NR 602 PRIMARY CARE OF THE
CHILDBEARING AND CHILDREARING
FAMILY FINAL EXAM PREP
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 headache or visual changes. What is the most
appropriate next step in management?
A. Twice weekly non-stress tests and monitoring for worsening symptoms
B. Immediate induction of labor
C. Initiation of Magnesium Sulfate for seizure prophylaxis
D. Administration of Oral Hydralazine 50mg TID
Answer: A
Conceptual Explanation: Preeclampsia without severe features at 32 weeks is managed
expectantly with close monitoring, including BP checks, proteinuria assessment, and fetal
surveillance (NSTs). Delivery is usually delayed until 37 weeks unless severe features
develop.
,2. During a well-child visit, a 9-month-old infant is observed. Which of the following
developmental milestones is most characteristic of this age?
A. Walking while holding onto furniture (cruising)
B. Transferring objects from one hand to the other
C. Using a neat pincer grasp
D. Building a tower of two blocks
Answer: C
Conceptual Explanation: A neat pincer grasp (using the thumb and forefinger) typically
develops between 9 and 10 months. Transferring objects occurs at 6 months, cruising
usually starts around 10-11 months, and block towers are a 12-15 month skill.
3. A 28-year-old female presents for her first prenatal visit at 8 weeks gestation. She has a
history of a previous pregnancy complicated by a neural tube defect. What is the
recommended daily dosage of Folic Acid for this patient?
A. 400 mcg
B. 800 mcg
C. 1 mg
D. 4 mg
Answer: D
, Conceptual Explanation: Women with a high risk for neural tube defects (prior affected
pregnancy) should take 4 mg (4000 mcg) of folic acid daily starting at least one month
before conception and through the first trimester.
4. Which of the following physical exam findings is most pathognomonic for Rubeola
(Measles)?
A. Forchheimer spots
B. Koplik spots
C. Strawberry tongue
D. Slapped-cheek rash
Answer: B
Conceptual Explanation: Koplik spots (small white spots on the buccal mucosa) are a
hallmark sign of Measles. Forchheimer spots are associated with Rubella; strawberry
tongue with Scarlet fever/Kawasaki; and slapped-cheek with Erythema Infectiosum.
5. A 32-year-old G2P1 at 26 weeks gestation undergoes a 1-hour 50g Glucose Challenge Test
(GCT). The result is 145 mg/dL. What is the correct clinical interpretation and follow-up?
A. The result is normal; no further testing is needed.
B. The patient has Gestational Diabetes; start insulin.
C. The result is elevated; perform a 3-hour 100g Glucose Tolerance Test.
D. The patient has Gestational Diabetes; start diet management.
CHILDBEARING AND CHILDREARING
FAMILY FINAL EXAM PREP
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 headache or visual changes. What is the most
appropriate next step in management?
A. Twice weekly non-stress tests and monitoring for worsening symptoms
B. Immediate induction of labor
C. Initiation of Magnesium Sulfate for seizure prophylaxis
D. Administration of Oral Hydralazine 50mg TID
Answer: A
Conceptual Explanation: Preeclampsia without severe features at 32 weeks is managed
expectantly with close monitoring, including BP checks, proteinuria assessment, and fetal
surveillance (NSTs). Delivery is usually delayed until 37 weeks unless severe features
develop.
,2. During a well-child visit, a 9-month-old infant is observed. Which of the following
developmental milestones is most characteristic of this age?
A. Walking while holding onto furniture (cruising)
B. Transferring objects from one hand to the other
C. Using a neat pincer grasp
D. Building a tower of two blocks
Answer: C
Conceptual Explanation: A neat pincer grasp (using the thumb and forefinger) typically
develops between 9 and 10 months. Transferring objects occurs at 6 months, cruising
usually starts around 10-11 months, and block towers are a 12-15 month skill.
3. A 28-year-old female presents for her first prenatal visit at 8 weeks gestation. She has a
history of a previous pregnancy complicated by a neural tube defect. What is the
recommended daily dosage of Folic Acid for this patient?
A. 400 mcg
B. 800 mcg
C. 1 mg
D. 4 mg
Answer: D
, Conceptual Explanation: Women with a high risk for neural tube defects (prior affected
pregnancy) should take 4 mg (4000 mcg) of folic acid daily starting at least one month
before conception and through the first trimester.
4. Which of the following physical exam findings is most pathognomonic for Rubeola
(Measles)?
A. Forchheimer spots
B. Koplik spots
C. Strawberry tongue
D. Slapped-cheek rash
Answer: B
Conceptual Explanation: Koplik spots (small white spots on the buccal mucosa) are a
hallmark sign of Measles. Forchheimer spots are associated with Rubella; strawberry
tongue with Scarlet fever/Kawasaki; and slapped-cheek with Erythema Infectiosum.
5. A 32-year-old G2P1 at 26 weeks gestation undergoes a 1-hour 50g Glucose Challenge Test
(GCT). The result is 145 mg/dL. What is the correct clinical interpretation and follow-up?
A. The result is normal; no further testing is needed.
B. The patient has Gestational Diabetes; start insulin.
C. The result is elevated; perform a 3-hour 100g Glucose Tolerance Test.
D. The patient has Gestational Diabetes; start diet management.
