NR 602 PRIMARY CARE OF THE
CHILDBEARING AND CHILDREARING
FAMILY EXAM QUESTIONS AND
ANSWERS
1. A 28-year-old pregnant woman at 36 weeks gestation tests positive for Group B
Streptococcus (GBS). What is the most appropriate management plan?
A. Administer oral penicillin immediately for 10 days
B. Perform an elective Cesarean section at 39 weeks
C. Provide intrapartum antibiotic prophylaxis with IV penicillin during labor
D. Re-test in two weeks to confirm colonization status
Answer: C
Conceptual Explanation: Intrapartum antibiotic prophylaxis is recommended for women
who test positive for GBS during the 36-37 week screening to prevent neonatal
transmission.
,2. A 4-year-old child presents with a high fever, ‘barking’ cough, and inspiratory stridor. What
is the most likely diagnosis and first-line treatment?
A. Epiglottitis; Intubation
B. Bronchiolitis; Albuterol
C. Croup; Dexamethasone
D. Pertussis; Azithromycin
Answer: C
Conceptual Explanation: Croup (laryngotracheobronchitis) typically presents with a
barking cough and stridor; a single dose of Dexamethasone is the standard first-line
treatment.
3. Using Naegele’s rule, calculate the estimated date of delivery (EDD) for a patient whose
last menstrual period (LMP) began on March 15th.
A. December 22nd
B. December 15th
C. January 22nd
D. December 8th
Answer: A
Conceptual Explanation: Naegele’s rule: LMP + 7 days - 3 months + 1 year. March 15 + 7
days = March 22. March 22 - 3 months = December 22.
, 4. A 2-week-old infant presents with projectile, non-bilious vomiting and a palpable ‘olive-
shaped’ mass in the epigastrium. What is the most likely diagnosis?
A. Gastroesophageal reflux
B. Hypertrophic pyloric stenosis
C. Intussusception
D. Hirschsprung disease
Answer: B
Conceptual Explanation: Hypertrophic pyloric stenosis typically presents between 2-6
weeks of age with projectile non-bilious vomiting and a palpable olive-shaped mass.
5. According to the CDC immunization schedule, which vaccine is contraindicated for a
pregnant woman?
A. Tdap
B. Inactivated Influenza
C. Hepatitis B
D. MMR
Answer: D
Conceptual Explanation: Live attenuated vaccines, such as MMR and Varicella, are
contraindicated during pregnancy due to the theoretical risk to the fetus.
CHILDBEARING AND CHILDREARING
FAMILY EXAM QUESTIONS AND
ANSWERS
1. A 28-year-old pregnant woman at 36 weeks gestation tests positive for Group B
Streptococcus (GBS). What is the most appropriate management plan?
A. Administer oral penicillin immediately for 10 days
B. Perform an elective Cesarean section at 39 weeks
C. Provide intrapartum antibiotic prophylaxis with IV penicillin during labor
D. Re-test in two weeks to confirm colonization status
Answer: C
Conceptual Explanation: Intrapartum antibiotic prophylaxis is recommended for women
who test positive for GBS during the 36-37 week screening to prevent neonatal
transmission.
,2. A 4-year-old child presents with a high fever, ‘barking’ cough, and inspiratory stridor. What
is the most likely diagnosis and first-line treatment?
A. Epiglottitis; Intubation
B. Bronchiolitis; Albuterol
C. Croup; Dexamethasone
D. Pertussis; Azithromycin
Answer: C
Conceptual Explanation: Croup (laryngotracheobronchitis) typically presents with a
barking cough and stridor; a single dose of Dexamethasone is the standard first-line
treatment.
3. Using Naegele’s rule, calculate the estimated date of delivery (EDD) for a patient whose
last menstrual period (LMP) began on March 15th.
A. December 22nd
B. December 15th
C. January 22nd
D. December 8th
Answer: A
Conceptual Explanation: Naegele’s rule: LMP + 7 days - 3 months + 1 year. March 15 + 7
days = March 22. March 22 - 3 months = December 22.
, 4. A 2-week-old infant presents with projectile, non-bilious vomiting and a palpable ‘olive-
shaped’ mass in the epigastrium. What is the most likely diagnosis?
A. Gastroesophageal reflux
B. Hypertrophic pyloric stenosis
C. Intussusception
D. Hirschsprung disease
Answer: B
Conceptual Explanation: Hypertrophic pyloric stenosis typically presents between 2-6
weeks of age with projectile non-bilious vomiting and a palpable olive-shaped mass.
5. According to the CDC immunization schedule, which vaccine is contraindicated for a
pregnant woman?
A. Tdap
B. Inactivated Influenza
C. Hepatitis B
D. MMR
Answer: D
Conceptual Explanation: Live attenuated vaccines, such as MMR and Varicella, are
contraindicated during pregnancy due to the theoretical risk to the fetus.
