NR 603 WEEK 1 QUIZ: PRIMARY CARE
OF CHILDBEARING & CHILDREARING
FAMILY
1. A 26-year-old primigravida at 28 weeks gestation presents for a routine visit. Her blood
type is A-negative. Which of the following is the most appropriate next step regarding Rho(D)
immune globulin (RhoGAM)?
A. Administer RhoGAM now and again within 72 hours of delivery if the infant is Rh-
positive.
B. Administer RhoGAM only if the father is Rh-positive.
C. Wait to administer RhoGAM until after delivery.
D. RhoGAM is not indicated unless there is evidence of fetal-maternal hemorrhage.
Answer: A
Conceptual Explanation: Standard practice for Rh-negative pregnant women is to
administer Rho(D) immune globulin at 28 weeks gestation and again within 72 hours of
delivery if the neonate is Rh-positive to prevent sensitization.
,2. Which of the following screening tests is routinely performed between 24 and 28 weeks of
gestation?
A. Group B Streptococcus (GBS) culture
B. Nuchal translucency screening
C. Quadruple marker screen
D. Glucose Challenge Test (GCT)
Answer: D
Conceptual Explanation: Screening for Gestational Diabetes Mellitus (GDM) using a 1-
hour glucose challenge test is typically performed between 24 and 28 weeks gestation.
3. A 32-year-old woman at 34 weeks gestation presents with sudden onset, painful vaginal
bleeding and a firm, tender uterus. What is the most likely diagnosis?
A. Placenta previa
B. Uterine rupture
C. Vasa previa
D. Placental abruption
Answer: D
Conceptual Explanation: Placental abruption is characterized by painful vaginal bleeding
and uterine tenderness, whereas placenta previa is typically painless.
, 4. According to the CDC, when should the Tdap vaccine be administered during each
pregnancy to provide passive immunity to the neonate?
A. Between 27 and 36 weeks gestation
B. Between 12 and 16 weeks gestation
C. Immediately postpartum
D. During the first trimester
Answer: A
Conceptual Explanation: Tdap is recommended during each pregnancy, ideally between
27 and 36 weeks, to maximize the transfer of maternal antibodies to the fetus.
5. A 4-month-old infant is brought in for a well-child check. Which developmental milestone
is most consistent with this age?
A. Sitting without support
B. Using a pincer grasp
C. Rolling from prone to supine
D. Saying ‘mama’ or ‘dada’ specifically
Answer: C
Conceptual Explanation: At 4 months, infants typically begin rolling from stomach to
back. Sitting unsupported occurs around 6 months, and pincer grasp around 9 months.
OF CHILDBEARING & CHILDREARING
FAMILY
1. A 26-year-old primigravida at 28 weeks gestation presents for a routine visit. Her blood
type is A-negative. Which of the following is the most appropriate next step regarding Rho(D)
immune globulin (RhoGAM)?
A. Administer RhoGAM now and again within 72 hours of delivery if the infant is Rh-
positive.
B. Administer RhoGAM only if the father is Rh-positive.
C. Wait to administer RhoGAM until after delivery.
D. RhoGAM is not indicated unless there is evidence of fetal-maternal hemorrhage.
Answer: A
Conceptual Explanation: Standard practice for Rh-negative pregnant women is to
administer Rho(D) immune globulin at 28 weeks gestation and again within 72 hours of
delivery if the neonate is Rh-positive to prevent sensitization.
,2. Which of the following screening tests is routinely performed between 24 and 28 weeks of
gestation?
A. Group B Streptococcus (GBS) culture
B. Nuchal translucency screening
C. Quadruple marker screen
D. Glucose Challenge Test (GCT)
Answer: D
Conceptual Explanation: Screening for Gestational Diabetes Mellitus (GDM) using a 1-
hour glucose challenge test is typically performed between 24 and 28 weeks gestation.
3. A 32-year-old woman at 34 weeks gestation presents with sudden onset, painful vaginal
bleeding and a firm, tender uterus. What is the most likely diagnosis?
A. Placenta previa
B. Uterine rupture
C. Vasa previa
D. Placental abruption
Answer: D
Conceptual Explanation: Placental abruption is characterized by painful vaginal bleeding
and uterine tenderness, whereas placenta previa is typically painless.
, 4. According to the CDC, when should the Tdap vaccine be administered during each
pregnancy to provide passive immunity to the neonate?
A. Between 27 and 36 weeks gestation
B. Between 12 and 16 weeks gestation
C. Immediately postpartum
D. During the first trimester
Answer: A
Conceptual Explanation: Tdap is recommended during each pregnancy, ideally between
27 and 36 weeks, to maximize the transfer of maternal antibodies to the fetus.
5. A 4-month-old infant is brought in for a well-child check. Which developmental milestone
is most consistent with this age?
A. Sitting without support
B. Using a pincer grasp
C. Rolling from prone to supine
D. Saying ‘mama’ or ‘dada’ specifically
Answer: C
Conceptual Explanation: At 4 months, infants typically begin rolling from stomach to
back. Sitting unsupported occurs around 6 months, and pincer grasp around 9 months.
