NR602 PRIMARY CARE OF THE
CHILDBEARING AND CHILDREARING
FAMILY PRACTICUM FINAL EXAM
1. A 28-year-old primigravida at 34 weeks gestation presents with a blood pressure of 155/95
mmHg and 2+ proteinuria. She denies headaches or visual changes. Which of the following is
the most appropriate diagnosis?
A. Preeclampsia without severe features
B. Gestational Hypertension
C. Preeclampsia with severe features
D. Eclampsia
Answer: A
Conceptual Explanation: Preeclampsia without severe features is defined as BP ≥ 140/90
mmHg on two occasions at least 4 hours apart after 20 weeks gestation in a previously
normotensive patient, accompanied by proteinuria ≥ 300 mg/24h or 1+ to 2+ on dipstick.
2. According to the CDC immunization schedule, which vaccine is first administered at birth?
A. Rotavirus
,B. Hib
C. IPV
D. Hepatitis B
Answer: D
Conceptual Explanation: The Hepatitis B vaccine is the only vaccine recommended to be
given within the first 24 hours of birth to prevent vertical transmission.
3. A 4-year-old child presents with a ‘barking’ cough and inspiratory stridor that worsens at
night. What is the most likely causative organism?
A. Respiratory Syncytial Virus (RSV)
B. Haemophilus influenzae type b
C. Parainfluenza virus
D. Streptococcus pneumoniae
Answer: C
Conceptual Explanation: Croup (laryngotracheobronchitis) is most commonly caused by
Parainfluenza virus and is characterized by a barking cough and stridor.
4. In the management of a patient with Polycystic Ovary Syndrome (PCOS), which of the
following is considered a primary diagnostic criterion under the Rotterdam criteria?
A. Hyperinsulinemia
B. Polycystic ovaries on ultrasound
, C. Elevated Prolactin levels
D. Hypothyroidism
Answer: B
Conceptual Explanation: The Rotterdam criteria require two of three: clinical or
biochemical hyperandrogenism, ovulatory dysfunction, and polycystic ovaries on
ultrasound.
5. A 15-month-old child should be able to perform which of the following developmental
milestones?
A. Jump with both feet
B. Ride a tricycle
C. Walk well independently
D. Copy a circle
Answer: C
Conceptual Explanation: Walking independently is typically achieved by 12-15 months.
Jumping is a 2-year milestone, and riding a tricycle is a 3-year milestone.
6. Screening for Gestational Diabetes Mellitus (GDM) is typically performed at how many
weeks of gestation?
A. 24-28 weeks
B. 20-22 weeks
CHILDBEARING AND CHILDREARING
FAMILY PRACTICUM FINAL EXAM
1. A 28-year-old primigravida at 34 weeks gestation presents with a blood pressure of 155/95
mmHg and 2+ proteinuria. She denies headaches or visual changes. Which of the following is
the most appropriate diagnosis?
A. Preeclampsia without severe features
B. Gestational Hypertension
C. Preeclampsia with severe features
D. Eclampsia
Answer: A
Conceptual Explanation: Preeclampsia without severe features is defined as BP ≥ 140/90
mmHg on two occasions at least 4 hours apart after 20 weeks gestation in a previously
normotensive patient, accompanied by proteinuria ≥ 300 mg/24h or 1+ to 2+ on dipstick.
2. According to the CDC immunization schedule, which vaccine is first administered at birth?
A. Rotavirus
,B. Hib
C. IPV
D. Hepatitis B
Answer: D
Conceptual Explanation: The Hepatitis B vaccine is the only vaccine recommended to be
given within the first 24 hours of birth to prevent vertical transmission.
3. A 4-year-old child presents with a ‘barking’ cough and inspiratory stridor that worsens at
night. What is the most likely causative organism?
A. Respiratory Syncytial Virus (RSV)
B. Haemophilus influenzae type b
C. Parainfluenza virus
D. Streptococcus pneumoniae
Answer: C
Conceptual Explanation: Croup (laryngotracheobronchitis) is most commonly caused by
Parainfluenza virus and is characterized by a barking cough and stridor.
4. In the management of a patient with Polycystic Ovary Syndrome (PCOS), which of the
following is considered a primary diagnostic criterion under the Rotterdam criteria?
A. Hyperinsulinemia
B. Polycystic ovaries on ultrasound
, C. Elevated Prolactin levels
D. Hypothyroidism
Answer: B
Conceptual Explanation: The Rotterdam criteria require two of three: clinical or
biochemical hyperandrogenism, ovulatory dysfunction, and polycystic ovaries on
ultrasound.
5. A 15-month-old child should be able to perform which of the following developmental
milestones?
A. Jump with both feet
B. Ride a tricycle
C. Walk well independently
D. Copy a circle
Answer: C
Conceptual Explanation: Walking independently is typically achieved by 12-15 months.
Jumping is a 2-year milestone, and riding a tricycle is a 3-year milestone.
6. Screening for Gestational Diabetes Mellitus (GDM) is typically performed at how many
weeks of gestation?
A. 24-28 weeks
B. 20-22 weeks
