Chamberlain University | NR 602 Primary Care of the Childbearing & Childrearing Family
NR 602 Primary Care of the Childbearing &
Childrearing Family Final Examination 2026/2027 |
Verified Questions
Chamberlain University | Primary Care of the Childbearing & Childrearing Family | Professional Nursing Candidates
150 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
Chamberlain University | NR 602 Primary Care of the Childbearing & Childrearing Family
Final Examination Actual Exam | Academic Year 2026/2027
NR 602 Primary Care of the Childbearing & Childrearing Family Final Examination 2026/2027 | Verified Questions
,INTRODUCTION
This document contains 150 original verified questions that comprehensively cover the full NR 602 Final Examination.
The content is organized across four core domains: Care of the Childbearing Family; Care of the Childrearing Family
(Pediatrics); Women's Health & Gynecologic Care; and Health Promotion, Prevention & Professional Practice. Each
domain contains questions designed to reinforce the official Chamberlain University NR 602 Primary Care of the
Childbearing & Childrearing Family course objectives for actual exam readiness and primary care proficiency, aligned to
the 2026/2027 academic year. Questions emphasize clinical judgment, evidence-based guidelines, and family-centered
primary care consistent with foundational methodology and the NCSBN Clinical Judgment Measurement Model.
ACTUAL QUESTIONS
Domain 1: Care of the Childbearing Family
Question 1. A pregnant client at 28 weeks gestation has a blood pressure of 162/112 mm Hg, severe
headache, and visual changes. The nurse practitioner recognizes this as:
A. Mild gestational hypertension managed outpatient
B. Severe preeclampsia requiring immediate hospital admission
C. Normal third-trimester blood pressure variation
D. Chronic hypertension without further evaluation
Correct Answer: C
Rationale: Blood pressure ≥160/110 with end-organ symptoms (headache, visual changes) defines severe preeclampsia
and necessitates prompt inpatient management.
Question 2. Which vaccine is recommended during each pregnancy between 27 and 36 weeks gestation?
A. MMR
B. Tdap
C. Live attenuated influenza only
D. Varicella
Correct Answer: A
Rationale: Tdap is recommended in every pregnancy at 27–36 weeks to protect the newborn from pertussis through
maternal antibody transfer.
Question 3. A client at 8 weeks gestation reports unilateral pelvic pain and spotting. The priority action is
to:
A. Reassure that spotting is always normal
B. Evaluate for ectopic pregnancy with quantitative hCG and ultrasound
C. Prescribe bed rest without further testing
D. Schedule a routine prenatal visit in 4 weeks
Correct Answer: C
Rationale: First-trimester pain and bleeding raise concern for ectopic pregnancy; prompt evaluation with hCG and
imaging is required.
Question 4. The classic triad of ectopic pregnancy includes:
A. Fever, leukocytosis, and vaginal discharge
B. Abdominal/pelvic pain, vaginal bleeding, and positive pregnancy test
C. Hypertension, proteinuria, and edema
D. Nausea, vomiting, and diarrhea only
Correct Answer: A
Rationale: Pain, bleeding, and a positive pregnancy test form the classic triad prompting evaluation for ectopic
pregnancy.
Question 5. Which intervention is most effective for preventing postpartum thromboembolism?
A. Prolonged bed rest
B. Early ambulation
C. Fluid restriction
D. High-dose aspirin for all clients
Correct Answer: B
Rationale: Early ambulation reduces venous stasis and is a primary preventive measure against postpartum
thromboembolism.
NR 602 Primary Care of the Childbearing & Childrearing Family Final Examination 2026/2027 | Verified Questions
, Question 6. A client at 32 weeks has a fundal height of 28 cm. The nurse practitioner should:
A. Document as normal variation
B. Further evaluate for possible fetal growth restriction
C. Immediately induce labor
D. Reassure without measurement confirmation
Correct Answer: C
Rationale: Fundal height significantly less than gestational age warrants evaluation for growth restriction or other
causes of size-date discrepancy.
Question 7. Which finding is expected in a healthy term newborn immediately after birth?
A. Central cyanosis lasting 30 minutes
B. Heart rate greater than 100 beats/min and spontaneous breathing
C. Apgar score of 3 at 5 minutes without intervention
D. Absent muscle tone
Correct Answer: B
Rationale: A vigorous term newborn has a heart rate >100 and establishes effective respirations promptly.
