Midterm Exam: NR602 – Primary Care of the
Childbearing and Childrearing Family | 100
Q&A | Verified
Developmental Milestones & Screening
1. At what age should an infant first be able to sit without support?
A) 4 months
B) 6 months
C) 9 months
D) 12 months
2. A 3-year-old child who can copy a circle, name one color, and speak in 3-word sentences
is meeting expected developmental milestones.
A) True
B) False
3. The "red flags" for a social/emotional developmental delay at 12 months include which
of the following?
A) No babbling
B) No back-and-forth sharing of sounds or smiles
C) Not bearing weight on legs
D) No response to name
4. According to the ASQ-3 (Ages and Stages Questionnaire), which domain assesses a
child's ability to use hands and fingers to manipulate objects?
A) Communication
B) Gross Motor
C) Fine Motor
D) Problem-Solving
5. The M-CHAT-R (Modified Checklist for Autism in Toddlers) is routinely administered at
which well-child visit?
A) 6 months
B) 12 months
C) 18 months
D) 24 months
,Newborn & Infant Care (0-12 months)
6. A newborn's anterior fontanelle typically closes by what age?
A) 2-4 months
B) 6-9 months
C) 12-18 months
D) 24 months
7. The number of wet diapers per day considered normal for a healthy, breastfed 5-day-old
infant is:
A) 2-3
B) 4-6
C) 6-8
D) 8-10
8. Which vaccine is contraindicated in an infant with a severe anaphylactic allergy to eggs?
A) IPV
B) MMR
C) DTaP
D) Hepatitis B
9. The preferred sleeping position for a healthy, full-term newborn to reduce the risk of
SIDS is:
A) Prone (on stomach)
B) Supine (on back)
C) On the side
D) In a car seat
10. A 2-week-old infant presents with white, adherent patches on the tongue and buccal
mucosa that do not wipe off easily. This is most consistent with:
A) Geographic tongue
B) Oral candidiasis (Thrush)
C) Milk curds
D) Herpes gingivostomatitis
Toddler & Preschooler (1-5 years)
11. A common, benign cause of a limp in a 3-year-old who is otherwise well and has a
normal exam is:
A) Legg-Calvé-Perthes disease
B) Transient synovitis
, C) Septic arthritis
D) Osteosarcoma
12. The most effective strategy for managing a temper tantrum in a toddler is:
A) Giving in to their demands to stop it
B) Reasoning with them logically
C) Providing consistent, calm limit-setting and ignoring the behavior
D) Punishing them for the outburst
13. Which speech characteristic is a normal finding in a 3-year-old?
A) Stuttering
B) Lisping
C) Echolalia
D) Complete absence of speech
14. A 4-year-old with sudden onset of perianal itching, especially at night, is most likely
infected with:
A) Giardia lamblia
B) Pinworms (Enterobius vermicularis)
C) Ascaris lumbricoides
D) Tinea corporis
15. According to the American Academy of Pediatrics, the recommended maximum screen
time (TV, tablets) for a 2-year-old is:
A) No screen time other than video-chatting
B) 1 hour per day
C) 2 hours per day
D) No specific limit
School-Age & Adolescent (6-18 years)
16. The CRAFFT screening tool is used to assess for what in adolescents?
A) Depression
B) Substance use
C) Eating disorders
D) Sexual activity
17. A 14-year-old female presents with fatigue, cold intolerance, and weight gain. The most
likely diagnosis is:
A) Hyperthyroidism
B) Hypothyroidism
, C) Type 1 Diabetes
D) Anorexia Nervosa
18. The first sign of puberty in females is typically:
A) Menarche
B) Breast budding (thelarche)
C) Pubic hair development (adrenarche)
D) Growth spurt
19. Which vaccine is recommended for all 11-12 year olds to protect against cancers caused
by HPV?
A) Meningococcal (MenACWY)
B) Tdap
C) HPV
D) Hepatitis A
20. According to the HEADDSSS assessment for adolescents, what does the first "S" stand
for?
A) Safety
B) Sexuality
C) School
D) Sleep
Common Pediatric Illnesses & Management
21. The first-line treatment for uncomplicated Acute Otitis Media (AOM) in a healthy, non-
toxic appearing 2-year-old is:
A) Amoxicillin (80-90 mg/kg/day)
B) Azithromycin
C) Observation only
D) Cefdinir
22. A child with a "barky" cough, stridor, and mild respiratory distress most likely has:
A) Epiglottitis
B) Bacterial tracheitis
C) Croup (Laryngotracheobronchitis)
D) Foreign body aspiration
23. The classic presentation of Kawasaki Disease includes all of the following EXCEPT:
A) Fever for 5+ days
B) Bilateral non-purulent conjunctivitis
Childbearing and Childrearing Family | 100
Q&A | Verified
Developmental Milestones & Screening
1. At what age should an infant first be able to sit without support?
A) 4 months
B) 6 months
C) 9 months
D) 12 months
2. A 3-year-old child who can copy a circle, name one color, and speak in 3-word sentences
is meeting expected developmental milestones.
