NR 602 PRIMARY CARE OF THE
CHILDBEARING AND CHILDREARING
FAMILY ADVANCED EXAM STUDY
GUIDE
1. A 24-year-old primigravida at 28 weeks gestation presents with a blood pressure of 152/96
mmHg. A 24-hour urine collection reveals 400 mg of protein. Which of the following is the
most likely diagnosis?
A. Gestational Hypertension
B. Eclampsia
C. Chronic Hypertension
D. Preeclampsia without severe features
Answer: D
Conceptual Explanation: Preeclampsia is defined as new-onset hypertension (BP >=
140/90) after 20 weeks gestation with proteinuria (>300 mg/24h). Since there are no
,severe features like BP >160/110 or organ dysfunction, it is classified as ‘without severe
features’.
2. Which developmental milestone is typically achieved by a 6-month-old infant?
A. Walking while holding onto furniture
B. Transferring objects from one hand to another
C. Sitting independently without support
D. Pincer grasp development
Answer: B
Conceptual Explanation: At 6 months, infants typically transfer objects between hands.
Sitting without support usually occurs by 7-8 months, and the pincer grasp at 9-10 months.
3. An 18-month-old is brought in for a well-child visit. Which screening tool should the nurse
practitioner use to screen for Autism Spectrum Disorder (ASD)?
A. M-CHAT-R/F
B. PHQ-9
C. ASQ-3
D. GADS
Answer: A
Conceptual Explanation: The Modified Checklist for Autism in Toddlers (M-CHAT-R/F) is
the standard validated tool for screening ASD at the 18- and 24-month visits.
, 4. Which of the following findings is most characteristic of Pyloric Stenosis in a 4-week-old
infant?
A. Projectile non-bilious vomiting and an olive-shaped mass
B. Currant jelly stools and inconsolable crying
C. Bilious vomiting and abdominal distension
D. Failure to pass meconium within 48 hours of birth
Answer: A
Conceptual Explanation: Pyloric stenosis typically presents between 3-6 weeks of age
with projectile, non-bilious vomiting and a palpable olive-shaped mass in the epigastrium.
5. A 16-year-old female presents with primary amenorrhea. Physical exam reveals short
stature, a webbed neck, and a low posterior hairline. What is the most likely genetic
diagnosis?
A. Turner Syndrome (45, X)
B. Klinefelter Syndrome
C. Fragile X Syndrome
D. Marfan Syndrome
Answer: A
Conceptual Explanation: Turner Syndrome (45, X) presents with short stature, webbed
neck, shielded chest, and primary amenorrhea due to ovarian dysgenesis.
CHILDBEARING AND CHILDREARING
FAMILY ADVANCED EXAM STUDY
GUIDE
1. A 24-year-old primigravida at 28 weeks gestation presents with a blood pressure of 152/96
mmHg. A 24-hour urine collection reveals 400 mg of protein. Which of the following is the
most likely diagnosis?
A. Gestational Hypertension
B. Eclampsia
C. Chronic Hypertension
D. Preeclampsia without severe features
Answer: D
Conceptual Explanation: Preeclampsia is defined as new-onset hypertension (BP >=
140/90) after 20 weeks gestation with proteinuria (>300 mg/24h). Since there are no
,severe features like BP >160/110 or organ dysfunction, it is classified as ‘without severe
features’.
2. Which developmental milestone is typically achieved by a 6-month-old infant?
A. Walking while holding onto furniture
B. Transferring objects from one hand to another
C. Sitting independently without support
D. Pincer grasp development
Answer: B
Conceptual Explanation: At 6 months, infants typically transfer objects between hands.
Sitting without support usually occurs by 7-8 months, and the pincer grasp at 9-10 months.
3. An 18-month-old is brought in for a well-child visit. Which screening tool should the nurse
practitioner use to screen for Autism Spectrum Disorder (ASD)?
A. M-CHAT-R/F
B. PHQ-9
C. ASQ-3
D. GADS
Answer: A
Conceptual Explanation: The Modified Checklist for Autism in Toddlers (M-CHAT-R/F) is
the standard validated tool for screening ASD at the 18- and 24-month visits.
, 4. Which of the following findings is most characteristic of Pyloric Stenosis in a 4-week-old
infant?
A. Projectile non-bilious vomiting and an olive-shaped mass
B. Currant jelly stools and inconsolable crying
C. Bilious vomiting and abdominal distension
D. Failure to pass meconium within 48 hours of birth
Answer: A
Conceptual Explanation: Pyloric stenosis typically presents between 3-6 weeks of age
with projectile, non-bilious vomiting and a palpable olive-shaped mass in the epigastrium.
5. A 16-year-old female presents with primary amenorrhea. Physical exam reveals short
stature, a webbed neck, and a low posterior hairline. What is the most likely genetic
diagnosis?
A. Turner Syndrome (45, X)
B. Klinefelter Syndrome
C. Fragile X Syndrome
D. Marfan Syndrome
Answer: A
Conceptual Explanation: Turner Syndrome (45, X) presents with short stature, webbed
neck, shielded chest, and primary amenorrhea due to ovarian dysgenesis.
