PRIMARY CARE OF THE CHILDBEARING
CHAMBERLAIN UNIVERSITY FNP PROGRAM
NR 602 Pediatric Primary Care Midterm Study Guide & Test Bank
2026-2027 UPDATE EXAM
Comprehensive Coursework Alignment & Detailed Board-Style Rationales
Resource Title: Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents (4th
Edition)
Course Subject: Advanced Pediatric Well-Child Supervision, Growth and Development, Preventative Screenings,
and Clinical Guidelines
Core Academic Framework & Study Domains:
Health Promotion & Protection: SIDS safe sleep, sleep hygiene, vaccine communication, and
live/killed vaccines.
Anatomical Landmarks & Reflexes: Tanner staging (SMR), primary/permanent dentition,
CCHD, and Ortolani/Barlow.
Developmental Surveillance: Milestones from newborn, infancy, toddler, preschool, and school-
age to late adolescence.
Preventative Care: Screening levels (primary, secondary, tertiary), lead poisoning, depression,
and lipid screening schedules.
Chamberlain University College of Nursing — Advanced Pediatric Health (NR 602)
August 2026
,NR 602 Pediatric Primary Care Midterm Study Guide & Test Bank (2026-2027 Updated Edition)
EXAM BLUEPRINT & CURRICULUM MAPPING
This comprehensive study guide and test bank has been developed to prepare Family Nurse Practitioner (FNP) students
for the NR 602 Midterm Exam. All questions are rigorously grounded in the American Academy of Pediatrics (AAP)
Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents (4th Edition) and Chamberlain
University coursework.
Core Curriculum Area Chapters Covered Question Range
NP Roles & Levels of Prevention Chapter 14 Q1 – Q3, Q72, Q73
Vaccination & Immunizations Chapter 22 Q4 – Q14, Q74 – Q75
Safe Sleep & Injury Prevention Chapters 20, 19, 44 Q15 – Q20, Q78, Q79
Newborn transition & Growth Chapters 9 – 13 Q21 – Q27, Q76, Q77
Infancy Milestones & Guidelines Chapter 10 Q28 – Q29, Q80
Toddler Language & Milestones Chapter 11 Q30, Q63 – Q66
School-Age & Adolescent Development Chapters 12 – 13 Q31 – Q32, Q67 – Q68
Puberty & Sexual Maturity (Tanner) Chapters 45, 13 Q33 – Q35, Q70 – Q71
Genetics & Down’s Syndrome Chapter 13 Q36 – Q39
Infectious Disease & Dermatology Chapters 31, 34 Q40 – Q56
Respiratory & Asthma Spirometry Chapters 33, 37 Q57 – Q59, Q69
Key Learning Objectives Covered:
1. Apply primary, secondary, and tertiary prevention concepts within pediatric clinical care contexts.
2. Recognize key developmental milestones and surveillance strategies from birth through late adolescence.
3. Differentiate standard pediatric screenings including lead, hearing, depression, and lipid profiles by age and
risk.
4. Perform and interpret anatomical assessments including Tanner Staging (SMR) and hip maneuvers.
5. Analyze vaccination rules, live vaccine guidelines, and contraindications.
Page 2 of 61
,NR 602 Pediatric Primary Care Midterm Study Guide & Test Bank (2026-2027 Updated Edition)
TOPIC: CHAPTER 14: NURSE PRACTITIONER ROLES
Question 1 of 80
A Family Nurse Practitioner (FNP) is describing pediatric clinical roles to a parent. Which statement accurately
distinguishes between the clinical roles of a Primary Care Pediatric Nurse Practitioner (PNP) and an Acute Care
Pediatric Nurse Practitioner (ACNP)?
A. Primary Care PNPs focus exclusively on tertiary rehabilitation, while ACNPs manage common pediatric acute
illnesses in outpatient clinics.
