NR 602 MIDTERM EXAM Primary Care of the Childbearing and Childrearing Family EXAM STUDY GUIDE 2025/2026 COMPLETE QUESTIONS BANK AND CORRECT DETAILED ANSWERS WITH RATIONALES || 100% GUARANTEED PASS BRAND NEW VERSION

NR 602 MIDTERM EXAM Primary Care of the Childbearing and Childrearing Family EXAM STUDY GUIDE 2025/2026 COMPLETE QUESTIONS BANK AND CORRECT DETAILED ANSWERS WITH RATIONALES || 100% GUARANTEED PASS BRAND NEW VERSION 1. Presumptive Signs of Pregnancy - ANSWER Amenorrhea, N&V, breast tenderness or changes, deepening pigmentation, urinary frequency, fatigue, increased basal body temperature, and quickening (at 16 weeks). 2. Probable Signs of Pregnancy - ANSWER Goodell's sign (cervical softening at 4wk), Chadwick's sign (blue color of vagina & cervix at 6-8 wk), enlarged uterus, (+) urine or blood pregnancy test. 3. Positive Signs of Pregnancy - ANSWER Palpation of fetus, ultrasound visualization of fetus, and fetal heart tones. 4. 12 week Fundal Height - ANSWER The fundus should be at the level of the symphysis pubis 5. 16 week Fundal Height - ANSWER The fundus should be between the symphysis pubis and umbilicus 6. 20 week Fundal Height - ANSWER The fundus should be at the level of the umbillicus 7. 25-35 week Fundal Height - ANSWER The fundus should measure from the symphysis pubis and correlate with with gestational week (+/- 2 cm) 8. Naegele's Rule - ANSWER Add 7 days to LMP, subtract 3 months, add 1 year; Used to calculate due date 9. Tier 1 Birth Control - ANSWER Fail rate 1%; IUD, DMPA (Depo), Progestin implant, sterilization 10. Tier 2 Birth Control - ANSWER Fail rate 2-3%; OCP, COC's, transdermals, cervical ring. 11. Tier 3 Birth Control - ANSWER Fail rate roughly 20%; Barrier methods, can protect against STIs 12. Caldwell-Moloy Classification - ANSWER Four basic pelvic types: gynecoid, android, anthropoid, and platypelloid 13. Ectopic Pregnancy - ANSWER May feel like a typical pregnancy with some of the same signs along with - abnormal vaginal bleeding - low back pain - mild pain in the abdomen or pelvis - mild cramping on one side of the pelvis more serious symptoms include: - Sudden, severe pain in the abdomen or pelvis - Shoulder pain - Weakness, dizziness, or fainting 14. Nationally Reportable STIs - ANSWER chlamydia, gonorrhea, syphilis and chancroid 15. Primary HSV Treatment - ANSWER Acyclovir 400 mg orally three times a day for 7-10 days OR Acyclovir 200 mg orally five times a day for 7-10 days OR Valacyclovir 1 g orally twice a day for 7-10 days OR Famciclovir 250 mg orally three times a day for 7-10 days 16. Suppressive HSV Treatment - ANSWER Acyclovir 400 mg orally twice a day OR Valacyclovir 500 mg orally once a day OR Valacyclovir 1 g orally once a day OR Famiciclovir 250 mg orally twice a day 17. Progestin only contraceptives - ANSWER No hormone-free interval, as occurs with combined methods. These contraceptive methods have minimal effects on coagulation factors, blood pressure, or lipid levels and are generally considered safer for women who have contraindications to estrogen, such as cardiovascular risk factors, migraine with aura, or a history of VTE 18. What is impetigo? - ANSWER Superficial infection of skin that begins as small superficial vesicles that rupture/form honey colored crust Usually 2-5yo 19. What causes bullous impetigo? - ANSWER Staph aureus or group A strep 20. What causes non-bullous impetigo? - ANSWER MRSA 21. What does non-bullous impetigo look like? - ANSWER 1-2mm vesicles that rupture/form honey-colored crusts Weeping, shallow, red ulcers Common on mouth, face, nose, site of insect bites 22. What are some treatments for impetigo? - ANSWER Good hygiene Hand washing Mupirocin (Bactroban) TID Retapamulin (Altabax) BID 1st gen ceph for large area (No Pcn? Consider macrolide) 23. How long before impetigo usually resolves? - ANSWER 7-10d 24. What vaccines can pregnant woman get - ANSWER Tdap and flu 25. Negaele rule - ANSWER add 9 months and 7 days to first day of last period 26. HPV fact - ANSWER 90% have unknown symptoms and most clear up in 2 yrs 27. Chadwick's sign - ANSWER Bluish purple discoloration of the cervix, vagina, and labia during pregnancy as a result of increased vascular congestion. 