NR602 Primary Care of the Childbearing and Childrearing
Family Final Exam Prep Document | 2026/2027 Edition | 150
Verified Questions - 137 Questions with Answers
NR602 Final Exam 2026-137 QUESTIONS AND ANSWERS ALREADY GRADED A+. 100% Verified Solutions |
Updated Per Latest Guidelines | Graded A+
This comprehensive exam preparation document is meticulously designed for nursing students enrolled
in NR602 Primary Care of the Childbearing and Childrearing Family. It contains 150 verified questions
and answers, each accompanied by detailed rationales to reinforce understanding and application of
key concepts. The content is aligned with the latest 2026/2027 academic guidelines and evidence-based
practice standards, ensuring that students are thoroughly prepared for their final examination. This
resource serves as an essential tool for mastering the complex care needs of childbearing and
childrearing families across the primary care continuum.
Key Features:
Comprehensive coverage of preconception health, prenatal care, and risk assessment
In-depth exploration of labor and delivery management, including complications and emergencies
Detailed review of postpartum maternal care, lactation, and family planning
Thorough examination of newborn assessment, screening, and common neonatal conditions
Focus on pediatric primary care, including well-child visits, immunizations, and growth/development
Management of acute and chronic pediatric illnesses, including respiratory, gastrointestinal, and infectious
diseases
Behavioral and mental health assessment and management in children and adolescents
Health promotion and disease prevention strategies for the childbearing and childrearing family
Pharmacological and non-pharmacological interventions across the lifespan
Cultural competence and family-centered care considerations
Ethical and legal issues in primary care for women and children
Evidence-based practice and clinical decision-making in primary care settings
Interprofessional collaboration and referral coordination
Patient education and counseling techniques for families
Telehealth and technology integration in primary care
Quality improvement and safety in maternal-child health
Current guidelines and updates from ACOG, AAP, and other professional organizations
Case-based scenarios to apply knowledge in clinical contexts
Updates for 2026:
- Incorporates 2026 ACOG and AAP clinical practice guidelines
- Reflects updated immunization schedules and well-child visit recommendations
- Includes new evidence-based practices for postpartum depression screening and management
- Updates pharmacological treatments for common pediatric conditions per latest FDA approvals
- Integrates telehealth considerations and virtual care protocols for maternal-child health
Abstract:
This exam preparation document for NR602 Primary Care of the Childbearing and Childrearing Family provides a
comprehensive and up-to-date review of essential knowledge required for the final examination. With 150 verified
questions and detailed rationales, it covers the full spectrum of care from preconception through postpartum and
Page 1
,pediatric stages. The content emphasizes evidence-based practice, current guidelines, and clinical reasoning,
ensuring that students are equipped to handle complex patient scenarios. Each question is designed to test critical
thinking and application of concepts, with rationales that explain both correct and incorrect answers. This
resource is an invaluable asset for nursing students seeking to achieve a high level of proficiency in primary care
for women and children. It aligns with the latest 2026/2027 academic standards and prepares students for
real-world clinical challenges.
Keywords:
NR602, Primary Care, Childbearing, Childrearing, Maternal-Child Health, Pediatric Primary Care, Exam Prep,
Verified Questions
Answer Format:
Each question is followed by the correct answer and a comprehensive rationale that explains the reasoning behind
the correct choice and why the distractors are incorrect. The rationales are evidence-based and reference current
clinical guidelines, ensuring that students understand the underlying concepts and can apply them in practice.
Compliance Checklist:
Aligned with 2026/2027 academic year curriculum standards
Based on latest ACOG, AAP, and other professional guidelines
Includes 150 verified questions with correct answers and rationales
Covers all major content areas of the NR602 course
Suitable for final exam preparation and clinical practice review
Content Area Overview:
Content Area Questions Key Topics Weight
Preconception and Prenatal Care 1-25 Preconception counseling, prenatal visits, 17%
risk assessment, prenatal testing
Labor and Delivery 26-45 Stages of labor, fetal monitoring, labor 13%
complications, pain management
Postpartum Care 46-65 Maternal recovery, lactation, postpartum 13%
depression, family planning
Newborn Care 66-85 Newborn assessment, screening, common 13%
neonatal conditions, feeding
Pediatric Primary Care 86-110 Well-child visits, immunizations, growth 17%
and development, nutrition
Pediatric Acute and Chronic 111-135 Respiratory infections, gastrointestinal 17%
Conditions disorders, infectious diseases, chronic
conditions
Behavioral and Mental Health 136-150 ADHD, anxiety, depression, behavioral 10%
issues, counseling
Page 2
,Q1. A primigravid patient at 32 weeks gestation presents with a blood pressure of
158/102 mmHg and 2+ proteinuria on urine dipstick. Which finding in the
comprehensive metabolic panel would most strongly support a diagnosis of severe
preeclampsia rather than gestational hypertension?