Question 8. A breastfeeding client reports engorgement on day 3 postpartum. Appropriate advice
includes:
A. Discontinuing breastfeeding for 48 hours
B. Frequent feeding or pumping, warm compresses before feeds, and cold compresses after
C. Restricting fluid intake
D. Binding the breasts tightly without feeding
Correct Answer: A
Rationale: Frequent emptying, warmth before feeds, and cold after feeds relieve engorgement while supporting
continued lactation.
Question 9. Which laboratory finding supports a diagnosis of preeclampsia?
A. Proteinuria with elevated blood pressure after 20 weeks
B. Isolated elevated blood pressure without protein or end-organ signs in all cases
C. Low platelet count only without hypertension
D. Elevated liver enzymes only without other criteria
Correct Answer: C
Rationale: Preeclampsia is defined by new-onset hypertension after 20 weeks with proteinuria or other end-organ
dysfunction.
Question 10. A client at 36 weeks reports decreased fetal movement. The priority action is to:
A. Reassure that movement always decreases near term
B. Perform or arrange fetal surveillance (nonstress test or biophysical profile) as indicated
C. Schedule a routine visit in 1 week
D. Advise bed rest only without monitoring
Correct Answer: D
Rationale: Decreased fetal movement requires prompt evaluation of fetal well-being.
Question 11. Which medication is first-line for prevention of preeclampsia in high-risk clients?
A. High-dose vitamin E
B. Low-dose aspirin initiated in the late first or early second trimester
C. Routine diuretics
D. Calcium channel blockers for all pregnant clients
Correct Answer: A
Rationale: Low-dose aspirin is recommended for clients at high risk of preeclampsia when started at the appropriate
gestational age.
Question 12. A postpartum client has a fundus that is boggy and displaced to the right. The priority
intervention is to:
A. Administer oxytocin without assessment
B. Assist the client to empty the bladder and perform fundal massage
C. Ignore the finding if bleeding is minimal
D. Order an immediate hysterectomy
NR 602 Primary Care of the Childbearing & Childrearing Family Final Examination 2026/2027 | Verified Questions
NR 602 Primary Care of the Childbearing &
Childrearing Family Final Examination 2026/2027 |
Verified Questions
Chamberlain University | Primary Care of the Childbearing & Childrearing Family | Professional Nursing Candidates
150 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
Chamberlain University | NR 602 Primary Care of the Childbearing & Childrearing Family
Final Examination Actual Exam | Academic Year 2026/2027
NR 602 Primary Care of the Childbearing & Childrearing Family Final Examination 2026/2027 | Verified Questions
,INTRODUCTION
This document contains 150 original verified questions that comprehensively cover the full NR 602 Final Examination.
The content is organized across four core domains: Care of the Childbearing Family; Care of the Childrearing Family
(Pediatrics); Women's Health & Gynecologic Care; and Health Promotion, Prevention & Professional Practice. Each
domain contains questions designed to reinforce the official Chamberlain University NR 602 Primary Care of the
Childbearing & Childrearing Family course objectives for actual exam readiness and primary care proficiency, aligned to
the 2026/2027 academic year. Questions emphasize clinical judgment, evidence-based guidelines, and family-centered
primary care consistent with foundational methodology and the NCSBN Clinical Judgment Measurement Model.
ACTUAL QUESTIONS
Domain 1: Care of the Childbearing Family
Question 1. A pregnant client at 28 weeks gestation has a blood pressure of 162/112 mm Hg, severe
headache, and visual changes. The nurse practitioner recognizes this as:
A. Mild gestational hypertension managed outpatient
B. Severe preeclampsia requiring immediate hospital admission
C. Normal third-trimester blood pressure variation
D. Chronic hypertension without further evaluation
Correct Answer: C
Rationale: Blood pressure ≥160/110 with end-organ symptoms (headache, visual changes) defines severe preeclampsia
and necessitates prompt inpatient management.
Question 2. Which vaccine is recommended during each pregnancy between 27 and 36 weeks gestation?
A. MMR
B. Tdap
C. Live attenuated influenza only
D. Varicella
Correct Answer: A
Rationale: Tdap is recommended in every pregnancy at 27–36 weeks to protect the newborn from pertussis through
maternal antibody transfer.
