PRIMARY CARE OF THE
CHILDBEARING AND CHILDREARING
FAMILY FINAL EXAM STUDY GUIDE
1. A 24-year-old female at 28 weeks gestation presents with a blood pressure of 150/95
mmHg on two occasions, 4 hours apart. She has no protein in her urine and no visual
disturbances. What is the most likely diagnosis?
A. Preeclampsia without severe features
B. Eclampsia
C. Chronic hypertension
D. Gestational hypertension
Answer: D
Conceptual Explanation: Gestational hypertension is defined as new-onset hypertension
(BP ≥140/90) after 20 weeks of gestation in a previously normotensive woman without
proteinuria or systemic features.
,2. Which of the following is the standard treatment for a pregnant woman diagnosed with
Group B Streptococcus (GBS) colonization at 36 weeks?
A. Immediate administration of oral Penicillin VK
B. Intravenous Penicillin G during labor
C. Ceftriaxone IM injection at 38 weeks
D. No treatment is necessary unless the water breaks early
Answer: B
Conceptual Explanation: Intrapartum antibiotic prophylaxis, preferably with IV Penicillin
G, is the standard of care to prevent early-onset neonatal GBS infection.
3. A 15-month-old child is brought to the clinic for a well-child visit. Which developmental
milestone should the nurse practitioner expect the child to have achieved?
A. Ability to jump with both feet
B. Walking independently
C. Stacking a tower of 6 blocks
D. Using 3-word sentences
Answer: B
Conceptual Explanation: Most children walk independently by 15 months. Stacking 6
blocks is typically a 24-month milestone, and jumping with both feet is usually achieved by
age 2.
, 4. According to the CDC immunization schedule, at what age should a child receive the first
dose of the Measles, Mumps, and Rubella (MMR) vaccine?
A. 6 months
B. 9 months
C. 12-15 months
D. 4-6 years
Answer: C
Conceptual Explanation: The first dose of MMR is recommended between 12 and 15
months of age, with the second dose at 4-6 years.
5. A 4-year-old child presents with a ‘barking’ cough, inspiratory stridor, and low-grade fever.
What is the most appropriate initial management for mild symptoms?
A. Albuterol nebulizer treatment
B. Oral Dexamethasone
C. Amoxicillin for 10 days
D. Ribavirin therapy
Answer: B
Conceptual Explanation: Croup (laryngotracheobronchitis) is typically viral. A single dose
of oral dexamethasone is the standard treatment to reduce airway edema even in mild
cases.
CHILDBEARING AND CHILDREARING
FAMILY FINAL EXAM STUDY GUIDE
1. A 24-year-old female at 28 weeks gestation presents with a blood pressure of 150/95
mmHg on two occasions, 4 hours apart. She has no protein in her urine and no visual
disturbances. What is the most likely diagnosis?
A. Preeclampsia without severe features
B. Eclampsia
C. Chronic hypertension
D. Gestational hypertension
Answer: D
Conceptual Explanation: Gestational hypertension is defined as new-onset hypertension
(BP ≥140/90) after 20 weeks of gestation in a previously normotensive woman without
proteinuria or systemic features.
,2. Which of the following is the standard treatment for a pregnant woman diagnosed with
Group B Streptococcus (GBS) colonization at 36 weeks?
A. Immediate administration of oral Penicillin VK
B. Intravenous Penicillin G during labor
C. Ceftriaxone IM injection at 38 weeks
D. No treatment is necessary unless the water breaks early
Answer: B
Conceptual Explanation: Intrapartum antibiotic prophylaxis, preferably with IV Penicillin
G, is the standard of care to prevent early-onset neonatal GBS infection.
3. A 15-month-old child is brought to the clinic for a well-child visit. Which developmental
milestone should the nurse practitioner expect the child to have achieved?
A. Ability to jump with both feet
B. Walking independently
C. Stacking a tower of 6 blocks
D. Using 3-word sentences
Answer: B
Conceptual Explanation: Most children walk independently by 15 months. Stacking 6
blocks is typically a 24-month milestone, and jumping with both feet is usually achieved by
age 2.
, 4. According to the CDC immunization schedule, at what age should a child receive the first
dose of the Measles, Mumps, and Rubella (MMR) vaccine?
A. 6 months
B. 9 months
C. 12-15 months
D. 4-6 years
Answer: C
Conceptual Explanation: The first dose of MMR is recommended between 12 and 15
months of age, with the second dose at 4-6 years.
5. A 4-year-old child presents with a ‘barking’ cough, inspiratory stridor, and low-grade fever.
What is the most appropriate initial management for mild symptoms?
A. Albuterol nebulizer treatment
B. Oral Dexamethasone
C. Amoxicillin for 10 days
D. Ribavirin therapy
Answer: B
Conceptual Explanation: Croup (laryngotracheobronchitis) is typically viral. A single dose
of oral dexamethasone is the standard treatment to reduce airway edema even in mild
cases.
