NR 603: PRIMARY CARE OF
CHILDBEARING & CHILDREARING
FAMILY EXAM 2026
1. A 6-month-old infant is brought to the clinic for a well-child visit. Which developmental
milestone should the nurse practitioner expect the infant to have achieved?
A. Sitting independently without support
B. Using a neat pincer grasp
C. Walking while holding onto furniture
D. Speaking two to three recognizable words
Answer: A
Conceptual Explanation: By 6 months of age, most infants can sit with support and are
beginning to sit independently. A neat pincer grasp usually develops by 9-10 months,
cruising by 10-11 months, and recognizable words by 12 months.
,2. A 28-year-old pregnant patient at 32 weeks gestation presents with a blood pressure of
152/96 mmHg and 2+ proteinuria. She denies headache or visual changes. What is the most
appropriate initial management?
A. Close monitoring with twice-weekly office visits and fetal surveillance
B. Immediate delivery via Cesarean section
C. Initiation of intravenous Magnesium Sulfate
D. Prescribing oral Lisinopril for blood pressure control
Answer: A
Conceptual Explanation: This patient meets criteria for preeclampsia without severe
features. Management involves close monitoring, fetal kick counts, and twice-weekly
testing. ACE inhibitors like Lisinopril are contraindicated in pregnancy.
3. A 4-year-old is diagnosed with Acute Otitis Media (AOM). The child has a history of a non-
anaphylactic rash when taking penicillin. What is the recommended first-line alternative
treatment?
A. Amoxicillin 90 mg/kg/day
B. Azithromycin for 5 days
C. Cefdinir 14 mg/kg/day
D. Clindamycin
Answer: C
, Conceptual Explanation: For patients with a non-type 1 penicillin allergy, cephalosporins
like Cefdinir are recommended for AOM. Amoxicillin is the first-line for those without
allergies. Azithromycin has high resistance rates.
4. According to the NHLBI guidelines, a 10-year-old with asthma symptoms occurring 3 times
per week, with nighttime awakenings 3 times per month, is classified as having:
A. Intermittent Asthma
B. Moderate Persistent Asthma
C. Mild Persistent Asthma
D. Severe Persistent Asthma
Answer: C
Conceptual Explanation: Mild persistent asthma is characterized by symptoms >2 days
per week but not daily, and nighttime awakenings 3-4 times per month.
5. A newborn presents with jaundice at 18 hours of life. The total serum bilirubin is 12 mg/dL.
How should this be classified?
A. Physiologic jaundice
B. Pathologic jaundice
C. Breast milk jaundice
D. Breastfeeding jaundice
Answer: B
CHILDBEARING & CHILDREARING
FAMILY EXAM 2026
1. A 6-month-old infant is brought to the clinic for a well-child visit. Which developmental
milestone should the nurse practitioner expect the infant to have achieved?
A. Sitting independently without support
B. Using a neat pincer grasp
C. Walking while holding onto furniture
D. Speaking two to three recognizable words
Answer: A
Conceptual Explanation: By 6 months of age, most infants can sit with support and are
beginning to sit independently. A neat pincer grasp usually develops by 9-10 months,
cruising by 10-11 months, and recognizable words by 12 months.
,2. A 28-year-old pregnant patient at 32 weeks gestation presents with a blood pressure of
152/96 mmHg and 2+ proteinuria. She denies headache or visual changes. What is the most
appropriate initial management?
A. Close monitoring with twice-weekly office visits and fetal surveillance
B. Immediate delivery via Cesarean section
C. Initiation of intravenous Magnesium Sulfate
D. Prescribing oral Lisinopril for blood pressure control
Answer: A
Conceptual Explanation: This patient meets criteria for preeclampsia without severe
features. Management involves close monitoring, fetal kick counts, and twice-weekly
testing. ACE inhibitors like Lisinopril are contraindicated in pregnancy.
3. A 4-year-old is diagnosed with Acute Otitis Media (AOM). The child has a history of a non-
anaphylactic rash when taking penicillin. What is the recommended first-line alternative
treatment?
A. Amoxicillin 90 mg/kg/day
B. Azithromycin for 5 days
C. Cefdinir 14 mg/kg/day
D. Clindamycin
Answer: C
, Conceptual Explanation: For patients with a non-type 1 penicillin allergy, cephalosporins
like Cefdinir are recommended for AOM. Amoxicillin is the first-line for those without
allergies. Azithromycin has high resistance rates.
4. According to the NHLBI guidelines, a 10-year-old with asthma symptoms occurring 3 times
per week, with nighttime awakenings 3 times per month, is classified as having:
A. Intermittent Asthma
B. Moderate Persistent Asthma
C. Mild Persistent Asthma
D. Severe Persistent Asthma
Answer: C
Conceptual Explanation: Mild persistent asthma is characterized by symptoms >2 days
per week but not daily, and nighttime awakenings 3-4 times per month.
5. A newborn presents with jaundice at 18 hours of life. The total serum bilirubin is 12 mg/dL.
How should this be classified?
A. Physiologic jaundice
B. Pathologic jaundice
C. Breast milk jaundice
D. Breastfeeding jaundice
Answer: B