Question 3. A client at 8 weeks gestation reports unilateral pelvic pain and spotting. The priority action is
to:
A. Reassure that spotting is always normal
B. Evaluate for ectopic pregnancy with quantitative hCG and ultrasound
C. Prescribe bed rest without further testing
D. Schedule a routine prenatal visit in 4 weeks
Correct Answer: C
Rationale: First-trimester pain and bleeding raise concern for ectopic pregnancy; prompt evaluation with hCG and
imaging is required.
Question 4. The classic triad of ectopic pregnancy includes:
A. Fever, leukocytosis, and vaginal discharge
B. Abdominal/pelvic pain, vaginal bleeding, and positive pregnancy test
C. Hypertension, proteinuria, and edema
D. Nausea, vomiting, and diarrhea only
Correct Answer: A
Rationale: Pain, bleeding, and a positive pregnancy test form the classic triad prompting evaluation for ectopic
pregnancy.
Question 5. Which intervention is most effective for preventing postpartum thromboembolism?
A. Prolonged bed rest
B. Early ambulation
C. Fluid restriction
D. High-dose aspirin for all clients
Correct Answer: B
Rationale: Early ambulation reduces venous stasis and is a primary preventive measure against postpartum
thromboembolism.
NR 602 Primary Care of the Childbearing & Childrearing Family Final Examination 2026/2027 | Verified Questions
, Question 6. A client at 32 weeks has a fundal height of 28 cm. The nurse practitioner should:
A. Document as normal variation
B. Further evaluate for possible fetal growth restriction
C. Immediately induce labor
D. Reassure without measurement confirmation
Correct Answer: C
Rationale: Fundal height significantly less than gestational age warrants evaluation for growth restriction or other
causes of size-date discrepancy.
Question 7. Which finding is expected in a healthy term newborn immediately after birth?
A. Central cyanosis lasting 30 minutes
B. Heart rate greater than 100 beats/min and spontaneous breathing
C. Apgar score of 3 at 5 minutes without intervention
D. Absent muscle tone
Correct Answer: B
Rationale: A vigorous term newborn has a heart rate >100 and establishes effective respirations promptly.
Question 8. A breastfeeding client reports engorgement on day 3 postpartum. Appropriate advice
includes:
A. Discontinuing breastfeeding for 48 hours
B. Frequent feeding or pumping, warm compresses before feeds, and cold compresses after
C. Restricting fluid intake
D. Binding the breasts tightly without feeding
Correct Answer: A
Rationale: Frequent emptying, warmth before feeds, and cold after feeds relieve engorgement while supporting
continued lactation.
Question 9. Which laboratory finding supports a diagnosis of preeclampsia?
A. Proteinuria with elevated blood pressure after 20 weeks
B. Isolated elevated blood pressure without protein or end-organ signs in all cases
C. Low platelet count only without hypertension
D. Elevated liver enzymes only without other criteria
Correct Answer: C
Rationale: Preeclampsia is defined by new-onset hypertension after 20 weeks with proteinuria or other end-organ
dysfunction.
Question 10. A client at 36 weeks reports decreased fetal movement. The priority action is to:
A. Reassure that movement always decreases near term
B. Perform or arrange fetal surveillance (nonstress test or biophysical profile) as indicated
C. Schedule a routine visit in 1 week
D. Advise bed rest only without monitoring
Correct Answer: D
Rationale: Decreased fetal movement requires prompt evaluation of fetal well-being.
Question 11. Which medication is first-line for prevention of preeclampsia in high-risk clients?
A. High-dose vitamin E
B. Low-dose aspirin initiated in the late first or early second trimester
C. Routine diuretics
D. Calcium channel blockers for all pregnant clients
Correct Answer: A
Rationale: Low-dose aspirin is recommended for clients at high risk of preeclampsia when started at the appropriate
gestational age.
Question 12. A postpartum client has a fundus that is boggy and displaced to the right. The priority
intervention is to:
A. Administer oxytocin without assessment
B. Assist the client to empty the bladder and perform fundal massage
C. Ignore the finding if bleeding is minimal
D. Order an immediate hysterectomy
NR 602 Primary Care of the Childbearing & Childrearing Family Final Examination 2026/2027 | Verified Questions
