NR 603 WEEK 4 EXAM | PRIMARY CARE
OF CHILDBEARING & CHILDREARING
FAMILY QUESTIONS AND ANSWERS
1. A 28-year-old pregnant woman at 36 weeks gestation presents with a sudden onset of
painful vaginal bleeding and uterine tenderness. What is the most likely diagnosis?
A. Placenta previa
B. Vasa previa
C. Placental abruption
D. Uterine rupture
Answer: C
Conceptual Explanation: Placental abruption typically presents with painful bleeding and
uterine rigidity, whereas placenta previa is usually painless bleeding.
2. According to current guidelines, at what gestational age should universal screening for
Group B Streptococcus (GBS) be performed?
A. 24-28 weeks
B. 30-32 weeks
,C. After 40 weeks
D. 36 0/7 to 37 6/7 weeks
Answer: D
Conceptual Explanation: Universal screening for GBS is recommended at 36 0/7 to 37
6/7 weeks of gestation to determine the need for intrapartum antibiotic prophylaxis.
3. A 4-year-old child presents with a ‘barking’ cough, inspiratory stridor, and mild intercostal
retractions. What is the first-line pharmacological treatment for this condition?
A. Dexamethasone
B. Amoxicillin
C. Albuterol nebulizer
D. Inhaled corticosteroids
Answer: A
Conceptual Explanation: Dexamethasone (oral or IM) is the standard treatment for Croup
(laryngotracheobronchitis) to reduce airway inflammation.
4. During a well-child exam, a 12-month-old infant is found to have a hemoglobin level of 9.5
g/dL. What is the most appropriate next step?
A. Start iron supplementation at 3 mg/kg/day
B. Immediate blood transfusion
C. Recheck in 6 months
, D. Switch to whole cow’s milk immediately
Answer: A
Conceptual Explanation: Hemoglobin below 11.0 g/dL at 12 months suggests iron
deficiency anemia; initiating iron therapy and re-evaluating in 1 month is standard
practice.
5. A pregnant patient with a BMI of 28 (overweight) asks about recommended weight gain
during pregnancy. What should you advise?
A. 25-35 lbs
B. 11-20 lbs
C. 15-25 lbs
D. Weight loss is recommended
Answer: C
Conceptual Explanation: For an overweight woman (BMI 25-29.9), the recommended
total weight gain is 15-25 pounds.
6. Which developmental milestone is typically achieved by an 18-month-old child?
A. Drawing a square
B. Riding a tricycle
C. Walking up stairs with one foot on each step
D. Running well
OF CHILDBEARING & CHILDREARING
FAMILY QUESTIONS AND ANSWERS
1. A 28-year-old pregnant woman at 36 weeks gestation presents with a sudden onset of
painful vaginal bleeding and uterine tenderness. What is the most likely diagnosis?
A. Placenta previa
B. Vasa previa
C. Placental abruption
D. Uterine rupture
Answer: C
Conceptual Explanation: Placental abruption typically presents with painful bleeding and
uterine rigidity, whereas placenta previa is usually painless bleeding.
2. According to current guidelines, at what gestational age should universal screening for
Group B Streptococcus (GBS) be performed?
A. 24-28 weeks
B. 30-32 weeks
,C. After 40 weeks
D. 36 0/7 to 37 6/7 weeks
Answer: D
Conceptual Explanation: Universal screening for GBS is recommended at 36 0/7 to 37
6/7 weeks of gestation to determine the need for intrapartum antibiotic prophylaxis.
3. A 4-year-old child presents with a ‘barking’ cough, inspiratory stridor, and mild intercostal
retractions. What is the first-line pharmacological treatment for this condition?
A. Dexamethasone
B. Amoxicillin
C. Albuterol nebulizer
D. Inhaled corticosteroids
Answer: A
Conceptual Explanation: Dexamethasone (oral or IM) is the standard treatment for Croup
(laryngotracheobronchitis) to reduce airway inflammation.
4. During a well-child exam, a 12-month-old infant is found to have a hemoglobin level of 9.5
g/dL. What is the most appropriate next step?
A. Start iron supplementation at 3 mg/kg/day
B. Immediate blood transfusion
C. Recheck in 6 months
, D. Switch to whole cow’s milk immediately
Answer: A
Conceptual Explanation: Hemoglobin below 11.0 g/dL at 12 months suggests iron
deficiency anemia; initiating iron therapy and re-evaluating in 1 month is standard
practice.
5. A pregnant patient with a BMI of 28 (overweight) asks about recommended weight gain
during pregnancy. What should you advise?
A. 25-35 lbs
B. 11-20 lbs
C. 15-25 lbs
D. Weight loss is recommended
Answer: C
Conceptual Explanation: For an overweight woman (BMI 25-29.9), the recommended
total weight gain is 15-25 pounds.
6. Which developmental milestone is typically achieved by an 18-month-old child?
A. Drawing a square
B. Riding a tricycle
C. Walking up stairs with one foot on each step
D. Running well
