NR 602 – Primary Care of the Childbearing and
Childrearing Family
1. According to the American Academy of Pediatrics (AAP) Bright Futures guidelines, how
many words should a 24-month-old (2-year-old) child be able to say?
A) 10 words
B) 50 words
C) 100 words
D) 200 words
2. A 4-year-old child presents with a pruritic scalp, and nits are found on the hair shafts. What
is the first-line treatment?
A) Oral griseofulvin
B) Permethrin 1% lotion
C) Permethrin 1% cream rinse or Pyrethrins
D) Topical ketoconazole
3. The "checklist" for autism spectrum disorder (ASD) screening, the M-CHAT-R/F, is typically
administered at which well-child visits?
A) 6 and 9 months
B) 9 and 12 months
C) 18 and 24 months
D) 3 and 4 years
4. A 6-month-old infant is brought to the clinic for a well-child visit. The parent reports the
infant was born at 38 weeks gestation. Which milestone would you not expect this infant to
have achieved yet?
A) Rolling from front to back and back to front
B) Sitting without support
C) Babbling consonant sounds (ma-ma, da-da)
D) Raking objects with fingers
5. A school-aged child presents with a sore throat, fever, and a sandpaper-like rash. On exam,
you note a strawberry tongue. What is the most likely diagnosis?
A) Measles
B) Scarlet Fever
C) Mononucleosis
D) Hand, Foot, and Mouth Disease
,6. Which vaccine is contraindicated in a child with a severe anaphylactic allergy to eggs?
A) MMR (Measles, Mumps, Rubella)
B) Inactivated Influenza Vaccine (IIV)
C) Yellow Fever vaccine
D) Varicella vaccine
7. A toddler with a history of wheezing presents with a sudden onset of coughing and
respiratory distress. There was no preceding fever. This presentation is most suspicious for:
A) Bronchiolitis
B) Foreign Body Aspiration
C) Pneumonia
D) Croup
8. The first sign of puberty in females is typically:
A) Menarche
B) Thelarche (breast budding)
C) Pubarche (pubic hair growth)
D) Growth spurt
9. A 15-year-old female is diagnosed with Primary Dysmenorrhea. What is the first-line
pharmacologic treatment?
A) Combined Oral Contraceptive Pills
B) Opioid analgesics
C) Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
D) Antispasmodics like dicyclomine
10. According to the WHO and CDC growth charts, what is the best indicator of nutritional
status in infants and young children?
A) Head Circumference
B) Weight-for-length
C) Body Mass Index (BMI)
D) Weight-for-age
11. A 3-year-old with a history of atopic dermatitis has a flare-up. What is a key component of
daily management to prevent flares?
A) Frequent bathing with hot water
B) Using antibacterial soap
C) Aggressive and frequent moisturization
D) Limiting fluid intake
,12. Impetigo is most commonly caused by which two organisms?
A) Streptococcus pneumoniae and Haemophilus influenzae
B) Staphylococcus aureus and Streptococcus pyogenes
C) Escherichia coli and Klebsiella pneumoniae
D) Candida albicans and Trichophyton rubrum
13. A 2-week-old newborn is brought in for a well-child visit. The parent is concerned about a
red, raised mark on the neck that seems to be growing. This describes which common
vascular lesion?
A) Port-wine stain
B) Salmon patch (stork bite)
C) Hemangioma
D) Mongolian spot
14. The CRAFFT screening tool is used to assess for what in adolescents?
A) Depression and suicide risk
B) Substance use disorder
C) Eating disorders
D) Sexual activity and STI risk
15. A 7-year-old presents with nocturnal enuresis with no daytime symptoms. There is no
history of UTI or constipation. What is the first-line intervention?
A) Prescribe desmopressin (DDAVP)
B) Prescribe imipramine
C) Behavioral modification with a bedwetting alarm
D) Refer to urology
16. Which finding in a newborn is considered a "red flag" requiring immediate referral?
A) A closed anterior fontanelle at 12 months
B) A symmetric Moro reflex
C) An absent red reflex
D) Acrocyanosis in the first 24 hours of life
17. A 4-month-old infant is diagnosed with GERD. What is the first-line management before
starting medications?
A) Proton Pump Inhibitor (PPI)
B) H2 Receptor Blocker
C) Thickening feeds and positional changes
D) Prokinetic agent like metoclopramide
, 18. The most common cause of hearing loss in children is:
A) Genetic disorders
B) Otitis Media with Effusion (OME)
C) Congenital CMV
D) Noise exposure
19. A teen with acne has primarily inflammatory papules and pustules on the face. What is
the recommended first-line topical treatment?
A) Topical antibiotic alone (e.g., clindamycin)
B) Topical retinoid (e.g., tretinoin)
C) Benzoyl peroxide alone
D) Oral doxycycline
20. Which immunization is a live, attenuated vaccine?
A) DTaP
B) IPV (Inactivated Polio Vaccine)
C) MMR
D) Hepatitis B
21. The diagnosis of Functional Abdominal Pain (FAP) in a child is primarily one of:
A) Laboratory testing
B) Exclusion
C) Radiographic confirmation
D) Endoscopic findings
22. A 5-year-old has head lice. The parent is 8 months pregnant. What is the safest treatment
option?
A) Permethrin 1%
B) Lindane
C) Oral Ivermectin
D) Malathion
23. Which finding is characteristic of Otitis Media with Effusion (OME) as opposed to Acute
Otitis Media (AOM)?
