Chamberlain NR 607
Primary Care of the Childbearing
and Childrearing Family
Prediagnostic Assessment Review
(2026/2027)
MSN/DNP Graduate FNP/AGPCNP Program
50 Questions with Correct Answers and Rationales
Evidence-Based Practice Review
Chamberlain University
College of Nursing
,Abstract
This prediagnostic assessment review document serves as a baseline competency
evaluation for graduate nursing students enrolled in Chamberlain University's NR 607:
Primary Care of the Childbearing and Childrearing Family course. The review comprises
50 multiple-choice questions distributed across five clinical domains aligned with the
course blueprint: Well-Woman and Reproductive Health (22%, 11 questions), Prenatal
and Antepartum/Postpartum Care (16%, 8 questions), Pediatric Growth, Development,
and Well-Child Care (28%, 14 questions), Common Pediatric Acute and Chronic
Conditions (18%, 9 questions), and Family-Centered Care, Pharmacology, and
Legal/Ethical Considerations (16%, 8 questions). Each question includes evidence-based
rationales supported by current clinical guidelines from ACOG, AAP, CDC, USPSTF,
and authoritative nursing textbooks. Correct answers are provided with detailed
explanations to facilitate self-assessment and targeted study. This review is designed to
identify knowledge gaps prior to formal assessment, enabling students to focus
remediation efforts on areas of identified weakness.
Keywords
family nurse practitioner, women's health, pediatric primary care, childbearing,
childrearing, prediagnostic assessment, Chamberlain University, ACOG, AAP, evidence-
based practice
Domain Distribution Table
Domain Content Focus Questions Percentage
Domain 1 Well-Woman & 11 22%
Reproductive Health
Domain 2 Prenatal & Antepartum 8 16%
/ Postpartum Care
Domain 3 Pediatric Growth, 14 28%
Development & Well-
Child Care
Domain 4 Common Pediatric 9 18%
Acute & Chronic
, NR 607 Prediagnostic Assessment Review 2026/2027
Conditions
Domain 5 Family-Centered Care, 8 16%
Pharmacology,
Legal/Ethical
Total 50 100%
Domain 1: Well-Woman & Reproductive Health
Question 1
A 28-year-old woman presents for preconception counseling. She has a BMI of 32 and no
chronic medical conditions. Which recommendation is most important for the nurse
practitioner to provide before she attempts conception?
A) Begin folic acid supplementation of at least 400 mcg daily starting now
B) Delay pregnancy until BMI reaches the normal range of 18.5-24.9
C) Discontinue all over-the-counter supplements to avoid teratogenic exposure
D) Schedule genetic carrier screening only after conception is confirmed
Correct Answer: A — Begin folic acid supplementation of at least 400 mcg daily
starting now
Rationale: Folic acid supplementation of at least 400 mcg daily is recommended for all
women of reproductive age who are planning pregnancy to reduce the risk of neural tube
defects. Optimization of BMI is beneficial but should not delay initiation of folic acid.
Carrier screening may be offered preconceptionally for informed decision-making.
[ACOG Practice Bulletin No. 556; USPSTF folic acid recommendation, 2023]
Question 2
A 33-year-old woman requests a highly effective reversible contraceptive method and
expresses interest in the levonorgestrel intrauterine device (LNG-IUD). Which statement
about the LNG-IUD is most accurate?
A) It requires removal and replacement every 3 years regardless of the specific
brand
B) It provides immediate return to fertility upon removal in most women
3
, NR 607 Prediagnostic Assessment Review 2026/2027
C) It increases the risk of ectopic pregnancy compared to no contraception
D) It is contraindicated in women with a history of dysmenorrhea
Correct Answer: B — It provides immediate return to fertility upon removal in
most women
Rationale: The LNG-IUD offers immediate return to fertility upon removal for the
majority of users, making it an excellent choice for women desiring reversible long-
acting contraception. Duration varies by brand (3-8 years). IUDs actually reduce the
absolute risk of ectopic pregnancy. LNG-IUDs often reduce dysmenorrhea, not worsen it.
[ACOG Practice Bulletin No. 186; CDC contraceptive guidance, 2024]
Question 3
A 24-year-old patient on combined oral contraceptive pills (COCPs) calls the clinic
reporting she missed her pill yesterday. She took her pill today and asks what she should
do next. According to CDC missed-pill guidelines, what is the correct advice?
