NR602 PRIMARY CARE OF THE
CHILDBEARING AND CHILDREARING
FAMILY PRACTICUM FINAL EXAM
STUDY GUIDE
1. A 28-week pregnant woman presents for a routine prenatal visit. Her glucose challenge test
(GCT) result is 155 mg/dL. What is the most appropriate next step?
A. Diagnose gestational diabetes mellitus (GDM) immediately.
B. Repeat the 1-hour GCT in two weeks.
C. Perform a 3-hour glucose tolerance test (GTT).
D. Initiate insulin therapy and diet modification.
Answer: C
Conceptual Explanation: A 1-hour GCT result of 140 mg/dL or higher is considered
positive and requires a follow-up 3-hour GTT to confirm a diagnosis of gestational diabetes.
2. When should a pregnant woman be screened for Group B Streptococcus (GBS)?
A. 24-28 weeks gestation
B. At the first prenatal visit
,C. 36 0/7 to 37 6/7 weeks gestation
D. During the second trimester anatomy scan
Answer: C
Conceptual Explanation: Universal screening for GBS colonization is recommended for all
pregnant women at 36 0/7 to 37 6/7 weeks of gestation, unless GBS bacteriuria was
detected earlier in pregnancy.
3. A 4-year-old child presents with a high fever, ‘barking’ cough, and inspiratory stridor that
worsens when the child is agitated. What is the most likely diagnosis?
A. Croup (Laryngotracheobronchitis)
B. Bronchiolitis
C. Epiglottitis
D. Bacterial tracheitis
Answer: A
Conceptual Explanation: Croup is characterized by a barking cough, inspiratory stridor,
and hoarseness, typically caused by parainfluenza virus. Epiglottitis is more severe and
involves drooling and distress.
4. What is the first-line treatment for a pregnant woman diagnosed with Bacterial Vaginosis
(BV)?
A. Fluconazole 150 mg single dose
, B. Metronidazole 500 mg BID for 7 days
C. Azithromycin 1g single dose
D. Doxycycline 100 mg BID for 7 days
Answer: B
Conceptual Explanation: Oral metronidazole 500 mg twice daily for 7 days is the
recommended treatment for BV in pregnant women to reduce the risk of preterm labor
associated with the infection.
5. A mother brings her 6-month-old infant for a well-child visit. Which developmental
milestone should the nurse practitioner expect the infant to have achieved?
A. Walking while holding onto furniture
B. Using a pincer grasp to pick up small objects
C. Speaking two-word sentences
D. Sitting independently without support
Answer: D
Conceptual Explanation: By 6 months of age, most infants should be able to sit briefly
without support. Pincer grasp occurs around 9 months, and walking while holding
furniture occurs around 10-12 months.
CHILDBEARING AND CHILDREARING
FAMILY PRACTICUM FINAL EXAM
STUDY GUIDE
1. A 28-week pregnant woman presents for a routine prenatal visit. Her glucose challenge test
(GCT) result is 155 mg/dL. What is the most appropriate next step?
A. Diagnose gestational diabetes mellitus (GDM) immediately.
B. Repeat the 1-hour GCT in two weeks.
C. Perform a 3-hour glucose tolerance test (GTT).
D. Initiate insulin therapy and diet modification.
Answer: C
Conceptual Explanation: A 1-hour GCT result of 140 mg/dL or higher is considered
positive and requires a follow-up 3-hour GTT to confirm a diagnosis of gestational diabetes.
2. When should a pregnant woman be screened for Group B Streptococcus (GBS)?
A. 24-28 weeks gestation
B. At the first prenatal visit
,C. 36 0/7 to 37 6/7 weeks gestation
D. During the second trimester anatomy scan
Answer: C
Conceptual Explanation: Universal screening for GBS colonization is recommended for all
pregnant women at 36 0/7 to 37 6/7 weeks of gestation, unless GBS bacteriuria was
detected earlier in pregnancy.
3. A 4-year-old child presents with a high fever, ‘barking’ cough, and inspiratory stridor that
worsens when the child is agitated. What is the most likely diagnosis?
A. Croup (Laryngotracheobronchitis)
B. Bronchiolitis
C. Epiglottitis
D. Bacterial tracheitis
Answer: A
Conceptual Explanation: Croup is characterized by a barking cough, inspiratory stridor,
and hoarseness, typically caused by parainfluenza virus. Epiglottitis is more severe and
involves drooling and distress.
4. What is the first-line treatment for a pregnant woman diagnosed with Bacterial Vaginosis
(BV)?
A. Fluconazole 150 mg single dose
, B. Metronidazole 500 mg BID for 7 days
C. Azithromycin 1g single dose
D. Doxycycline 100 mg BID for 7 days
Answer: B
Conceptual Explanation: Oral metronidazole 500 mg twice daily for 7 days is the
recommended treatment for BV in pregnant women to reduce the risk of preterm labor
associated with the infection.
5. A mother brings her 6-month-old infant for a well-child visit. Which developmental
milestone should the nurse practitioner expect the infant to have achieved?
A. Walking while holding onto furniture
B. Using a pincer grasp to pick up small objects
C. Speaking two-word sentences
D. Sitting independently without support
Answer: D
Conceptual Explanation: By 6 months of age, most infants should be able to sit briefly
without support. Pincer grasp occurs around 9 months, and walking while holding
furniture occurs around 10-12 months.