A. Elevated aspartate aminotransferase (AST) to 75 IU/L
B. Serum creatinine of 1.1 mg/dL
C. Platelet count of 110,000/mm³
D. Lactic dehydrogenase (LDH) of 620 IU/L
Correct Answer: C. Platelet count of 110,000/mm³
Rationale: Severe preeclampsia is diagnosed with severe features including
thrombocytopenia (platelets <100,000/mm³), elevated liver enzymes, renal insufficiency,
pulmonary edema, or cerebral/visual symptoms. A platelet count of 110,000 is borderline
but not yet diagnostic; the threshold is <100,000. Elevated liver enzymes (AST, ALT) and
LDH are also features, but thrombocytopenia is a more specific and commonly cited
criterion.
Why Wrong:
A - Elevated AST is a feature of severe preeclampsia, but the threshold is typically
twice the upper limit of normal, and this value may not meet that criterion.
B - Serum creatinine >1.1 mg/dL is a feature, but 1.1 mg/dL is borderline and not
definitive.
D - Elevated LDH is a feature, but the threshold is >600 IU/L; this value is borderline
and less specific than thrombocytopenia.
Reference: ACOG Practice Bulletin No. 222, Gestational Hypertension and Preeclampsia,
2020.
Q2. A postpartum patient who delivered vaginally 6 hours ago reports heavy bleeding
with large clots. On exam, the uterus is boggy and displaced to the right. After fundal
massage and bladder emptying, bleeding continues. Which intervention should the
nurse practitioner implement next?
A. Administer methylergonovine 0.2 mg IM
B. Administer carboprost 250 mcg IM
C. Administer oxytocin 10 units IM
D. Perform manual uterine exploration
Correct Answer: A. Administer methylergonovine 0.2 mg IM
Rationale: Uterine atony is the most common cause of postpartum hemorrhage. Initial
management includes fundal massage, bladder emptying, and oxytocin. If bleeding
continues, second-line uterotonics include methylergonovine (contraindicated in
hypertension) or carboprost (contraindicated in asthma). Methylergonovine is appropriate
after oxytocin failure, especially if no hypertension. The uterus displaced to the right
suggests a full bladder, but after emptying, atony persists, so a uterotonic is indicated.
Page 3
, Why Wrong:
B - Carboprost is a second-line agent but is contraindicated in asthma and should be
used after methylergonovine if no contraindications.
C - Oxytocin is first-line but the patient has already received it (implied by continued
bleeding after initial measures).
D - Manual exploration is indicated for suspected retained tissue or uterine rupture,
not as initial next step after bladder emptying and massage.
Reference: ACOG Practice Bulletin No. 183, Postpartum Hemorrhage, 2017.
Q3. A 6-week-old infant is brought to the clinic with a 2-day history of poor feeding,
lethargy, and a temperature of 38.2°C (100.8°F). The infant appears irritable but
consolable, with no focal signs. Which diagnostic approach aligns with current AAP
guidelines for febrile infants?
A. Obtain urinalysis and urine culture; if negative, discharge home with acetaminophen
B. Perform full sepsis workup including blood, urine, and CSF studies; administer
empiric antibiotics
C. Order a complete blood count and blood culture; observe for 24 hours
D. Administer empiric antibiotics after obtaining blood and urine cultures; admit for
observation
Correct Answer: B. Perform full sepsis workup including blood, urine, and CSF
studies; administer empiric antibiotics
Rationale: Infants 6 weeks and younger with fever "e38°C are at high risk for serious
bacterial infection (SBI). The AAP guideline recommends a full sepsis evaluation (blood,
urine, CSF) and empiric antibiotics for infants 21 days, but for 29-60 days, risk
stratification is used. This infant has poor feeding and lethargy, which are clinical
indicators of high risk, so a full sepsis workup and admission for empiric antibiotics are
warranted.
Why Wrong:
A - Urinalysis alone is insufficient; this infant has clinical signs of illness (poor
feeding, lethargy) that require full evaluation.
C - Observation without empiric antibiotics is not appropriate given the high-risk
presentation.
D - While cultures and antibiotics are needed, CSF analysis is also required for this
age group with clinical illness.
Reference: AAP Clinical Practice Guideline: Evaluation and Management of
Well-Appearing Febrile Infants 8 to 60 Days Old, Pediatrics, 2021.
Q4. A patient at 28 weeks gestation has a 1-hour glucose tolerance test result of 150
mg/dL. Which step is most appropriate according to current ACOG guidelines?