A) True
B) False
3. The "red flags" for a social/emotional developmental delay at 12 months include which
of the following?
A) No babbling
B) No back-and-forth sharing of sounds or smiles
C) Not bearing weight on legs
D) No response to name
4. According to the ASQ-3 (Ages and Stages Questionnaire), which domain assesses a
child's ability to use hands and fingers to manipulate objects?
A) Communication
B) Gross Motor
C) Fine Motor
D) Problem-Solving
5. The M-CHAT-R (Modified Checklist for Autism in Toddlers) is routinely administered at
which well-child visit?
A) 6 months
B) 12 months
C) 18 months
D) 24 months
,Newborn & Infant Care (0-12 months)
6. A newborn's anterior fontanelle typically closes by what age?
A) 2-4 months
B) 6-9 months
C) 12-18 months
D) 24 months
7. The number of wet diapers per day considered normal for a healthy, breastfed 5-day-old
infant is:
A) 2-3
B) 4-6
C) 6-8
D) 8-10
8. Which vaccine is contraindicated in an infant with a severe anaphylactic allergy to eggs?
A) IPV
B) MMR
C) DTaP
D) Hepatitis B
9. The preferred sleeping position for a healthy, full-term newborn to reduce the risk of
SIDS is:
A) Prone (on stomach)
B) Supine (on back)
C) On the side
D) In a car seat
10. A 2-week-old infant presents with white, adherent patches on the tongue and buccal
mucosa that do not wipe off easily. This is most consistent with:
A) Geographic tongue
B) Oral candidiasis (Thrush)
C) Milk curds
D) Herpes gingivostomatitis
Toddler & Preschooler (1-5 years)
11. A common, benign cause of a limp in a 3-year-old who is otherwise well and has a
normal exam is:
A) Legg-Calvé-Perthes disease
B) Transient synovitis
, C) Septic arthritis
D) Osteosarcoma
12. The most effective strategy for managing a temper tantrum in a toddler is:
A) Giving in to their demands to stop it
B) Reasoning with them logically
C) Providing consistent, calm limit-setting and ignoring the behavior
D) Punishing them for the outburst
13. Which speech characteristic is a normal finding in a 3-year-old?
A) Stuttering
B) Lisping
C) Echolalia
D) Complete absence of speech
14. A 4-year-old with sudden onset of perianal itching, especially at night, is most likely
infected with:
A) Giardia lamblia
B) Pinworms (Enterobius vermicularis)
C) Ascaris lumbricoides
D) Tinea corporis
15. According to the American Academy of Pediatrics, the recommended maximum screen
time (TV, tablets) for a 2-year-old is:
A) No screen time other than video-chatting
B) 1 hour per day
C) 2 hours per day
D) No specific limit
School-Age & Adolescent (6-18 years)
16. The CRAFFT screening tool is used to assess for what in adolescents?
A) Depression
B) Substance use
C) Eating disorders
D) Sexual activity
17. A 14-year-old female presents with fatigue, cold intolerance, and weight gain. The most
likely diagnosis is:
A) Hyperthyroidism
B) Hypothyroidism
, C) Type 1 Diabetes
D) Anorexia Nervosa
18. The first sign of puberty in females is typically:
A) Menarche
B) Breast budding (thelarche)
C) Pubic hair development (adrenarche)
D) Growth spurt
19. Which vaccine is recommended for all 11-12 year olds to protect against cancers caused
by HPV?
A) Meningococcal (MenACWY)
B) Tdap
C) HPV
D) Hepatitis A
20. According to the HEADDSSS assessment for adolescents, what does the first "S" stand
for?
A) Safety
B) Sexuality
C) School
D) Sleep
Common Pediatric Illnesses & Management
21. The first-line treatment for uncomplicated Acute Otitis Media (AOM) in a healthy, non-
toxic appearing 2-year-old is:
A) Amoxicillin (80-90 mg/kg/day)
B) Azithromycin
C) Observation only
D) Cefdinir
22. A child with a "barky" cough, stridor, and mild respiratory distress most likely has:
A) Epiglottitis
B) Bacterial tracheitis
C) Croup (Laryngotracheobronchitis)
D) Foreign body aspiration
23. The classic presentation of Kawasaki Disease includes all of the following EXCEPT:
A) Fever for 5+ days
B) Bilateral non-purulent conjunctivitis
