NR 602 Midterm Exam - Primary Care of the Child a… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NR 602 Midterm Exam - Primary Care of the Child and Family
2026/2027 UPDATED
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NR 602 Midterm Exam - Primary Care of the Child a… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 4-month-old infant is brought in for a well-child visit. Which developmental milestone is
most characteristic of this age?
A. Sitting up without support
B. Walking with assistance
C. Pincer grasp development
D. Rolling from front to back
Answer: D
Rationale: At 4 months, infants typically begin to roll from front to back. Sitting unsupported usually
occurs around 6 months, pincer grasp at 9 months, and walking at 12 months. Understanding this
helps the nurse notice early warning signs and act before the problem gets worse. Early action often
prevents bigger complications for the client. Remembering this point will help you decide the best
nursing action when similar questions appear on the exam. Link the answer to the client’s current
condition and risk level.
2. When evaluating a 14-year-old female for secondary amenorrhea, what is the most
common cause that must be ruled out first?
A. Polycystic Ovary Syndrome (PCOS)
B. Anorexia Nervosa
C. Pregnancy
D. Pituitary adenoma
Answer: C
Rationale: Pregnancy is the most common cause of secondary amenorrhea in women of reproductive
age and should always be the first condition excluded via a beta-hCG test. This is important because
the nurse must choose the action that keeps the client safest while still meeting their basic needs.
Always think about safety first when answering these questions. Understanding this helps the nurse
notice early warning signs and act before the problem gets worse. Early action often prevents bigger
complications for the client.
Exam (Elaborations) • Detailed Rationales Page 2
, NR 602 Midterm Exam - Primary Care of the Child a… 2026/2027 • Verified • Assured Grade A+
3. A 5-year-old child presents with a ‘slapped cheek’ appearance and a lacy, erythematous
rash on the trunk. What is the most likely diagnosis?
A. Scarlet Fever
B. Roseola Infantum
C. Measles (Rubeola)
D. Erythema Infectiosum (Fifth Disease)
Answer: D
Rationale: Erythema Infectiosum, caused by Parvovirus B19, is characterized by the classic ‘slapped
cheek’ facial rash followed by a reticulated (lacy) rash on the body. Understanding this helps the nurse
notice early warning signs and act before the problem gets worse. Early action often prevents bigger
complications for the client. Knowing the reason behind the correct answer makes it easier to rule out
the wrong options quickly. Look for the choice that protects the client and matches the priority need.
4. Which of the following is a contraindication for the administration of the MMR vaccine?
A. Pregnancy
B. Current mild upper respiratory infection
C. A history of egg allergy
D. Breastfeeding mother
Answer: A
Rationale: The MMR vaccine is a live attenuated virus vaccine and is contraindicated during
pregnancy due to the theoretical risk to the fetus. Knowing the reason behind the correct answer
makes it easier to rule out the wrong options quickly. Look for the choice that protects the client and
matches the priority need. Understanding this helps the nurse notice early warning signs and act
before the problem gets worse. Early action often prevents bigger complications for the client.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NR 602 Midterm Exam - Primary Care of the Child and Family
2026/2027 UPDATED
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NR 602 Midterm Exam - Primary Care of the Child a… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 4-month-old infant is brought in for a well-child visit. Which developmental milestone is
most characteristic of this age?
A. Sitting up without support
B. Walking with assistance
C. Pincer grasp development
D. Rolling from front to back
Answer: D
Rationale: At 4 months, infants typically begin to roll from front to back. Sitting unsupported usually
occurs around 6 months, pincer grasp at 9 months, and walking at 12 months. Understanding this
helps the nurse notice early warning signs and act before the problem gets worse. Early action often
prevents bigger complications for the client. Remembering this point will help you decide the best
nursing action when similar questions appear on the exam. Link the answer to the client’s current
condition and risk level.
2. When evaluating a 14-year-old female for secondary amenorrhea, what is the most
common cause that must be ruled out first?
A. Polycystic Ovary Syndrome (PCOS)
B. Anorexia Nervosa
C. Pregnancy
D. Pituitary adenoma
Answer: C
Rationale: Pregnancy is the most common cause of secondary amenorrhea in women of reproductive
age and should always be the first condition excluded via a beta-hCG test. This is important because
the nurse must choose the action that keeps the client safest while still meeting their basic needs.
Always think about safety first when answering these questions. Understanding this helps the nurse
notice early warning signs and act before the problem gets worse. Early action often prevents bigger
complications for the client.
Exam (Elaborations) • Detailed Rationales Page 2
, NR 602 Midterm Exam - Primary Care of the Child a… 2026/2027 • Verified • Assured Grade A+
3. A 5-year-old child presents with a ‘slapped cheek’ appearance and a lacy, erythematous
rash on the trunk. What is the most likely diagnosis?
A. Scarlet Fever
B. Roseola Infantum
C. Measles (Rubeola)
D. Erythema Infectiosum (Fifth Disease)
Answer: D
Rationale: Erythema Infectiosum, caused by Parvovirus B19, is characterized by the classic ‘slapped
cheek’ facial rash followed by a reticulated (lacy) rash on the body. Understanding this helps the nurse
notice early warning signs and act before the problem gets worse. Early action often prevents bigger
complications for the client. Knowing the reason behind the correct answer makes it easier to rule out
the wrong options quickly. Look for the choice that protects the client and matches the priority need.
4. Which of the following is a contraindication for the administration of the MMR vaccine?
A. Pregnancy
B. Current mild upper respiratory infection
C. A history of egg allergy
D. Breastfeeding mother
Answer: A
Rationale: The MMR vaccine is a live attenuated virus vaccine and is contraindicated during
pregnancy due to the theoretical risk to the fetus. Knowing the reason behind the correct answer
makes it easier to rule out the wrong options quickly. Look for the choice that protects the client and
matches the priority need. Understanding this helps the nurse notice early warning signs and act
before the problem gets worse. Early action often prevents bigger complications for the client.
Exam (Elaborations) • Detailed Rationales Page 3