A. Diagnose gestational diabetes mellitus and initiate insulin therapy
Page 4
Family Final Exam Prep Document | 2026/2027 Edition | 150
Verified Questions - 137 Questions with Answers
NR602 Final Exam 2026-137 QUESTIONS AND ANSWERS ALREADY GRADED A+. 100% Verified Solutions |
Updated Per Latest Guidelines | Graded A+
This comprehensive exam preparation document is meticulously designed for nursing students enrolled
in NR602 Primary Care of the Childbearing and Childrearing Family. It contains 150 verified questions
and answers, each accompanied by detailed rationales to reinforce understanding and application of
key concepts. The content is aligned with the latest 2026/2027 academic guidelines and evidence-based
practice standards, ensuring that students are thoroughly prepared for their final examination. This
resource serves as an essential tool for mastering the complex care needs of childbearing and
childrearing families across the primary care continuum.
Key Features:
Comprehensive coverage of preconception health, prenatal care, and risk assessment
In-depth exploration of labor and delivery management, including complications and emergencies
Detailed review of postpartum maternal care, lactation, and family planning
Thorough examination of newborn assessment, screening, and common neonatal conditions
Focus on pediatric primary care, including well-child visits, immunizations, and growth/development
Management of acute and chronic pediatric illnesses, including respiratory, gastrointestinal, and infectious
diseases
Behavioral and mental health assessment and management in children and adolescents
Health promotion and disease prevention strategies for the childbearing and childrearing family
Pharmacological and non-pharmacological interventions across the lifespan
Cultural competence and family-centered care considerations
Ethical and legal issues in primary care for women and children
Evidence-based practice and clinical decision-making in primary care settings
Interprofessional collaboration and referral coordination
Patient education and counseling techniques for families
Telehealth and technology integration in primary care
Quality improvement and safety in maternal-child health
Current guidelines and updates from ACOG, AAP, and other professional organizations
Case-based scenarios to apply knowledge in clinical contexts
Updates for 2026:
- Incorporates 2026 ACOG and AAP clinical practice guidelines
- Reflects updated immunization schedules and well-child visit recommendations
- Includes new evidence-based practices for postpartum depression screening and management
- Updates pharmacological treatments for common pediatric conditions per latest FDA approvals
- Integrates telehealth considerations and virtual care protocols for maternal-child health
Abstract:
This exam preparation document for NR602 Primary Care of the Childbearing and Childrearing Family provides a
comprehensive and up-to-date review of essential knowledge required for the final examination. With 150 verified
questions and detailed rationales, it covers the full spectrum of care from preconception through postpartum and
Page 1
,pediatric stages. The content emphasizes evidence-based practice, current guidelines, and clinical reasoning,
ensuring that students are equipped to handle complex patient scenarios. Each question is designed to test critical
thinking and application of concepts, with rationales that explain both correct and incorrect answers. This
resource is an invaluable asset for nursing students seeking to achieve a high level of proficiency in primary care
for women and children. It aligns with the latest 2026/2027 academic standards and prepares students for
real-world clinical challenges.
Keywords:
NR602, Primary Care, Childbearing, Childrearing, Maternal-Child Health, Pediatric Primary Care, Exam Prep,
Verified Questions
Answer Format:
Each question is followed by the correct answer and a comprehensive rationale that explains the reasoning behind
the correct choice and why the distractors are incorrect. The rationales are evidence-based and reference current
clinical guidelines, ensuring that students understand the underlying concepts and can apply them in practice.
Compliance Checklist:
Aligned with 2026/2027 academic year curriculum standards
Based on latest ACOG, AAP, and other professional guidelines
Includes 150 verified questions with correct answers and rationales
Covers all major content areas of the NR602 course
Suitable for final exam preparation and clinical practice review
Content Area Overview:
Content Area Questions Key Topics Weight
Preconception and Prenatal Care 1-25 Preconception counseling, prenatal visits, 17%
risk assessment, prenatal testing
Labor and Delivery 26-45 Stages of labor, fetal monitoring, labor 13%
complications, pain management
Postpartum Care 46-65 Maternal recovery, lactation, postpartum 13%
depression, family planning
Newborn Care 66-85 Newborn assessment, screening, common 13%
neonatal conditions, feeding
Pediatric Primary Care 86-110 Well-child visits, immunizations, growth 17%
and development, nutrition
Pediatric Acute and Chronic 111-135 Respiratory infections, gastrointestinal 17%
Conditions disorders, infectious diseases, chronic
conditions
Behavioral and Mental Health 136-150 ADHD, anxiety, depression, behavioral 10%
issues, counseling
Page 2
,Q1. A primigravid patient at 32 weeks gestation presents with a blood pressure of
158/102 mmHg and 2+ proteinuria on urine dipstick. Which finding in the
comprehensive metabolic panel would most strongly support a diagnosis of severe
preeclampsia rather than gestational hypertension?