28. When should chill see dentist Apply _ to baby teeth - ANSWER before 1st bday or within 6 months of first tooth eruption fluoride varnish 29. Clue cells - ANSWER bacterial vaginosis 30. What does chlamydia urinalysis show - ANSWER large number of leukocytes and WBC hsv 2- genital herpes tx 31. What can cause outbreak - ANSWER acyclovir 400 mg TID 3-5 days or acyclovir 800 mg TID 2-5 days immune system low, stress 32. Which std do you not have to report - ANSWER herpes treatment of BV and trich 33. s/s - ANSWER metronidazole 500 mg PO BID x 7 days thin white milky grey discharge 34. Chalmydia tx - ANSWER azithromycin 1 g 35. During what phase is woman likely to contract HIV - ANSWER asymptomatic shedding 36. Bartholin cyst - ANSWER buildup of pus within the Bartholin glands (within the labial folds) 37. HIV kids cannot receive which vaccines - ANSWER live vaccines 38. Mastitis - ANSWER inflammation of the breast with or without infection 39. 32 year old woman presents for counseling regarding management of recurrent genitalherpes. She had 3 episodes in past 11 months, interested in reducing risk of reoccurrence. what med to give. - ANSWER valacyclovir 500 mg daily 40. Trichomonas is associated with increased incidence of _, increased _, and _ - ANSWER PID , genital tract HIV RNA levels, and enhanced HIV shedding 41. Two types of HPV that play role in causing cervical cancer in women - ANSWER 16 and 18 42. When should routine cervical screening be done - ANSWER 21-65 Pediatric NP roles Primary Care NP roles 43. Acute care NP roles - ANSWER · Pediatric NP: assessing growth patterns, evaluating developmental milestones, dx, tx, administer meds, rx, educate · Primary Care NP: assess, administer care, tx, dx, rx · Acute Care NP: assess, dx, tx, rx, serious illnesses or injuries 44. Tertiary Care - ANSWER · Management of rare complex disorders such as congenital malformations, pituitary tumors · Highly specialized care that involves advanced diagnostics, procedures, treatments by specialists 45. Quaternary Care - ANSWER Extension of tertiary care, more specialized and highly unusual- a lot of hospitals don't even offer it 46. Sudden Infant Death Syndrome (SIDS) - ANSWER accidental suffocation and strangulation in bed 47. American Academy of Pediatrics (AAP) recommendations for newborn sleep practices - ANSWER · Infant should sleep on back until age 1 · Offer pacifier during sleep times · Don't have any soft objects like toys, pillows, bumpers in bed · Use infant sleep clothing rather than blankets · Firm mattress with fitted sheet and no other bedding · Have infants sleep in same room as parents but in own bed · Breastfeed if possible · Avoid overheating, in general infants need 1 layer more than adults need · Do not use commercial devices for safe sleep · Do not allow smoke, drugs, alcohol in home when caring for infant 48. Immunizations side effects - ANSWER · Side effects: pain, redness, swelling injection site, abnormal cry, irritable, fever above 38 C, vomiting 49. Anticipatory guidance - ANSWER Patient/family counseling which includes information, advice, and suggestions about expected health-related life occurrences, health maintenance, and preventive plans. 50. Social determinants of health - ANSWER The conditions in which people are born, grow, live, work, and age, shaped by the distribution of money, power, and resources at global, national, and local levels 51. Marginilization occurs when - ANSWER a person, group, or population are socio-politically, socio-economically, or culturally separated from critical resources or experiences through microaggressions and implicit biases. life expectancy white woman 52. black woman - ANSWER 81 77.9 infant mortality rate white women 53. black women - ANSWER 4.7 10.9 maternal suicide rate white women 54. black women - ANSWER 7.9 2.8 55. 9 month old well child check up includes - ANSWER hearing vision lead 56. 7 year old well child check includes - ANSWER immunizations BP BMI length height weight 57. 16 year old annual check up - ANSWER hearing test if not done at 15 depression screening vision testing tobacco/alcohol/ drug use psychosocial and behavioral assessment age specific immunizations developmental surveillance height weight BMI testing for anemia, dyslipidemia, STI 58. 2 month old vaccines when can subsequent doses be given? - ANSWER Dtap IPV