A) A bulging, erythematous tympanic membrane
B) A fever and acute onset of ear pain
C) A retracted tympanic membrane with air-fluid levels
D) Perforation of the tympanic membrane with purulent drainage
Childrearing Family
1. According to the American Academy of Pediatrics (AAP) Bright Futures guidelines, how
many words should a 24-month-old (2-year-old) child be able to say?
A) 10 words
B) 50 words
C) 100 words
D) 200 words
2. A 4-year-old child presents with a pruritic scalp, and nits are found on the hair shafts. What
is the first-line treatment?
A) Oral griseofulvin
B) Permethrin 1% lotion
C) Permethrin 1% cream rinse or Pyrethrins
D) Topical ketoconazole
3. The "checklist" for autism spectrum disorder (ASD) screening, the M-CHAT-R/F, is typically
administered at which well-child visits?
A) 6 and 9 months
B) 9 and 12 months
C) 18 and 24 months
D) 3 and 4 years
4. A 6-month-old infant is brought to the clinic for a well-child visit. The parent reports the
infant was born at 38 weeks gestation. Which milestone would you not expect this infant to
have achieved yet?
A) Rolling from front to back and back to front
B) Sitting without support
C) Babbling consonant sounds (ma-ma, da-da)
D) Raking objects with fingers
5. A school-aged child presents with a sore throat, fever, and a sandpaper-like rash. On exam,
you note a strawberry tongue. What is the most likely diagnosis?
A) Measles
B) Scarlet Fever
C) Mononucleosis
D) Hand, Foot, and Mouth Disease
,6. Which vaccine is contraindicated in a child with a severe anaphylactic allergy to eggs?
A) MMR (Measles, Mumps, Rubella)
B) Inactivated Influenza Vaccine (IIV)
C) Yellow Fever vaccine
D) Varicella vaccine
7. A toddler with a history of wheezing presents with a sudden onset of coughing and
respiratory distress. There was no preceding fever. This presentation is most suspicious for:
A) Bronchiolitis
B) Foreign Body Aspiration
C) Pneumonia
D) Croup
8. The first sign of puberty in females is typically:
A) Menarche
B) Thelarche (breast budding)
C) Pubarche (pubic hair growth)
D) Growth spurt
9. A 15-year-old female is diagnosed with Primary Dysmenorrhea. What is the first-line
pharmacologic treatment?
A) Combined Oral Contraceptive Pills
B) Opioid analgesics
C) Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
D) Antispasmodics like dicyclomine
10. According to the WHO and CDC growth charts, what is the best indicator of nutritional
status in infants and young children?
A) Head Circumference
B) Weight-for-length
C) Body Mass Index (BMI)
D) Weight-for-age
11. A 3-year-old with a history of atopic dermatitis has a flare-up. What is a key component of
daily management to prevent flares?
A) Frequent bathing with hot water
B) Using antibacterial soap
C) Aggressive and frequent moisturization
D) Limiting fluid intake
,12. Impetigo is most commonly caused by which two organisms?
A) Streptococcus pneumoniae and Haemophilus influenzae
B) Staphylococcus aureus and Streptococcus pyogenes
C) Escherichia coli and Klebsiella pneumoniae
D) Candida albicans and Trichophyton rubrum
13. A 2-week-old newborn is brought in for a well-child visit. The parent is concerned about a
red, raised mark on the neck that seems to be growing. This describes which common
vascular lesion?
A) Port-wine stain
B) Salmon patch (stork bite)
C) Hemangioma
D) Mongolian spot
14. The CRAFFT screening tool is used to assess for what in adolescents?
A) Depression and suicide risk
B) Substance use disorder
C) Eating disorders
D) Sexual activity and STI risk
15. A 7-year-old presents with nocturnal enuresis with no daytime symptoms. There is no
history of UTI or constipation. What is the first-line intervention?
A) Prescribe desmopressin (DDAVP)
B) Prescribe imipramine
C) Behavioral modification with a bedwetting alarm
D) Refer to urology
16. Which finding in a newborn is considered a "red flag" requiring immediate referral?
A) A closed anterior fontanelle at 12 months
B) A symmetric Moro reflex
C) An absent red reflex
D) Acrocyanosis in the first 24 hours of life
17. A 4-month-old infant is diagnosed with GERD. What is the first-line management before
starting medications?
A) Proton Pump Inhibitor (PPI)
B) H2 Receptor Blocker
C) Thickening feeds and positional changes
D) Prokinetic agent like metoclopramide
, 18. The most common cause of hearing loss in children is:
A) Genetic disorders
B) Otitis Media with Effusion (OME)
C) Congenital CMV
D) Noise exposure
19. A teen with acne has primarily inflammatory papules and pustules on the face. What is
the recommended first-line topical treatment?
A) Topical antibiotic alone (e.g., clindamycin)
B) Topical retinoid (e.g., tretinoin)
C) Benzoyl peroxide alone
D) Oral doxycycline
20. Which immunization is a live, attenuated vaccine?
A) DTaP
B) IPV (Inactivated Polio Vaccine)
C) MMR
D) Hepatitis B
21. The diagnosis of Functional Abdominal Pain (FAP) in a child is primarily one of:
A) Laboratory testing
B) Exclusion
C) Radiographic confirmation
D) Endoscopic findings
22. A 5-year-old has head lice. The parent is 8 months pregnant. What is the safest treatment
option?
A) Permethrin 1%
B) Lindane
C) Oral Ivermectin
D) Malathion
23. Which finding is characteristic of Otitis Media with Effusion (OME) as opposed to Acute
Otitis Media (AOM)?
A) A bulging, erythematous tympanic membrane
B) A fever and acute onset of ear pain
C) A retracted tympanic membrane with air-fluid levels
D) Perforation of the tympanic membrane with purulent drainage
