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Exam (elaborations)

NR 602 Primary Care Final Exam: Childbearing and Childrearing Family 2026/2027 UPDATED

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NR 602 Primary Care Final Exam: Childbearing and Childrearing Family 2026/2027 UPDATED

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NR 602 Primary Care Final Exam: Childbearing and … 2026/2027 • Verified • Assured Grade A+




✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE




NR 602 Primary Care Final Exam: Childbearing and
Childrearing 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 Primary Care Final Exam: Childbearing and … 2026/2027 • Verified • Assured Grade A+




Questions & Verified Answers


1. A 15-month-old is brought to the clinic for a routine check-up. Which of the following
developmental milestones should the nurse practitioner expect the child to have achieved?

A. Walking independently and using a cup
B. Building a tower of six blocks
C. Speaking in three-word sentences
D. Jumping in place with both feet

Answer: A
Rationale: By 15 months, most toddlers can walk well independently and use a cup with some spilling.
Building a tower of six blocks is typically a 24-month milestone, while three- word sentences and
jumping are usually achieved by age 2 to 3 years. This knowledge supports safe care and helps the
nurse teach the client and family clearly and simply. Clear teaching improves cooperation and reduces
anxiety. 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.




2. When screening for scoliosis in an adolescent, which physical finding is most indicative
of the condition during the Adam’s Forward Bend Test?

A. Increased lumbar lordosis
B. Rib hump or paraspinal muscle prominence
C. Tenderness over the spinous processes
D. Equality of shoulder height

Answer: B
Rationale: The Adam’s Forward Bend Test looks for asymmetry of the rib cage or back, specifically a
rib hump, which indicates the rotational component of scoliosis. This knowledge supports safe care
and helps the nurse teach the client and family clearly and simply. Clear teaching improves
cooperation and reduces anxiety. Exam questions often test whether you can pick the most practical
and safe choice for the client in real situations. Focus on what the nurse can actually do right now.




Exam (Elaborations) • Detailed Rationales Page 2

, NR 602 Primary Care Final Exam: Childbearing and … 2026/2027 • Verified • Assured Grade A+




3. Which of the following is the most appropriate initial treatment for a 4-year-old diagnosed
with Acute Otitis Media (AOM) who has a penicillin allergy (non-type 1 hypersensitivity)?

A. Amoxicillin 90 mg/kg/day
B. Azithromycin 10 mg/kg/day
C. Cefdinir 14 mg/kg/day
D. Clindamycin 30 mg/kg/day

Answer: C
Rationale: For children with a non-type 1 penicillin allergy, cephalosporins like Cefdinir are
recommended. Amoxicillin is the first-line for those without allergies. Azithromycin is reserved for type
1 hypersensitivity. 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. Exam
questions often test whether you can pick the most practical and safe choice for the client in real
situations. Focus on what the nurse can actually do right now.




4. In a pregnant woman at 28 weeks gestation, which laboratory finding would necessitate
the administration of Rho(D) immune globulin (RhoGAM)?

A. Maternal blood type B negative and positive indirect Coombs test
B. Maternal blood type A positive and positive direct Coombs test
C. Maternal blood type O negative and negative indirect Coombs test
D. immune globulin (RhoGAM)?

Answer: C
Rationale: RhoGAM is administered to Rh-negative mothers who are unsensitized (negative indirect
Coombs test) at 28 weeks to prevent isoimmunization. If the indirect Coombs is already positive,
sensitization has occurred. This knowledge supports safe care and helps the nurse teach the client
and family clearly and simply. Clear teaching improves cooperation and reduces anxiety. Exam
questions often test whether you can pick the most practical and safe choice for the client in real
situations. Focus on what the nurse can actually do right now.




Exam (Elaborations) • Detailed Rationales Page 3

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