
A. Sitting without support
B. Transferring objects from hand to hand
C. Pushing up to elbows when prone
D. Pincer grasp
Answer: C
Conceptual Explanation: By 4 months, an infant should be able to push up to their elbows
when lying on their stomach. Sitting without support is a 6-month milestone, transferring
objects is a 6-month milestone, and pincer grasp is a 9-month milestone.
3. A 28-year-old woman at 10 weeks gestation presents with vaginal bleeding and midline
pelvic pain. On examination, the cervical os is open, and products of conception are visible in
the vaginal canal. What is the diagnosis?
A. Threatened abortion
B. Inevitable abortion
C. Missed abortion
D. Incomplete abortion
Answer: D
, Conceptual Explanation: An incomplete abortion is characterized by an open cervical os
and the partial expulsion of products of conception. In an inevitable abortion, the os is open
but no tissue has passed yet.
4. Which of the following findings on a wet mount is pathognomonic for Bacterial Vaginosis
(BV)?
A. Hyphae and spores
B. Trichomonads
C. Clue cells
D. Increased white blood cells
Answer: C
Conceptual Explanation: Clue cells (epithelial cells covered in bacteria) are a classic
finding for BV according to Amsel’s criteria. Hyphae suggest candidiasis, and trichomonads
suggest trichomoniasis.
5. A 6-year-old child presents with a ‘barking’ cough and inspiratory stridor that worsens at
night. The child is afebrile. What is the most likely diagnosis?
A. Laryngotracheobronchitis (Croup)
B. Bronchiolitis
C. Epiglottitis
D. Pertussis
