, NR 602 Primary Care Childbearing & Childrearing Family Final Exam
2026/2027 | 40 Verified Questions & Answers | Chamberlain University
Prep | 4 Core Domains | Instant Download
INTRODUCTION
This comprehensive study guide contains 40 verified questions sourced from NR 602
Final Exam materials. The questions are organized across five core domains:
Antepartum Care & Pregnancy (8 questions), Intrapartum & Postpartum Care (7
questions), Neonatal & Infant Care (8 questions), Pediatric Primary Care (10 questions),
and Women's Health & Gynecology (7 questions). Each item includes a correct answer
and a detailed rationale grounded in the NR 602 curriculum and evidence-based clinical
practice standards.
DOMAIN 1: ANTEPARTUM CARE & PREGNANCY (8 QUESTIONS)
Question 1
A patient at 8 weeks' gestation is being evaluated. The nurse practitioner understands
that the pregnant patient should be screened for which of the following at the initial
prenatal visit?
A. Blood type and Rh factor
B. Complete blood count
C. Rubella immunity
D. All of the above
Correct Answer: D ✓
Rationale: The initial prenatal visit includes comprehensive screening: blood type and Rh
factor to assess for Rh incompatibility, complete blood count to assess for anemia and
platelet disorders, rubella immunity, syphilis screening, HIV testing, hepatitis B
screening, urinalysis, and cervical cytology. All of the above are recommended at the
initial prenatal visit .
Question 2
A patient at 28 weeks' gestation is diagnosed with gestational diabetes. The nurse
practitioner should educate the patient about which potential complication?
A. Macrosomia
B. Preterm labor
C. Preeclampsia
D. All of the above
, Correct Answer: D ✓
Rationale: Gestational diabetes is associated with several complications: macrosomia
(large birth weight), shoulder dystocia, preterm labor, preeclampsia, polyhydramnios,
and neonatal hypoglycemia. All of the above are potential complications requiring close
monitoring and management .
Question 3
The nurse practitioner is assessing a patient at 36 weeks' gestation. Which finding is
most concerning?
A. Braxton-Hicks contractions
B. Lightening
C. Vaginal bleeding
D. Increased fetal movement
Correct Answer: C ✓
Rationale: Vaginal bleeding in the third trimester is a concerning finding that may
indicate placental abruption, placenta previa, or preterm labor. Braxton-Hicks
contractions (A), lightening (B), and increased fetal movement (D) are expected findings
in the third trimester and are not concerning .
Question 4
A patient with preeclampsia presents with a blood pressure of 160/100 mmHg and
headache with visual changes. The nurse practitioner should:
A. Schedule a follow-up appointment in 1 week
B. Admit the patient for further evaluation and management
C. Recommend bed rest at home
D. Prescribe oral antihypertensives
Correct Answer: B ✓
Rationale: This patient has severe preeclampsia (systolic BP ≥ 160 or diastolic ≥ 110)
with signs of end-organ damage (headache, visual changes). This requires immediate
admission for fetal monitoring, magnesium sulfate for seizure prophylaxis, and blood
pressure management. Home management is not appropriate .
Question 5
During a client's first prenatal visit, she reports amenorrhea, nausea, and breast
tenderness. The nurse documents these findings as which category of pregnancy signs?
A. Positive signs
B. Probable signs
2026/2027 | 40 Verified Questions & Answers | Chamberlain University
Prep | 4 Core Domains | Instant Download
INTRODUCTION
This comprehensive study guide contains 40 verified questions sourced from NR 602
Final Exam materials. The questions are organized across five core domains:
Antepartum Care & Pregnancy (8 questions), Intrapartum & Postpartum Care (7
questions), Neonatal & Infant Care (8 questions), Pediatric Primary Care (10 questions),
and Women's Health & Gynecology (7 questions). Each item includes a correct answer
and a detailed rationale grounded in the NR 602 curriculum and evidence-based clinical
practice standards.
DOMAIN 1: ANTEPARTUM CARE & PREGNANCY (8 QUESTIONS)
Question 1
A patient at 8 weeks' gestation is being evaluated. The nurse practitioner understands
that the pregnant patient should be screened for which of the following at the initial
prenatal visit?
A. Blood type and Rh factor
B. Complete blood count
C. Rubella immunity
D. All of the above
Correct Answer: D ✓
Rationale: The initial prenatal visit includes comprehensive screening: blood type and Rh
factor to assess for Rh incompatibility, complete blood count to assess for anemia and
platelet disorders, rubella immunity, syphilis screening, HIV testing, hepatitis B
screening, urinalysis, and cervical cytology. All of the above are recommended at the
initial prenatal visit .
Question 2
A patient at 28 weeks' gestation is diagnosed with gestational diabetes. The nurse
practitioner should educate the patient about which potential complication?
A. Macrosomia
B. Preterm labor
C. Preeclampsia
D. All of the above
, Correct Answer: D ✓
Rationale: Gestational diabetes is associated with several complications: macrosomia
(large birth weight), shoulder dystocia, preterm labor, preeclampsia, polyhydramnios,
and neonatal hypoglycemia. All of the above are potential complications requiring close
monitoring and management .
Question 3
The nurse practitioner is assessing a patient at 36 weeks' gestation. Which finding is
most concerning?
A. Braxton-Hicks contractions
B. Lightening
C. Vaginal bleeding
D. Increased fetal movement
Correct Answer: C ✓
Rationale: Vaginal bleeding in the third trimester is a concerning finding that may
indicate placental abruption, placenta previa, or preterm labor. Braxton-Hicks
contractions (A), lightening (B), and increased fetal movement (D) are expected findings
in the third trimester and are not concerning .
Question 4
A patient with preeclampsia presents with a blood pressure of 160/100 mmHg and
headache with visual changes. The nurse practitioner should:
A. Schedule a follow-up appointment in 1 week
B. Admit the patient for further evaluation and management
C. Recommend bed rest at home
D. Prescribe oral antihypertensives
Correct Answer: B ✓
Rationale: This patient has severe preeclampsia (systolic BP ≥ 160 or diastolic ≥ 110)
with signs of end-organ damage (headache, visual changes). This requires immediate
admission for fetal monitoring, magnesium sulfate for seizure prophylaxis, and blood
pressure management. Home management is not appropriate .
Question 5
During a client's first prenatal visit, she reports amenorrhea, nausea, and breast
tenderness. The nurse documents these findings as which category of pregnancy signs?
A. Positive signs
B. Probable signs