A) Take one pill now and use backup contraception for the next 48 hours
B) Take two pills today and continue the rest of the pack normally
C) Discard the current pack, wait for her withdrawal bleed, then start a new pack
D) Take one pill now and backup contraception is unnecessary if she takes the
next pill on time
Correct Answer: A — Take one pill now and use backup contraception for the next
48 hours
Rationale: When one combined hormonal pill is missed (>24 hours late but <48 hours),
the patient should take the missed pill as soon as possible and use backup contraception
(condoms) for the next 48 hours. Taking two pills is reserved for two or more missed
pills. Discarding the pack is unnecessary and would increase the risk of unintended
pregnancy. [CDC Selected Practice Recommendations for Contraceptive Use, 2024]
Question 4
A 35-year-old woman presents for a well-woman examination and asks about cervical
cancer screening. Her last Pap smear 4 years ago was normal, and she has never tested
4
Primary Care of the Childbearing
and Childrearing Family
Prediagnostic Assessment Review
(2026/2027)
MSN/DNP Graduate FNP/AGPCNP Program
50 Questions with Correct Answers and Rationales
Evidence-Based Practice Review
Chamberlain University
College of Nursing
,Abstract
This prediagnostic assessment review document serves as a baseline competency
evaluation for graduate nursing students enrolled in Chamberlain University's NR 607:
Primary Care of the Childbearing and Childrearing Family course. The review comprises
50 multiple-choice questions distributed across five clinical domains aligned with the
course blueprint: Well-Woman and Reproductive Health (22%, 11 questions), Prenatal
and Antepartum/Postpartum Care (16%, 8 questions), Pediatric Growth, Development,
and Well-Child Care (28%, 14 questions), Common Pediatric Acute and Chronic
Conditions (18%, 9 questions), and Family-Centered Care, Pharmacology, and
Legal/Ethical Considerations (16%, 8 questions). Each question includes evidence-based
rationales supported by current clinical guidelines from ACOG, AAP, CDC, USPSTF,
and authoritative nursing textbooks. Correct answers are provided with detailed
explanations to facilitate self-assessment and targeted study. This review is designed to
identify knowledge gaps prior to formal assessment, enabling students to focus
remediation efforts on areas of identified weakness.
Keywords
family nurse practitioner, women's health, pediatric primary care, childbearing,
childrearing, prediagnostic assessment, Chamberlain University, ACOG, AAP, evidence-
based practice
Domain Distribution Table
Domain Content Focus Questions Percentage
Domain 1 Well-Woman & 11 22%
Reproductive Health
Domain 2 Prenatal & Antepartum 8 16%
/ Postpartum Care
Domain 3 Pediatric Growth, 14 28%
Development & Well-
Child Care
Domain 4 Common Pediatric 9 18%
Acute & Chronic
, NR 607 Prediagnostic Assessment Review 2026/2027
Conditions
Domain 5 Family-Centered Care, 8 16%
Pharmacology,
Legal/Ethical
Total 50 100%
Domain 1: Well-Woman & Reproductive Health
Question 1
A 28-year-old woman presents for preconception counseling. She has a BMI of 32 and no
chronic medical conditions. Which recommendation is most important for the nurse
practitioner to provide before she attempts conception?
A) Begin folic acid supplementation of at least 400 mcg daily starting now
B) Delay pregnancy until BMI reaches the normal range of 18.5-24.9
C) Discontinue all over-the-counter supplements to avoid teratogenic exposure
D) Schedule genetic carrier screening only after conception is confirmed
Correct Answer: A — Begin folic acid supplementation of at least 400 mcg daily
starting now
Rationale: Folic acid supplementation of at least 400 mcg daily is recommended for all
women of reproductive age who are planning pregnancy to reduce the risk of neural tube
defects. Optimization of BMI is beneficial but should not delay initiation of folic acid.
Carrier screening may be offered preconceptionally for informed decision-making.
[ACOG Practice Bulletin No. 556; USPSTF folic acid recommendation, 2023]
Question 2
A 33-year-old woman requests a highly effective reversible contraceptive method and
expresses interest in the levonorgestrel intrauterine device (LNG-IUD). Which statement
about the LNG-IUD is most accurate?
A) It requires removal and replacement every 3 years regardless of the specific
brand
B) It provides immediate return to fertility upon removal in most women
3
, NR 607 Prediagnostic Assessment Review 2026/2027
C) It increases the risk of ectopic pregnancy compared to no contraception
D) It is contraindicated in women with a history of dysmenorrhea
Correct Answer: B — It provides immediate return to fertility upon removal in
most women
Rationale: The LNG-IUD offers immediate return to fertility upon removal for the
majority of users, making it an excellent choice for women desiring reversible long-
acting contraception. Duration varies by brand (3-8 years). IUDs actually reduce the
absolute risk of ectopic pregnancy. LNG-IUDs often reduce dysmenorrhea, not worsen it.
[ACOG Practice Bulletin No. 186; CDC contraceptive guidance, 2024]
Question 3
A 24-year-old patient on combined oral contraceptive pills (COCPs) calls the clinic
reporting she missed her pill yesterday. She took her pill today and asks what she should
do next. According to CDC missed-pill guidelines, what is the correct advice?
A) Take one pill now and use backup contraception for the next 48 hours
B) Take two pills today and continue the rest of the pack normally
C) Discard the current pack, wait for her withdrawal bleed, then start a new pack
D) Take one pill now and backup contraception is unnecessary if she takes the
next pill on time
Correct Answer: A — Take one pill now and use backup contraception for the next
48 hours
Rationale: When one combined hormonal pill is missed (>24 hours late but <48 hours),
the patient should take the missed pill as soon as possible and use backup contraception
(condoms) for the next 48 hours. Taking two pills is reserved for two or more missed
pills. Discarding the pack is unnecessary and would increase the risk of unintended
pregnancy. [CDC Selected Practice Recommendations for Contraceptive Use, 2024]
Question 4
A 35-year-old woman presents for a well-woman examination and asks about cervical
cancer screening. Her last Pap smear 4 years ago was normal, and she has never tested
4