B. Primary Care PNPs focus on well-child care, health promotion, disease prevention, and common acute illnesses,
whereas ACNPs manage acute, chronic, or critically ill children who are unstable, medically fragile, or technology-
dependent.
C. Primary Care PNPs are restricted to adolescent psychiatric counseling, while ACNPs are licensed to perform
pediatric orthopaedic surgeries.
D. Both roles are identical in scope, with the only difference being the clinical setting where they practice.
ANSWER ✓: B — Primary Care PNPs focus on well-child care, health promotion, disease pre-
vention, and common
Clinical Explanation: According to the study guide, the PNP or Primary Care NP role centers on well-childcare,
health promotion, disease prevention, and/or management of both common pediatric acute illness and chronic child- hood
diseases. Conversely, the Acute Care NP manages acute, chronic, or critically ill children who are unstable, experiencing
life-threatening illness, medically fragile, and technology-dependent.
Page 3 of 61
, NR 602 Pediatric Primary Care Midterm Study Guide & Test Bank (2026-2027 Updated Edition)
TOPIC: CHAPTER 14: LEVELS OF PREVENTION
Question 2 of 80
A nurse practitioner is planning a pediatric health fair. Which of the following clinical inter- ventions represents a
primary prevention measure?
A. Screening school-aged children for elevated blood lead levels using a fingerstick test.
B. Administering a routine immunization to a child to prevent a specific infectious disease.
C. Performing a diagnostic audiogram and tympanogram on an infant suspected of hearing loss.
D. Providing physical therapy and early symptom management for a child diagnosed with cerebral palsy.
ANSWER ✓: B — Administering a routine immunization to a child to prevent a specific infectious
disease.
Clinical Explanation: Primary prevention keeps diseases from being established by eliminating causes or increasing
resis- tance. It has two types: health promotion (lifestyle changes, nutrition, safe environments) and specific protection
(such as immunizations, anti-malarial prophylaxis, and environmental modifications like fluoride). Screening repre- sents
secondary prevention, and physical therapy represents tertiary care.
Page 4 of 61
CHAMBERLAIN UNIVERSITY FNP PROGRAM
NR 602 Pediatric Primary Care Midterm Study Guide & Test Bank
2026-2027 UPDATE EXAM
Comprehensive Coursework Alignment & Detailed Board-Style Rationales
Resource Title: Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents (4th
Edition)
Course Subject: Advanced Pediatric Well-Child Supervision, Growth and Development, Preventative Screenings,
and Clinical Guidelines
Core Academic Framework & Study Domains:
Health Promotion & Protection: SIDS safe sleep, sleep hygiene, vaccine communication, and
live/killed vaccines.
Anatomical Landmarks & Reflexes: Tanner staging (SMR), primary/permanent dentition,
CCHD, and Ortolani/Barlow.
Developmental Surveillance: Milestones from newborn, infancy, toddler, preschool, and school-
age to late adolescence.
Preventative Care: Screening levels (primary, secondary, tertiary), lead poisoning, depression,
and lipid screening schedules.
Chamberlain University College of Nursing — Advanced Pediatric Health (NR 602)
August 2026
,NR 602 Pediatric Primary Care Midterm Study Guide & Test Bank (2026-2027 Updated Edition)
EXAM BLUEPRINT & CURRICULUM MAPPING
This comprehensive study guide and test bank has been developed to prepare Family Nurse Practitioner (FNP) students
for the NR 602 Midterm Exam. All questions are rigorously grounded in the American Academy of Pediatrics (AAP)
Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents (4th Edition) and Chamberlain
University coursework.