A. Elevated aspartate aminotransferase (AST) to 75 IU/L
B. Serum creatinine of 1.1 mg/dL
C. Platelet count of 110,000/mm³
D. Lactic dehydrogenase (LDH) of 620 IU/L
Correct Answer: C. Platelet count of 110,000/mm³
Rationale: Severe preeclampsia is diagnosed with severe features including
thrombocytopenia (platelets <100,000/mm³), elevated liver enzymes, renal insufficiency,
pulmonary edema, or cerebral/visual symptoms. A platelet count of 110,000 is borderline
but not yet diagnostic; the threshold is <100,000. Elevated liver enzymes (AST, ALT) and
LDH are also features, but thrombocytopenia is a more specific and commonly cited
criterion.
Why Wrong:
A - Elevated AST is a feature of severe preeclampsia, but the threshold is typically
twice the upper limit of normal, and this value may not meet that criterion.
B - Serum creatinine >1.1 mg/dL is a feature, but 1.1 mg/dL is borderline and not
definitive.
D - Elevated LDH is a feature, but the threshold is >600 IU/L; this value is borderline
and less specific than thrombocytopenia.
Reference: ACOG Practice Bulletin No. 222, Gestational Hypertension and Preeclampsia,
2020.
Q2. A postpartum patient who delivered vaginally 6 hours ago reports heavy bleeding
with large clots. On exam, the uterus is boggy and displaced to the right. After fundal
massage and bladder emptying, bleeding continues. Which intervention should the
nurse practitioner implement next?
A. Administer methylergonovine 0.2 mg IM
B. Administer carboprost 250 mcg IM
C. Administer oxytocin 10 units IM
D. Perform manual uterine exploration
Correct Answer: A. Administer methylergonovine 0.2 mg IM
Rationale: Uterine atony is the most common cause of postpartum hemorrhage. Initial
management includes fundal massage, bladder emptying, and oxytocin. If bleeding
continues, second-line uterotonics include methylergonovine (contraindicated in
hypertension) or carboprost (contraindicated in asthma). Methylergonovine is appropriate
after oxytocin failure, especially if no hypertension. The uterus displaced to the right
suggests a full bladder, but after emptying, atony persists, so a uterotonic is indicated.
Page 3
, Why Wrong:
B - Carboprost is a second-line agent but is contraindicated in asthma and should be
used after methylergonovine if no contraindications.
C - Oxytocin is first-line but the patient has already received it (implied by continued
bleeding after initial measures).
D - Manual exploration is indicated for suspected retained tissue or uterine rupture,
not as initial next step after bladder emptying and massage.
Reference: ACOG Practice Bulletin No. 183, Postpartum Hemorrhage, 2017.
Q3. A 6-week-old infant is brought to the clinic with a 2-day history of poor feeding,
lethargy, and a temperature of 38.2°C (100.8°F). The infant appears irritable but
consolable, with no focal signs. Which diagnostic approach aligns with current AAP
guidelines for febrile infants?
A. Obtain urinalysis and urine culture; if negative, discharge home with acetaminophen
B. Perform full sepsis workup including blood, urine, and CSF studies; administer
empiric antibiotics
C. Order a complete blood count and blood culture; observe for 24 hours
D. Administer empiric antibiotics after obtaining blood and urine cultures; admit for
observation
Correct Answer: B. Perform full sepsis workup including blood, urine, and CSF
studies; administer empiric antibiotics
Rationale: Infants 6 weeks and younger with fever "e38°C are at high risk for serious
bacterial infection (SBI). The AAP guideline recommends a full sepsis evaluation (blood,
urine, CSF) and empiric antibiotics for infants 21 days, but for 29-60 days, risk
stratification is used. This infant has poor feeding and lethargy, which are clinical
indicators of high risk, so a full sepsis workup and admission for empiric antibiotics are
warranted.
Why Wrong:
A - Urinalysis alone is insufficient; this infant has clinical signs of illness (poor
feeding, lethargy) that require full evaluation.
C - Observation without empiric antibiotics is not appropriate given the high-risk
presentation.
D - While cultures and antibiotics are needed, CSF analysis is also required for this
age group with clinical illness.
Reference: AAP Clinical Practice Guideline: Evaluation and Management of
Well-Appearing Febrile Infants 8 to 60 Days Old, Pediatrics, 2021.
Q4. A patient at 28 weeks gestation has a 1-hour glucose tolerance test result of 150
mg/dL. Which step is most appropriate according to current ACOG guidelines?
A. Diagnose gestational diabetes mellitus and initiate insulin therapy
Page 4
