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Chamberlain NR602 Actual Exam Questions and
Answers with Rationales 2026/2027 | Primary
Care Childbearing & Childrearing Family
Midterm | FNP Pediatric & OB | Pass Guarantee
Q001: A 28-year-old G2P1 at 10 weeks gestation presents with nausea and
vomiting 4–5 times daily, able to keep down some fluids. Urine ketones 1+, weight
down 2 lb from pre-pregnancy. Which pharmacologic therapy is first-line?
Options:
A. Ondansetron 4 mg PO q8h
B. Pyridoxine 10–25 mg PO q8h with doxylamine 12.5 mg
C. Metoclopramide 10 mg PO q6h
D. Promethazine 25 mg PO q6h
ANSWER: B
Q002: A 4-month-old exclusively breast-fed infant presents for a well-child visit.
Weight is at the 25th percentile, length at the 50th percentile. Mother reports 6 –8
wet diapers daily and smiles responsively. Which developmental milestone is most
appropriate to expect next?
Options:
A. Sitting without support
B. Transferring objects hand to hand
C. Rolling from abdomen to back
D. Pincer grasp
ANSWER: C
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Q003: A 16-year-old nulliparous patient presents with irregular menses every 35–
45 days, acne, and BMI 31 kg/m². Pelvic ultrasound shows ovarian volume 11 mL
with ≥12 small follicles. Which laboratory test best confirms the likely diagnosis?
Options:
A. Serum progesterone on day 21
B. Free testosterone and DHEA-S
C. Serum TSH and prolactin
D. FSH and LH on day 3
ANSWER: B
Q004: A 2-week-old newborn is brought in with yellowish sclera and poor feeding.
Total bilirubin is 18 mg/dL (direct 2 mg/dL). Which intervention is most
appropriate at this time?
Options:
A. Immediate exchange transfusion
B. Initiate phototherapy
C. Schedule biliary scan next week
D. Reassure and recheck in 1 week
ANSWER: B
Q005: A 6-year-old presents with a 2-day history of diffuse itchy rash and low-
grade fever. Lesions are vesicles in various stages. Which statement by the parent
indicates adequate understanding of return-to-school guidelines?
Options:
A. “She can go back when the fever is gone.”
B. “She can return when all lesions are crusted, usually about 1 week.”
C. “She needs 24 hours of antibiotics first.”
D. “She is contagious only during the first 2 days.”
, 3
ANSWER: B
Q006: A 14-month-old has not received any immunizations due to parental refusal.
Which vaccine should be administered first at this visit?
Options:
A. MMR only
B. DTaP-Hib-IPV combo
C. PCV15
D. Hepatitis A
ANSWER: B
Q007: A 32-year-old G1P0 at 36 weeks reports sudden onset of severe headache,
right upper-quadrant pain, and nausea. BP 160/110, platelets 90,000/µL, AST 120
U/L. Which next step is most urgent?
Options:
A. Start oral labetalol and recheck in 24 h
B. Administer magnesium sulfate and plan immediate delivery
C. Order ultrasound for growth in 1 week
D. Send home on bed rest
ANSWER: B
Q008: A 9-month-old presents with persistent diaper rash for 2 weeks despite
frequent changes and zinc oxide. Satellite lesions are noted. Which treatment is
most appropriate?
Options:
A. Topical mupirocin ointment
B. Topical nystatin cream TID × 2 weeks
C. Oral cephalexin
D. Topical hydrocortisone 1 %
Chamberlain NR602 Actual Exam Questions and
Answers with Rationales 2026/2027 | Primary
Care Childbearing & Childrearing Family
Midterm | FNP Pediatric & OB | Pass Guarantee
Q001: A 28-year-old G2P1 at 10 weeks gestation presents with nausea and
vomiting 4–5 times daily, able to keep down some fluids. Urine ketones 1+, weight
down 2 lb from pre-pregnancy. Which pharmacologic therapy is first-line?
Options:
A. Ondansetron 4 mg PO q8h
B. Pyridoxine 10–25 mg PO q8h with doxylamine 12.5 mg
C. Metoclopramide 10 mg PO q6h
D. Promethazine 25 mg PO q6h
ANSWER: B
Q002: A 4-month-old exclusively breast-fed infant presents for a well-child visit.
Weight is at the 25th percentile, length at the 50th percentile. Mother reports 6 –8
wet diapers daily and smiles responsively. Which developmental milestone is most
appropriate to expect next?
Options:
A. Sitting without support
B. Transferring objects hand to hand
C. Rolling from abdomen to back
D. Pincer grasp
ANSWER: C
, 2
Q003: A 16-year-old nulliparous patient presents with irregular menses every 35–
45 days, acne, and BMI 31 kg/m². Pelvic ultrasound shows ovarian volume 11 mL
with ≥12 small follicles. Which laboratory test best confirms the likely diagnosis?
Options:
A. Serum progesterone on day 21
B. Free testosterone and DHEA-S
C. Serum TSH and prolactin
D. FSH and LH on day 3
ANSWER: B
Q004: A 2-week-old newborn is brought in with yellowish sclera and poor feeding.
Total bilirubin is 18 mg/dL (direct 2 mg/dL). Which intervention is most
appropriate at this time?
Options:
A. Immediate exchange transfusion
B. Initiate phototherapy
C. Schedule biliary scan next week
D. Reassure and recheck in 1 week
ANSWER: B
Q005: A 6-year-old presents with a 2-day history of diffuse itchy rash and low-
grade fever. Lesions are vesicles in various stages. Which statement by the parent
indicates adequate understanding of return-to-school guidelines?
Options:
A. “She can go back when the fever is gone.”
B. “She can return when all lesions are crusted, usually about 1 week.”
C. “She needs 24 hours of antibiotics first.”
D. “She is contagious only during the first 2 days.”
, 3
ANSWER: B
Q006: A 14-month-old has not received any immunizations due to parental refusal.
Which vaccine should be administered first at this visit?
Options:
A. MMR only
B. DTaP-Hib-IPV combo
C. PCV15
D. Hepatitis A
ANSWER: B
Q007: A 32-year-old G1P0 at 36 weeks reports sudden onset of severe headache,
right upper-quadrant pain, and nausea. BP 160/110, platelets 90,000/µL, AST 120
U/L. Which next step is most urgent?
Options:
A. Start oral labetalol and recheck in 24 h
B. Administer magnesium sulfate and plan immediate delivery
C. Order ultrasound for growth in 1 week
D. Send home on bed rest
ANSWER: B
Q008: A 9-month-old presents with persistent diaper rash for 2 weeks despite
frequent changes and zinc oxide. Satellite lesions are noted. Which treatment is
most appropriate?
Options:
A. Topical mupirocin ointment
B. Topical nystatin cream TID × 2 weeks
C. Oral cephalexin
D. Topical hydrocortisone 1 %
