NR 602 PRIMARY CARE OF THE
CHILDBEARING AND CHILDREARING
FAMILY PRACTICE EXAM QUESTIONS
AND ANSWERS
1. A 24-year-old primigravida at 28 weeks gestation presents for a routine visit. Her blood
type is A-negative. When should the nurse practitioner administer Rho(D) immune globulin
(RhoGAM)?
A. Immediately, and again at 36 weeks gestation
B. Only within 72 hours of delivery if the neonate is Rh-negative
C. At the current 28-week visit and within 72 hours of delivery if the neonate is Rh-positive
D. At 32 weeks gestation and again 1 week postpartum
Answer: C
Conceptual Explanation: Rho(D) immune globulin is administered to Rh-negative
unsensitized women at 28 weeks gestation and again within 72 hours of delivery if the
infant is Rh-positive to prevent isoimmunization.
,2. A 6-month-old infant is brought in for a well-child exam. Which developmental milestone is
most consistent with this age?
A. Walking while holding onto furniture
B. Sitting independently without support
C. Using a pincer grasp to pick up small objects
D. Saying ‘mama’ and ‘dada’ specifically to parents
Answer: B
Conceptual Explanation: By 6 months, infants typically begin to sit without support.
Cruising (walking with furniture) and pincer grasp are later milestones (9-12 months).
3. A 32-year-old woman at 10 weeks gestation reports severe nausea and vomiting. She has
lost 5% of her pre-pregnancy weight and has ketonuria. What is the most likely diagnosis?
A. Gestational diabetes
B. Preeclampsia
C. Morning sickness
D. Hyperemesis gravidarum
Answer: D
Conceptual Explanation: Hyperemesis gravidarum is characterized by persistent, severe
vomiting, weight loss (>5%), and electrolyte imbalances/ketonuria, distinguishing it from
common morning sickness.
, 4. Which of the following findings during a physical exam of a 2-day-old neonate requires
immediate further evaluation?
A. Milia on the bridge of the nose
B. Jaundice appearing within the first 24 hours of life
C. A single transverse palmar crease
D. Erythema toxicum on the trunk
Answer: B
Conceptual Explanation: Jaundice occurring within the first 24 hours is considered
pathological and requires immediate investigation for hemolysis or infection. Milia and
erythema toxicum are benign.
5. A 15-year-old male is noted to have enlargement of the testes and scrotum, with reddening
of the scrotal skin. His penis has not yet enlarged. What Tanner Stage is this?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Answer: B
CHILDBEARING AND CHILDREARING
FAMILY PRACTICE EXAM QUESTIONS
AND ANSWERS
1. A 24-year-old primigravida at 28 weeks gestation presents for a routine visit. Her blood
type is A-negative. When should the nurse practitioner administer Rho(D) immune globulin
(RhoGAM)?
A. Immediately, and again at 36 weeks gestation
B. Only within 72 hours of delivery if the neonate is Rh-negative
C. At the current 28-week visit and within 72 hours of delivery if the neonate is Rh-positive
D. At 32 weeks gestation and again 1 week postpartum
Answer: C
Conceptual Explanation: Rho(D) immune globulin is administered to Rh-negative
unsensitized women at 28 weeks gestation and again within 72 hours of delivery if the
infant is Rh-positive to prevent isoimmunization.
,2. A 6-month-old infant is brought in for a well-child exam. Which developmental milestone is
most consistent with this age?
A. Walking while holding onto furniture
B. Sitting independently without support
C. Using a pincer grasp to pick up small objects
D. Saying ‘mama’ and ‘dada’ specifically to parents
Answer: B
Conceptual Explanation: By 6 months, infants typically begin to sit without support.
Cruising (walking with furniture) and pincer grasp are later milestones (9-12 months).
3. A 32-year-old woman at 10 weeks gestation reports severe nausea and vomiting. She has
lost 5% of her pre-pregnancy weight and has ketonuria. What is the most likely diagnosis?
A. Gestational diabetes
B. Preeclampsia
C. Morning sickness
D. Hyperemesis gravidarum
Answer: D
Conceptual Explanation: Hyperemesis gravidarum is characterized by persistent, severe
vomiting, weight loss (>5%), and electrolyte imbalances/ketonuria, distinguishing it from
common morning sickness.
, 4. Which of the following findings during a physical exam of a 2-day-old neonate requires
immediate further evaluation?
A. Milia on the bridge of the nose
B. Jaundice appearing within the first 24 hours of life
C. A single transverse palmar crease
D. Erythema toxicum on the trunk
Answer: B
Conceptual Explanation: Jaundice occurring within the first 24 hours is considered
pathological and requires immediate investigation for hemolysis or infection. Milia and
erythema toxicum are benign.
5. A 15-year-old male is noted to have enlargement of the testes and scrotum, with reddening
of the scrotal skin. His penis has not yet enlarged. What Tanner Stage is this?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Answer: B
