NR 602 Primary Care of the Family III: Practice & Final Exam 2026
Chamberlain College
1. A 28-year-old female at 10 weeks gestation presents with vaginal bleeding
and pelvic cramping. On examination, the cervical os is closed. What is the most
likely diagnosis?
A. Inevitable abortion
B. Incomplete abortion
C. Threatened abortion
D. Missed abortion
Answer: C
Rationale: A threatened abortion is characterized by vaginal bleeding before 20 weeks
gestation with a closed cervical os. In contrast, an inevitable abortion involves a dilated os.
2. When using Naegele’s Rule for a woman whose last menstrual period (LMP)
began on March 15, what is the estimated date of delivery (EDD)?
A. December 22
B. December 15
C. December 8
D. January 15
Answer: A
Rationale: Naegele’s Rule calculates EDD by adding 7 days to the first day of the LMP,
subtracting 3 months, and adding 1 year. March 15 + 7 days = March 22; March minus 3
months = December.
,3. A 6-month-old infant is brought in for a well-child visit. Which developmental
milestone should the clinician expect to observe?
A. Sitting independently without support
B. Rolling from tummy to back
C. Walking while holding onto furniture
D. Pincer grasp
Answer: B
Rationale: Rolling from tummy to back is expected by 4-6 months. Sitting without support
is usually achieved by 7-9 months, and walking/pincer grasp are later milestones.
4. Which of the following is a contraindication for the use of combined oral
contraceptives (COCs)?
A. History of dysmenorrhea
B. Family history of breast cancer
C. Migraine with aura
D. Age 30 and non-smoker
Answer: C
Rationale: Migraine with aura is a Category 4 contraindication (unacceptable health risk)
for COCs due to the significantly increased risk of ischemic stroke.
5. A 15-year-old girl has not yet started her menses. She has normal breast
development and pubic hair. What is the definition of this condition?
A. Secondary amenorrhea
B. Primary amenorrhea
C. Precocious puberty
D. Hypogonadism
Answer: B
Rationale: Primary amenorrhea is the absence of menses by age 15 in the presence of
secondary sex characteristics, or age 13 in the absence of secondary sex characteristics.
, 6. What is the primary recommended screening tool for postpartum depression
in the primary care setting?
A. PHQ-9
B. GAD-7
C. Beck Depression Inventory
D. Edinburgh Postnatal Depression Scale (EPDS)
Answer: D
Rationale: The EPDS is a 10-item questionnaire specifically validated and widely used to
screen for depression during the postpartum period.
7. A 4-year-old child presents with high fever, barking cough, and inspiratory
stridor. What is the most likely diagnosis?
A. Laryngotracheobronchitis (Croup)
B. Asthma exacerbation
C. Epiglottitis
D. Bronchiolitis
Answer: A
Rationale: Croup (laryngotracheobronchitis) is characterized by a ‘barky’ cough and
stridor, typically caused by parainfluenza virus.
8. Which physical exam finding is most consistent with Bacterial Vaginosis (BV)?
A. Strawberry cervix
B. Thick, white, curd-like discharge
C. Thin, gray-white homogeneous discharge with ‘fishy’ odor
D. Yellow-green frothy discharge
Answer: C
Rationale: BV presents with thin, homogeneous discharge and a positive ‘whiff test’
(amine odor). Strawberry cervix is associated with Trichomoniasis.
Chamberlain College
1. A 28-year-old female at 10 weeks gestation presents with vaginal bleeding
and pelvic cramping. On examination, the cervical os is closed. What is the most
likely diagnosis?
A. Inevitable abortion
B. Incomplete abortion
C. Threatened abortion
D. Missed abortion
Answer: C
Rationale: A threatened abortion is characterized by vaginal bleeding before 20 weeks
gestation with a closed cervical os. In contrast, an inevitable abortion involves a dilated os.
2. When using Naegele’s Rule for a woman whose last menstrual period (LMP)
began on March 15, what is the estimated date of delivery (EDD)?
A. December 22
B. December 15
C. December 8
D. January 15
Answer: A
Rationale: Naegele’s Rule calculates EDD by adding 7 days to the first day of the LMP,
subtracting 3 months, and adding 1 year. March 15 + 7 days = March 22; March minus 3
months = December.
,3. A 6-month-old infant is brought in for a well-child visit. Which developmental
milestone should the clinician expect to observe?
A. Sitting independently without support
B. Rolling from tummy to back
C. Walking while holding onto furniture
D. Pincer grasp
Answer: B
Rationale: Rolling from tummy to back is expected by 4-6 months. Sitting without support
is usually achieved by 7-9 months, and walking/pincer grasp are later milestones.
4. Which of the following is a contraindication for the use of combined oral
contraceptives (COCs)?
A. History of dysmenorrhea
B. Family history of breast cancer
C. Migraine with aura
D. Age 30 and non-smoker
Answer: C
Rationale: Migraine with aura is a Category 4 contraindication (unacceptable health risk)
for COCs due to the significantly increased risk of ischemic stroke.
5. A 15-year-old girl has not yet started her menses. She has normal breast
development and pubic hair. What is the definition of this condition?
A. Secondary amenorrhea
B. Primary amenorrhea
C. Precocious puberty
D. Hypogonadism
Answer: B
Rationale: Primary amenorrhea is the absence of menses by age 15 in the presence of
secondary sex characteristics, or age 13 in the absence of secondary sex characteristics.
, 6. What is the primary recommended screening tool for postpartum depression
in the primary care setting?
A. PHQ-9
B. GAD-7
C. Beck Depression Inventory
D. Edinburgh Postnatal Depression Scale (EPDS)
Answer: D
Rationale: The EPDS is a 10-item questionnaire specifically validated and widely used to
screen for depression during the postpartum period.
7. A 4-year-old child presents with high fever, barking cough, and inspiratory
stridor. What is the most likely diagnosis?
A. Laryngotracheobronchitis (Croup)
B. Asthma exacerbation
C. Epiglottitis
D. Bronchiolitis
Answer: A
Rationale: Croup (laryngotracheobronchitis) is characterized by a ‘barky’ cough and
stridor, typically caused by parainfluenza virus.
8. Which physical exam finding is most consistent with Bacterial Vaginosis (BV)?
A. Strawberry cervix
B. Thick, white, curd-like discharge
C. Thin, gray-white homogeneous discharge with ‘fishy’ odor
D. Yellow-green frothy discharge
Answer: C
Rationale: BV presents with thin, homogeneous discharge and a positive ‘whiff test’
(amine odor). Strawberry cervix is associated with Trichomoniasis.
