NR 602 PRIMARY CARE OF THE
CHILDBEARING AND CHILDREARING
FAMILY PRACTICE EXAM QUESTIONS
AND ANSWERS
1. Which Tanner stage is characterized by the enlargement of the breast and areola as a single
mound with no separation of their contours?
A. Stage 2
B. Stage 4
C. Stage 3
D. Stage 5
Answer: C
Conceptual Explanation: In Tanner Stage 3, there is further enlargement of the breast and
areola, but they still form a single mound. Stage 4 involves the projection of the areola and
papilla to form a secondary mound.
,2. A pregnant patient at 30 weeks gestation presents with a blood pressure of 145/95 mmHg
and 1+ proteinuria. Which is the most likely diagnosis?
A. Gestational Hypertension
B. Preeclampsia without severe features
C. Preeclampsia with severe features
D. Chronic Hypertension
Answer: B
Conceptual Explanation: Preeclampsia is defined as BP ≥ 140/90 after 20 weeks with
proteinuria (≥300mg/24h or 1+ dipstick). The lack of severe features like BP > 160/110 or
organ damage suggests non-severe preeclampsia.
3. When should an Rh-negative pregnant woman receive Rho(D) immune globulin (RhoGAM)
if the father’s blood type is unknown?
A. At 12 weeks and within 24 hours of delivery
B. At 20 weeks and within 48 hours of delivery
C. At 36 weeks only
D. At 28 weeks and within 72 hours of delivery
Answer: D
, Conceptual Explanation: Standard protocol for Rh-negative mothers is to administer
RhoGAM at 28 weeks gestation and again within 72 hours of delivery if the infant is Rh-
positive.
4. A 5-year-old presents with a vibratory, musical systolic murmur heard best at the left lower
sternal border. The murmur decreases when the child stands. What is the most likely
diagnosis?
A. Still’s Murmur
B. Ventricular Septal Defect
C. Pulmonary Stenosis
D. Tetralogy of Fallot
Answer: A
Conceptual Explanation: Still’s murmur is a common benign pediatric murmur
characterized by a musical or vibratory quality, usually heard at the left lower sternal
border, and it often decreases with sitting or standing.
5. Which organism is the most common cause of acute epiglottitis in unimmunized children?
A. Haemophilus influenzae type b
B. Staphylococcus aureus
C. Streptococcus pneumoniae
D. Group A Streptococcus
CHILDBEARING AND CHILDREARING
FAMILY PRACTICE EXAM QUESTIONS
AND ANSWERS
1. Which Tanner stage is characterized by the enlargement of the breast and areola as a single
mound with no separation of their contours?
A. Stage 2
B. Stage 4
C. Stage 3
D. Stage 5
Answer: C
Conceptual Explanation: In Tanner Stage 3, there is further enlargement of the breast and
areola, but they still form a single mound. Stage 4 involves the projection of the areola and
papilla to form a secondary mound.
,2. A pregnant patient at 30 weeks gestation presents with a blood pressure of 145/95 mmHg
and 1+ proteinuria. Which is the most likely diagnosis?
A. Gestational Hypertension
B. Preeclampsia without severe features
C. Preeclampsia with severe features
D. Chronic Hypertension
Answer: B
Conceptual Explanation: Preeclampsia is defined as BP ≥ 140/90 after 20 weeks with
proteinuria (≥300mg/24h or 1+ dipstick). The lack of severe features like BP > 160/110 or
organ damage suggests non-severe preeclampsia.
3. When should an Rh-negative pregnant woman receive Rho(D) immune globulin (RhoGAM)
if the father’s blood type is unknown?
A. At 12 weeks and within 24 hours of delivery
B. At 20 weeks and within 48 hours of delivery
C. At 36 weeks only
D. At 28 weeks and within 72 hours of delivery
Answer: D
, Conceptual Explanation: Standard protocol for Rh-negative mothers is to administer
RhoGAM at 28 weeks gestation and again within 72 hours of delivery if the infant is Rh-
positive.
4. A 5-year-old presents with a vibratory, musical systolic murmur heard best at the left lower
sternal border. The murmur decreases when the child stands. What is the most likely
diagnosis?
A. Still’s Murmur
B. Ventricular Septal Defect
C. Pulmonary Stenosis
D. Tetralogy of Fallot
Answer: A
Conceptual Explanation: Still’s murmur is a common benign pediatric murmur
characterized by a musical or vibratory quality, usually heard at the left lower sternal
border, and it often decreases with sitting or standing.
5. Which organism is the most common cause of acute epiglottitis in unimmunized children?
A. Haemophilus influenzae type b
B. Staphylococcus aureus
C. Streptococcus pneumoniae
D. Group A Streptococcus
