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
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
