Primary Care of the Childbearing &
Childrearing Family Practicum (NR602) –
Chamberlain College of Nursing – Midterm
Exam Review (2025/2026)
Section 1: Pediatric Health and Development (15 Questions)
1. A 10-month-old child attending daycare is diagnosed with gastroenteritis. What is
the likely cause?
a) Salmonella
b) Rotavirus
c) E. coli
d) Shigella
Answer: b) Rotavirus
Rationale: Rotavirus is the most common cause of gastroenteritis in young children,
especially in daycare settings.
2. What initiates puberty physiologically in an 11-year-old child?
a) Release of cortisol
b) Release of GnRH by the hypothalamus
c) Increased thyroid hormone
d) Adrenal gland activation
Answer: b) Release of GnRH by the hypothalamus
Rationale: Puberty begins with the release of gonadotropin-releasing hormone (GnRH)
by the hypothalamus, stimulating the pituitary gland.
3. Which is NOT a risk factor for acute otitis media in children?
a) Daycare attendance
b) Pacifier use
c) Breastfeeding for more than 6 months
d) Secondhand smoke exposure
Answer: c) Breastfeeding for more than 6 months
Rationale: Breastfeeding for more than 6 months is protective against acute otitis media,
unlike the other factors.
4. What is the likely weight of a 1-year-old with a birth weight of 6.5 pounds?
a) 12–14 lbs
b) 19–20 lbs
c) 25–30 lbs
d) 35–40 lbs
Answer: b) 19–20 lbs
Rationale: A 1-year-old typically triples their birth weight, so a 6.5-pound infant would
weigh approximately 19–20 pounds.
, 5. Role-play with equipment during a physical exam is most beneficial for which
group?
a) Adolescents
b) Preschoolers/Toddlers
c) School-age children
d) Infants
Answer: b) Preschoolers/Toddlers
Rationale: Role-play reduces fear and engages preschoolers/toddlers during exams.
6. What is the Ortolani sign used to assess?
a) Scoliosis
b) Congenital hip dysplasia
c) Hearing loss
d) Vision impairment
Answer: b) Congenital hip dysplasia
Rationale: The Ortolani sign is a maneuver to detect congenital hip dysplasia in infants.
7. When examining a toddler, which body part should be examined last?
a) Abdomen
b) Ears and throat
c) Heart
d) Lungs
Answer: b) Ears and throat
Rationale: Ears and throat exams are invasive and may cause distress, so they are
performed last.
8. A 4-month-old boy has an undescended testicle. What is the next appropriate step?
a) Immediate surgery
b) Refer to a pediatric urologist
c) Monitor until 12 months
d) Administer testosterone
Answer: b) Refer to a pediatric urologist
Rationale: Undescended testicles require specialist evaluation to determine management.
9. What is the appropriate management for a child with asthma presenting with acute
wheezing?
a) Administer oral steroids only
b) Use a short-acting beta-agonist (e.g., albuterol)
c) Restrict all fluids
d) Administer antibiotics
Answer: b) Use a short-acting beta-agonist (e.g., albuterol)
Rationale: Albuterol relieves acute asthma symptoms by relaxing bronchial smooth
muscles.
10. A 12-year-old has vesicles and honey-colored crusted lesions above the nares. What
condition is suspected?
a) Eczema
b) Impetigo
c) Herpes simplex
d) Psoriasis
Answer: b) Impetigo
Childrearing Family Practicum (NR602) –
Chamberlain College of Nursing – Midterm
Exam Review (2025/2026)
Section 1: Pediatric Health and Development (15 Questions)
1. A 10-month-old child attending daycare is diagnosed with gastroenteritis. What is
the likely cause?
a) Salmonella
b) Rotavirus
c) E. coli
d) Shigella
Answer: b) Rotavirus
Rationale: Rotavirus is the most common cause of gastroenteritis in young children,
especially in daycare settings.
2. What initiates puberty physiologically in an 11-year-old child?
a) Release of cortisol
b) Release of GnRH by the hypothalamus
c) Increased thyroid hormone
d) Adrenal gland activation
Answer: b) Release of GnRH by the hypothalamus
Rationale: Puberty begins with the release of gonadotropin-releasing hormone (GnRH)
by the hypothalamus, stimulating the pituitary gland.
3. Which is NOT a risk factor for acute otitis media in children?
a) Daycare attendance
b) Pacifier use
c) Breastfeeding for more than 6 months
d) Secondhand smoke exposure
Answer: c) Breastfeeding for more than 6 months
Rationale: Breastfeeding for more than 6 months is protective against acute otitis media,
unlike the other factors.
4. What is the likely weight of a 1-year-old with a birth weight of 6.5 pounds?
a) 12–14 lbs
b) 19–20 lbs
c) 25–30 lbs
d) 35–40 lbs
Answer: b) 19–20 lbs
Rationale: A 1-year-old typically triples their birth weight, so a 6.5-pound infant would
weigh approximately 19–20 pounds.
, 5. Role-play with equipment during a physical exam is most beneficial for which
group?
a) Adolescents
b) Preschoolers/Toddlers
c) School-age children
d) Infants
Answer: b) Preschoolers/Toddlers
Rationale: Role-play reduces fear and engages preschoolers/toddlers during exams.
6. What is the Ortolani sign used to assess?
a) Scoliosis
b) Congenital hip dysplasia
c) Hearing loss
d) Vision impairment
Answer: b) Congenital hip dysplasia
Rationale: The Ortolani sign is a maneuver to detect congenital hip dysplasia in infants.
7. When examining a toddler, which body part should be examined last?
a) Abdomen
b) Ears and throat
c) Heart
d) Lungs
Answer: b) Ears and throat
Rationale: Ears and throat exams are invasive and may cause distress, so they are
performed last.
8. A 4-month-old boy has an undescended testicle. What is the next appropriate step?
a) Immediate surgery
b) Refer to a pediatric urologist
c) Monitor until 12 months
d) Administer testosterone
Answer: b) Refer to a pediatric urologist
Rationale: Undescended testicles require specialist evaluation to determine management.
9. What is the appropriate management for a child with asthma presenting with acute
wheezing?
a) Administer oral steroids only
b) Use a short-acting beta-agonist (e.g., albuterol)
c) Restrict all fluids
d) Administer antibiotics
Answer: b) Use a short-acting beta-agonist (e.g., albuterol)
Rationale: Albuterol relieves acute asthma symptoms by relaxing bronchial smooth
muscles.
10. A 12-year-old has vesicles and honey-colored crusted lesions above the nares. What
condition is suspected?
a) Eczema
b) Impetigo
c) Herpes simplex
d) Psoriasis
Answer: b) Impetigo