Core Curriculum Area Chapters Covered Question Range
NP Roles & Levels of Prevention Chapter 14 Q1 – Q3, Q72, Q73
Vaccination & Immunizations Chapter 22 Q4 – Q14, Q74 – Q75
Safe Sleep & Injury Prevention Chapters 20, 19, 44 Q15 – Q20, Q78, Q79
Newborn transition & Growth Chapters 9 – 13 Q21 – Q27, Q76, Q77
Infancy Milestones & Guidelines Chapter 10 Q28 – Q29, Q80
Toddler Language & Milestones Chapter 11 Q30, Q63 – Q66
School-Age & Adolescent Development Chapters 12 – 13 Q31 – Q32, Q67 – Q68
Puberty & Sexual Maturity (Tanner) Chapters 45, 13 Q33 – Q35, Q70 – Q71
Genetics & Down’s Syndrome Chapter 13 Q36 – Q39
Infectious Disease & Dermatology Chapters 31, 34 Q40 – Q56
Respiratory & Asthma Spirometry Chapters 33, 37 Q57 – Q59, Q69
Key Learning Objectives Covered:
1. Apply primary, secondary, and tertiary prevention concepts within pediatric clinical care contexts.
2. Recognize key developmental milestones and surveillance strategies from birth through late adolescence.
3. Differentiate standard pediatric screenings including lead, hearing, depression, and lipid profiles by age and
risk.
4. Perform and interpret anatomical assessments including Tanner Staging (SMR) and hip maneuvers.
5. Analyze vaccination rules, live vaccine guidelines, and contraindications.
Page 2 of 61
,NR 602 Pediatric Primary Care Midterm Study Guide & Test Bank (2026-2027 Updated Edition)
TOPIC: CHAPTER 14: NURSE PRACTITIONER ROLES
Question 1 of 80
A Family Nurse Practitioner (FNP) is describing pediatric clinical roles to a parent. Which statement accurately
distinguishes between the clinical roles of a Primary Care Pediatric Nurse Practitioner (PNP) and an Acute Care
Pediatric Nurse Practitioner (ACNP)?
A. Primary Care PNPs focus exclusively on tertiary rehabilitation, while ACNPs manage common pediatric acute
illnesses in outpatient clinics.
B. Primary Care PNPs focus on well-child care, health promotion, disease prevention, and common acute illnesses,
whereas ACNPs manage acute, chronic, or critically ill children who are unstable, medically fragile, or technology-
dependent.
C. Primary Care PNPs are restricted to adolescent psychiatric counseling, while ACNPs are licensed to perform
pediatric orthopaedic surgeries.
D. Both roles are identical in scope, with the only difference being the clinical setting where they practice.
ANSWER ✓: B — Primary Care PNPs focus on well-child care, health promotion, disease pre-
vention, and common
Clinical Explanation: According to the study guide, the PNP or Primary Care NP role centers on well-childcare,
health promotion, disease prevention, and/or management of both common pediatric acute illness and chronic child- hood
diseases. Conversely, the Acute Care NP manages acute, chronic, or critically ill children who are unstable, experiencing
life-threatening illness, medically fragile, and technology-dependent.
Page 3 of 61
, NR 602 Pediatric Primary Care Midterm Study Guide & Test Bank (2026-2027 Updated Edition)
TOPIC: CHAPTER 14: LEVELS OF PREVENTION
Question 2 of 80
A nurse practitioner is planning a pediatric health fair. Which of the following clinical inter- ventions represents a
primary prevention measure?
A. Screening school-aged children for elevated blood lead levels using a fingerstick test.
B. Administering a routine immunization to a child to prevent a specific infectious disease.
C. Performing a diagnostic audiogram and tympanogram on an infant suspected of hearing loss.
D. Providing physical therapy and early symptom management for a child diagnosed with cerebral palsy.
ANSWER ✓: B — Administering a routine immunization to a child to prevent a specific infectious
disease.
Clinical Explanation: Primary prevention keeps diseases from being established by eliminating causes or increasing
resis- tance. It has two types: health promotion (lifestyle changes, nutrition, safe environments) and specific protection
(such as immunizations, anti-malarial prophylaxis, and environmental modifications like fluoride). Screening repre- sents
secondary prevention, and physical therapy represents tertiary care.
Page 4 of 61
