NR 602 PRIMARY CARE OF THE CHILDBEARING
FAMILY FINAL EXAM , CHAMBERLAIN
UNIVERSITY QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALES 100%
GUARANTEED PASS!! LATEST VERSION
Question 1
A 7-year-old child presents with vomiting and diarrhea for 24 hours. The child is
alert but irritable. Examination reveals dry mucous membranes, slightly sunken
eyes, delayed capillary refill of 2 seconds, and decreased urine output. Which
degree of dehydration is most consistent with these findings?
A. No dehydration
B. Mild dehydration
C. Moderate dehydration
D. Severe dehydration
Answer: C. Moderate dehydration
Rationale: Moderate dehydration is characterized by dry mucous membranes,
decreased tears, sunken eyes, delayed capillary refill, reduced urine output, and
irritability. Severe dehydration would include lethargy, hypotension, weak pulses,
and marked tachycardia requiring immediate IV fluid resuscitation.
Question 2
A 3-week-old infant cries intensely during the evening hours for approximately 3
hours daily despite feeding well and demonstrating appropriate weight gain. The
physical examination is normal. Which recommendation is most appropriate?
A. Begin proton pump inhibitor therapy
B. Reassure the parents and discuss soothing techniques
,C. Change immediately to soy-based formula
D. Schedule an abdominal ultrasound
Answer: B. Reassure the parents and discuss soothing techniques
Rationale: Infantile colic typically peaks around 6 weeks and resolves by 3 to 4
months. Management includes parental reassurance, swaddling, rhythmic motion,
and calming strategies. Medication and diagnostic testing are unnecessary in
healthy thriving infants without red flags.
Question 3
A previously healthy 11-year-old presents with sudden onset abdominal pain that
migrated from the periumbilical region to the right lower quadrant. The child has
nausea, fever, and localized rebound tenderness. Which diagnosis is most likely?
A. Gastroenteritis
B. Mesenteric adenitis
C. Acute appendicitis
D. Constipation
Answer: C. Acute appendicitis
Rationale: Migration of pain to the right lower quadrant accompanied by fever,
nausea, rebound tenderness, and localized guarding strongly suggests appendicitis.
Early surgical consultation is indicated.
Question 4
An 8-month-old infant suddenly develops severe intermittent abdominal pain with
episodes of drawing the knees toward the chest. Between episodes, the infant
appears comfortable. Later, bloody "currant jelly" stools develop. Which diagnosis
is most likely?
A. Hirschsprung disease
B. Intussusception
,C. Pyloric stenosis
D. Viral gastroenteritis
Answer: B. Intussusception
Rationale: The classic triad includes intermittent colicky abdominal pain, currant
jelly stools, and a sausage-shaped abdominal mass, although all features may not
be present initially. Air contrast enema is both diagnostic and therapeutic.
Question 5
A 9-year-old continues to wet the bed several nights each week. He has never
achieved nighttime continence. His physical examination and urinalysis are
normal. Which diagnosis is most appropriate?
A. Secondary nocturnal enuresis
B. Functional urinary incontinence
C. Primary nocturnal enuresis
D. Neurogenic bladder
Answer: C. Primary nocturnal enuresis
Rationale: Primary nocturnal enuresis refers to children who have never
maintained nighttime dryness for at least six consecutive months. Initial
management emphasizes reassurance, behavioral interventions, and enuresis
alarms.
Question 6
A 12-year-old girl had remained dry overnight for two years but recently began
bedwetting following her parents' divorce. Urinalysis is normal. What is the most
likely explanation?
A. Primary enuresis
B. Secondary enuresis
C. Diabetes insipidus
D. Congenital urinary tract anomaly
, Answer: B. Secondary enuresis
Rationale: Secondary enuresis occurs after at least six months of dryness and
commonly results from psychological stress, urinary tract infections, diabetes
mellitus, or other medical conditions.
Question 7
A 15-year-old male presents with sudden severe unilateral scrotal pain, nausea, and
swelling that began one hour ago during basketball practice. Which action is most
appropriate?
A. Prescribe oral antibiotics
B. Order scrotal ultrasound before referral
C. Arrange immediate emergency surgical evaluation
D. Recommend supportive underwear and NSAIDs
Answer: C. Arrange immediate emergency surgical evaluation
Rationale: Testicular torsion is a surgical emergency. Testicular viability declines
rapidly after six hours of ischemia. Immediate urologic consultation should not be
delayed for imaging when clinical suspicion is high.
Question 8
A 24-year-old woman presents for her first prenatal visit at 10 weeks' gestation.
Which finding requires the most immediate evaluation?
