NR602 / NR 602 Midterm Exam () –
Primary Care of the Childbearing & Childrearing
Family Practicum | Chamberlain University | Verified
Questions & Answers | A+ Graded
PRIMARY CARE OF THE CHILDBEARING & CHILDREARING FAMILY
PRACTICUM – CHAMBERLAIN 100 VERIFIED QUESTIONS | ANSWERS IN RED |
DETAILED RATIONALES LATEST 2025/2026 CURRICULUM | A+ GRADED | 100%
PASS GUARANTEED
Q1. A 28-year-old G2P1001 at 8 weeks gestation presents with nausea, vomiting, and fatigue.
Which lab is most important to order first? Quantitative β-hCG. Rationale: Confirms viable
intrauterine pregnancy before treating hyperemesis.
Q2. The fundal height at 20 weeks gestation should be approximately at the: Umbilicus.
Rationale: Fundal height in cm ≈ gestational age in weeks from 16–36 weeks.
Q3. A pregnant woman at 32 weeks reports sudden gush of fluid. Nitrazine test is positive,
ferning present. Diagnosis? Premature rupture of membranes (PROM). Rationale: Positive
nitrazine (blue) + ferning = amniotic fluid.
Q4. Which immunization is contraindicated in pregnancy? MMR (live virus). Rationale:
Theoretical risk to fetus; give postpartum.
Q5. A 30-week pregnant woman has BP 146/92 on two readings 6 hours apart with 1+
proteinuria. Diagnosis? Preeclampsia. Rationale: New-onset HTN ≥140/90 after 20 weeks +
proteinuria.
Q6. Recommended weight gain for BMI 18.5–24.9 (normal) in pregnancy? 25–35 lbs.
Rationale: IOM 2025 guidelines.
, Q7. A woman at 39 weeks has reactive NST with moderate variability and 2 accelerations.
Interpretation? Reassuring. Rationale: Normal variability + ≥2 accels in 20 min = healthy fetus.
Q8. First-line medication for gestational diabetes uncontrolled by diet? Insulin. Rationale:
ACOG 2025: insulin remains gold standard; metformin acceptable alternative.
Q9. A 6-week-old infant has jaundice, poor weight gain, and pale stools. Most likely diagnosis?
Biliary atresia. Rationale: Acholic stools + conjugated hyperbilirubinemia = surgical
emergency (Kasai by 60 days).
Q10. Normal head circumference at birth? 33–35 cm. Rationale: Increases 2 cm/month first 3
months, then 1 cm/month.
Q11. A 4-month-old has not rolled over yet. This is: Developmental delay (should roll by 4–5
months). Rationale: Denver II: gross motor milestone.
Q12. At what age do infants typically sit without support? 6–8 months. Rationale: CDC 2025
milestone checklist.
Q13. A 2-week-old has physiologic jaundice. Peak bilirubin usually occurs at: Day 3–5.
Rationale: Unconjugated; resolves by 2 weeks.
Q14. A mother reports her 9-month-old says “mama” and “dada” nonspecifically. This is:
Normal. Rationale: Specific use by 10–12 months.
Q15. Recommended age to introduce cow’s milk? 12 months. Rationale: AAP: risk of iron
deficiency and GI bleeding before 1 year.
Primary Care of the Childbearing & Childrearing
Family Practicum | Chamberlain University | Verified
Questions & Answers | A+ Graded
PRIMARY CARE OF THE CHILDBEARING & CHILDREARING FAMILY
PRACTICUM – CHAMBERLAIN 100 VERIFIED QUESTIONS | ANSWERS IN RED |
DETAILED RATIONALES LATEST 2025/2026 CURRICULUM | A+ GRADED | 100%
PASS GUARANTEED
Q1. A 28-year-old G2P1001 at 8 weeks gestation presents with nausea, vomiting, and fatigue.
Which lab is most important to order first? Quantitative β-hCG. Rationale: Confirms viable
intrauterine pregnancy before treating hyperemesis.
Q2. The fundal height at 20 weeks gestation should be approximately at the: Umbilicus.
Rationale: Fundal height in cm ≈ gestational age in weeks from 16–36 weeks.
Q3. A pregnant woman at 32 weeks reports sudden gush of fluid. Nitrazine test is positive,
ferning present. Diagnosis? Premature rupture of membranes (PROM). Rationale: Positive
nitrazine (blue) + ferning = amniotic fluid.
Q4. Which immunization is contraindicated in pregnancy? MMR (live virus). Rationale:
Theoretical risk to fetus; give postpartum.
Q5. A 30-week pregnant woman has BP 146/92 on two readings 6 hours apart with 1+
proteinuria. Diagnosis? Preeclampsia. Rationale: New-onset HTN ≥140/90 after 20 weeks +
proteinuria.
Q6. Recommended weight gain for BMI 18.5–24.9 (normal) in pregnancy? 25–35 lbs.
Rationale: IOM 2025 guidelines.
, Q7. A woman at 39 weeks has reactive NST with moderate variability and 2 accelerations.
Interpretation? Reassuring. Rationale: Normal variability + ≥2 accels in 20 min = healthy fetus.
Q8. First-line medication for gestational diabetes uncontrolled by diet? Insulin. Rationale:
ACOG 2025: insulin remains gold standard; metformin acceptable alternative.
Q9. A 6-week-old infant has jaundice, poor weight gain, and pale stools. Most likely diagnosis?
Biliary atresia. Rationale: Acholic stools + conjugated hyperbilirubinemia = surgical
emergency (Kasai by 60 days).
Q10. Normal head circumference at birth? 33–35 cm. Rationale: Increases 2 cm/month first 3
months, then 1 cm/month.
Q11. A 4-month-old has not rolled over yet. This is: Developmental delay (should roll by 4–5
months). Rationale: Denver II: gross motor milestone.
Q12. At what age do infants typically sit without support? 6–8 months. Rationale: CDC 2025
milestone checklist.
Q13. A 2-week-old has physiologic jaundice. Peak bilirubin usually occurs at: Day 3–5.
Rationale: Unconjugated; resolves by 2 weeks.
Q14. A mother reports her 9-month-old says “mama” and “dada” nonspecifically. This is:
Normal. Rationale: Specific use by 10–12 months.
Q15. Recommended age to introduce cow’s milk? 12 months. Rationale: AAP: risk of iron
deficiency and GI bleeding before 1 year.
