NR602 / NR-602 Primary Care of the
Childbearing & Childrearing Family
Practicum Midterm Exam Chamberlain
Questions and Verified Answers
(2026/2027) | 100% Correct | Grade A
SECTION 1: PEDIATRIC DEVELOPMENTAL ASSESSMENT
& EXAMINATION TECHNIQUES (Questions 1-20)
Question 1
Role-play with equipment during the course of a physical
examination would be most beneficial with which of the
following age groups?
A) Infants (0-12 months)
B) Toddlers and Preschoolers (1-5 years)
C) School-age children (6-12 years)
D) Adolescents (13-18 years)
Answer: B
Rationale: Toddlers and preschoolers benefit most from role-play
with equipment during physical examinations. This age group
has developing cognitive abilities and often experiences fear of
strangers and medical equipment. Using role-play with
,equipment helps reduce anxiety, builds trust, and allows the child
to become familiar with examination tools in a non-threatening
way.
Question 2
When performing a physical examination of a toddler, which of
the following body parts should be examined last?
A) Head and neck
B) Chest and abdomen
C) Ears and throat
D) Extremities
Answer: C
Rationale: The ears and throat should be examined last in a
toddler. These areas are the most invasive and uncomfortable for
young children, often triggering fear and resistance. By
examining the ears and throat at the end of the physical
examination, the clinician can build rapport and complete less
invasive parts of the exam first, reducing overall distress and
improving cooperation.
Question 3
What is the Ortolani Sign used to assess?
,A) Congenital heart defects
B) Congenital hip dysplasia
C) Developmental dysplasia of the knee
D) Spinal deformities
Answer: B
Rationale: The Ortolani Sign is a physical examination maneuver
used to assess for congenital hip dysplasia (developmental
dysplasia of the hip) in newborns and infants. The test involves
gently abducting the infant's flexed hips while applying anterior
pressure to the greater trochanters. A positive Ortolani sign is a
palpable "clunk" as the dislocated femoral head reduces into the
acetabulum.
Question 4
While examining a 4-month-old boy, you are unable to palpate
one of his testes. The next most appropriate step is:
A) Reassure the parents and schedule a follow-up in 6 months
B) Refer the child to a urologist
C) Order an ultrasound immediately
D) Perform a surgical exploration
Answer: B
Rationale: If a testis is non-palpable in a 4-month-old infant, the
most appropriate next step is referral to a urologist.
Cryptorchidism (undescended testis) should be evaluated by a
specialist to determine the need for further intervention. Surgical
, correction (orchidopexy) is typically recommended between 6-12
months of age to preserve fertility and reduce the risk of
malignancy.
Question 5
A 7-year-old African American female presents with several
hyperkeratotic raised, periungual lesions on the two middle
fingers of her left hand. She has a history of nail biting. The
most likely diagnosis is:
A) Herpetic whitlow
B) Paronychia
C) Verruca vulgaris (common warts)
D) Molluscum contagiosum
Answer: C
Rationale: Verruca vulgaris (common warts) is the most likely
diagnosis. These lesions are caused by the human papillomavirus
(HPV) and commonly appear as hyperkeratotic, raised, rough-
surfaced papules. Periungual warts are particularly common in
children who bite their nails or pick at cuticles. The location
around the nails and the history of nail biting are classic findings.
Question 6
When examining an adolescent between the ages of 10-13
Childbearing & Childrearing Family
Practicum Midterm Exam Chamberlain
Questions and Verified Answers
(2026/2027) | 100% Correct | Grade A
SECTION 1: PEDIATRIC DEVELOPMENTAL ASSESSMENT
& EXAMINATION TECHNIQUES (Questions 1-20)
Question 1
Role-play with equipment during the course of a physical
examination would be most beneficial with which of the
following age groups?
A) Infants (0-12 months)
B) Toddlers and Preschoolers (1-5 years)
C) School-age children (6-12 years)
D) Adolescents (13-18 years)
Answer: B
Rationale: Toddlers and preschoolers benefit most from role-play
with equipment during physical examinations. This age group
has developing cognitive abilities and often experiences fear of
strangers and medical equipment. Using role-play with
,equipment helps reduce anxiety, builds trust, and allows the child
to become familiar with examination tools in a non-threatening
way.
Question 2
When performing a physical examination of a toddler, which of
the following body parts should be examined last?
A) Head and neck
B) Chest and abdomen
C) Ears and throat
D) Extremities
Answer: C
Rationale: The ears and throat should be examined last in a
toddler. These areas are the most invasive and uncomfortable for
young children, often triggering fear and resistance. By
examining the ears and throat at the end of the physical
examination, the clinician can build rapport and complete less
invasive parts of the exam first, reducing overall distress and
improving cooperation.
Question 3
What is the Ortolani Sign used to assess?
,A) Congenital heart defects
B) Congenital hip dysplasia
C) Developmental dysplasia of the knee
D) Spinal deformities
Answer: B
Rationale: The Ortolani Sign is a physical examination maneuver
used to assess for congenital hip dysplasia (developmental
dysplasia of the hip) in newborns and infants. The test involves
gently abducting the infant's flexed hips while applying anterior
pressure to the greater trochanters. A positive Ortolani sign is a
palpable "clunk" as the dislocated femoral head reduces into the
acetabulum.
Question 4
While examining a 4-month-old boy, you are unable to palpate
one of his testes. The next most appropriate step is:
A) Reassure the parents and schedule a follow-up in 6 months
B) Refer the child to a urologist
C) Order an ultrasound immediately
D) Perform a surgical exploration
Answer: B
Rationale: If a testis is non-palpable in a 4-month-old infant, the
most appropriate next step is referral to a urologist.
Cryptorchidism (undescended testis) should be evaluated by a
specialist to determine the need for further intervention. Surgical
, correction (orchidopexy) is typically recommended between 6-12
months of age to preserve fertility and reduce the risk of
malignancy.
Question 5
A 7-year-old African American female presents with several
hyperkeratotic raised, periungual lesions on the two middle
fingers of her left hand. She has a history of nail biting. The
most likely diagnosis is:
A) Herpetic whitlow
B) Paronychia
C) Verruca vulgaris (common warts)
D) Molluscum contagiosum
Answer: C
Rationale: Verruca vulgaris (common warts) is the most likely
diagnosis. These lesions are caused by the human papillomavirus
(HPV) and commonly appear as hyperkeratotic, raised, rough-
surfaced papules. Periungual warts are particularly common in
children who bite their nails or pick at cuticles. The location
around the nails and the history of nail biting are classic findings.
Question 6
When examining an adolescent between the ages of 10-13