A. Mild nausea in the morning
B. Urinary frequency without dysuria
C. Vaginal bleeding accompanied by unilateral pelvic pain
D. Breast tenderness
Answer: C. Vaginal bleeding accompanied by unilateral pelvic pain
FAMILY FINAL EXAM , CHAMBERLAIN
UNIVERSITY QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALES 100%
GUARANTEED PASS!! LATEST VERSION
Question 1
A 7-year-old child presents with vomiting and diarrhea for 24 hours. The child is
alert but irritable. Examination reveals dry mucous membranes, slightly sunken
eyes, delayed capillary refill of 2 seconds, and decreased urine output. Which
degree of dehydration is most consistent with these findings?
A. No dehydration
B. Mild dehydration
C. Moderate dehydration
D. Severe dehydration
Answer: C. Moderate dehydration
Rationale: Moderate dehydration is characterized by dry mucous membranes,
decreased tears, sunken eyes, delayed capillary refill, reduced urine output, and
irritability. Severe dehydration would include lethargy, hypotension, weak pulses,
and marked tachycardia requiring immediate IV fluid resuscitation.
Question 2
A 3-week-old infant cries intensely during the evening hours for approximately 3
hours daily despite feeding well and demonstrating appropriate weight gain. The
physical examination is normal. Which recommendation is most appropriate?
A. Begin proton pump inhibitor therapy
B. Reassure the parents and discuss soothing techniques
,C. Change immediately to soy-based formula
D. Schedule an abdominal ultrasound
Answer: B. Reassure the parents and discuss soothing techniques
Rationale: Infantile colic typically peaks around 6 weeks and resolves by 3 to 4
months. Management includes parental reassurance, swaddling, rhythmic motion,
and calming strategies. Medication and diagnostic testing are unnecessary in
healthy thriving infants without red flags.
Question 3
A previously healthy 11-year-old presents with sudden onset abdominal pain that
migrated from the periumbilical region to the right lower quadrant. The child has
nausea, fever, and localized rebound tenderness. Which diagnosis is most likely?
A. Gastroenteritis
B. Mesenteric adenitis
C. Acute appendicitis
D. Constipation
Answer: C. Acute appendicitis
Rationale: Migration of pain to the right lower quadrant accompanied by fever,
nausea, rebound tenderness, and localized guarding strongly suggests appendicitis.
Early surgical consultation is indicated.
Question 4
An 8-month-old infant suddenly develops severe intermittent abdominal pain with
episodes of drawing the knees toward the chest. Between episodes, the infant
appears comfortable. Later, bloody "currant jelly" stools develop. Which diagnosis
is most likely?
A. Hirschsprung disease
B. Intussusception
,C. Pyloric stenosis
D. Viral gastroenteritis
Answer: B. Intussusception
Rationale: The classic triad includes intermittent colicky abdominal pain, currant
jelly stools, and a sausage-shaped abdominal mass, although all features may not
be present initially. Air contrast enema is both diagnostic and therapeutic.
Question 5
A 9-year-old continues to wet the bed several nights each week. He has never
achieved nighttime continence. His physical examination and urinalysis are
normal. Which diagnosis is most appropriate?
A. Secondary nocturnal enuresis
B. Functional urinary incontinence
C. Primary nocturnal enuresis
D. Neurogenic bladder
Answer: C. Primary nocturnal enuresis
Rationale: Primary nocturnal enuresis refers to children who have never
maintained nighttime dryness for at least six consecutive months. Initial
management emphasizes reassurance, behavioral interventions, and enuresis
alarms.
Question 6
A 12-year-old girl had remained dry overnight for two years but recently began
bedwetting following her parents' divorce. Urinalysis is normal. What is the most
likely explanation?
A. Primary enuresis
B. Secondary enuresis
C. Diabetes insipidus
D. Congenital urinary tract anomaly
, Answer: B. Secondary enuresis
Rationale: Secondary enuresis occurs after at least six months of dryness and
commonly results from psychological stress, urinary tract infections, diabetes
mellitus, or other medical conditions.
Question 7
A 15-year-old male presents with sudden severe unilateral scrotal pain, nausea, and
swelling that began one hour ago during basketball practice. Which action is most
appropriate?
A. Prescribe oral antibiotics
B. Order scrotal ultrasound before referral
C. Arrange immediate emergency surgical evaluation
D. Recommend supportive underwear and NSAIDs
Answer: C. Arrange immediate emergency surgical evaluation
Rationale: Testicular torsion is a surgical emergency. Testicular viability declines
rapidly after six hours of ischemia. Immediate urologic consultation should not be
delayed for imaging when clinical suspicion is high.
Question 8
A 24-year-old woman presents for her first prenatal visit at 10 weeks' gestation.
Which finding requires the most immediate evaluation?
A. Mild nausea in the morning
B. Urinary frequency without dysuria
C. Vaginal bleeding accompanied by unilateral pelvic pain
D. Breast tenderness
Answer: C. Vaginal bleeding accompanied by unilateral pelvic pain
