NR 602 PRIMARY CARE OF THE
CHILDBEARING AND CHILDREARING
FAMILY FINAL PREP QUESTIONS AND
ANSWERS
1. Using Naegele’s rule, what is the Estimated Date of Delivery (EDD) for a patient whose Last
Menstrual Period (LMP) began on February 10?
A. November 17
B. November 3
C. October 17
D. December 10
Answer: A
Conceptual Explanation: Naegele’s rule calculates the EDD by subtracting 3 months from
the first day of the LMP and adding 7 days. Feb 10 minus 3 months is Nov 10, plus 7 days
equals Nov 17.
2. Which of the following findings is considered a pathognomonic sign of Measles (Rubeola)?
A. Koplik spots
,B. Strawberry tongue
C. Slapped-cheek appearance
D. Dewdrop on a rose petal rash
Answer: A
Conceptual Explanation: Koplik spots (small white spots on the buccal mucosa) are a
hallmark sign of Measles. Strawberry tongue is associated with Kawasaki disease or Scarlet
fever.
3. A 24-week gestation pregnant woman presents with a BP of 145/95 mmHg and 2+
proteinuria. Which diagnosis is most likely?
A. Preeclampsia
B. Chronic Hypertension
C. Gestational Hypertension
D. Eclampsia
Answer: A
Conceptual Explanation: Preeclampsia is defined as new-onset hypertension (BP
>140/90) and proteinuria after 20 weeks of gestation. Eclampsia would include seizures.
4. At what age should a child typically be able to roll from their stomach to their back?
A. 2 months
B. 6 months
, C. 4 months
D. 9 months
Answer: C
Conceptual Explanation: Rolling from front to back typically occurs around 4 months,
while rolling back to front usually occurs around 5-6 months.
5. Which screening test is recommended for all pregnant women between 24 and 28 weeks of
gestation?
A. Glucose Challenge Test (GCT)
B. Group B Streptococcus culture
C. Alpha-fetoprotein (AFP) screening
D. Cystic Fibrosis carrier screening
Answer: A
Conceptual Explanation: Screening for gestational diabetes using a 1-hour glucose
challenge test is standard practice between 24 and 28 weeks gestation.
6. A 15-month-old child is brought in for a well-visit. Which of the following immunizations
should the child receive according to the CDC schedule?
A. Rotavirus
B. HPV
C. MMR and Varicella
CHILDBEARING AND CHILDREARING
FAMILY FINAL PREP QUESTIONS AND
ANSWERS
1. Using Naegele’s rule, what is the Estimated Date of Delivery (EDD) for a patient whose Last
Menstrual Period (LMP) began on February 10?
A. November 17
B. November 3
C. October 17
D. December 10
Answer: A
Conceptual Explanation: Naegele’s rule calculates the EDD by subtracting 3 months from
the first day of the LMP and adding 7 days. Feb 10 minus 3 months is Nov 10, plus 7 days
equals Nov 17.
2. Which of the following findings is considered a pathognomonic sign of Measles (Rubeola)?
A. Koplik spots
,B. Strawberry tongue
C. Slapped-cheek appearance
D. Dewdrop on a rose petal rash
Answer: A
Conceptual Explanation: Koplik spots (small white spots on the buccal mucosa) are a
hallmark sign of Measles. Strawberry tongue is associated with Kawasaki disease or Scarlet
fever.
3. A 24-week gestation pregnant woman presents with a BP of 145/95 mmHg and 2+
proteinuria. Which diagnosis is most likely?
A. Preeclampsia
B. Chronic Hypertension
C. Gestational Hypertension
D. Eclampsia
Answer: A
Conceptual Explanation: Preeclampsia is defined as new-onset hypertension (BP
>140/90) and proteinuria after 20 weeks of gestation. Eclampsia would include seizures.
4. At what age should a child typically be able to roll from their stomach to their back?
A. 2 months
B. 6 months
, C. 4 months
D. 9 months
Answer: C
Conceptual Explanation: Rolling from front to back typically occurs around 4 months,
while rolling back to front usually occurs around 5-6 months.
5. Which screening test is recommended for all pregnant women between 24 and 28 weeks of
gestation?
A. Glucose Challenge Test (GCT)
B. Group B Streptococcus culture
C. Alpha-fetoprotein (AFP) screening
D. Cystic Fibrosis carrier screening
Answer: A
Conceptual Explanation: Screening for gestational diabetes using a 1-hour glucose
challenge test is standard practice between 24 and 28 weeks gestation.
6. A 15-month-old child is brought in for a well-visit. Which of the following immunizations
should the child receive according to the CDC schedule?
A. Rotavirus
B. HPV
C. MMR and Varicella
