NR602 PRIMARY CARE OF THE
CHILDBEARING AND CHILDREARING
FAMILY PRACTICUM ADVANCED
EXAM
1. A 9-month-old infant is brought in for a well-child checkup. Which of the following
developmental milestones should the nurse practitioner expect the infant to have achieved?
A. Building a tower of two blocks
B. Walking independently without support
C. Using a neat pincer grasp to pick up small objects
D. Speaking four to six clear words
Answer: C
Conceptual Explanation: By 9 months, infants typically develop a neat pincer grasp.
Walking independently and building block towers are 12-15 month milestones, while
speaking several words is usually expected around 12 months.
,2. A 24-year-old female presents with a thin, grayish-white vaginal discharge and a ‘fishy’
odor that is more noticeable after intercourse. Microscopic exam reveals clue cells. What is
the first-line treatment?
A. Fluconazole 150 mg PO once
B. Azithromycin 1g PO once
C. Metronidazole 500 mg PO BID for 7 days
D. Ceftriaxone 500 mg IM once
Answer: C
Conceptual Explanation: The clinical presentation and presence of clue cells are
diagnostic of Bacterial Vaginosis (BV). The CDC recommended first-line treatment is
Metronidazole 500 mg PO BID for 7 days.
3. Which of the following physical examination findings is most indicative of pyloric stenosis
in a 4-week-old infant?
A. A palpable olive-shaped mass in the epigastrium
B. Current jelly stools
C. Sausage-shaped mass in the right upper quadrant
D. Abdominal distension and failure to pass meconium
Answer: A
, Conceptual Explanation: An olive-shaped mass in the epigastrium is a pathognomonic
sign of hypertrophic pyloric stenosis. Current jelly stools suggest intussusception.
4. A 16-year-old male is noted to have sparse pubic hair, small testes, and slight enlargement
of the breast tissue (gynecomastia). According to Tanner Staging, which stage is he most
likely in?
A. Stage I
B. Stage III
C. Stage II
D. Stage IV
Answer: B
Conceptual Explanation: Tanner Stage III in males is characterized by further
enlargement of the penis and testes, and pubic hair that is darker and coarser but not yet
spreading to the thighs. Gynecomastia often peaks during Stage III.
5. Which of the following is a contraindication for the use of combined oral contraceptives
(COCs)?
A. Migraine with aura
B. Controlled hypertension
C. History of dysmenorrhea
D. Age 30 and non-smoker
CHILDBEARING AND CHILDREARING
FAMILY PRACTICUM ADVANCED
EXAM
1. A 9-month-old infant is brought in for a well-child checkup. Which of the following
developmental milestones should the nurse practitioner expect the infant to have achieved?
A. Building a tower of two blocks
B. Walking independently without support
C. Using a neat pincer grasp to pick up small objects
D. Speaking four to six clear words
Answer: C
Conceptual Explanation: By 9 months, infants typically develop a neat pincer grasp.
Walking independently and building block towers are 12-15 month milestones, while
speaking several words is usually expected around 12 months.
,2. A 24-year-old female presents with a thin, grayish-white vaginal discharge and a ‘fishy’
odor that is more noticeable after intercourse. Microscopic exam reveals clue cells. What is
the first-line treatment?
A. Fluconazole 150 mg PO once
B. Azithromycin 1g PO once
C. Metronidazole 500 mg PO BID for 7 days
D. Ceftriaxone 500 mg IM once
Answer: C
Conceptual Explanation: The clinical presentation and presence of clue cells are
diagnostic of Bacterial Vaginosis (BV). The CDC recommended first-line treatment is
Metronidazole 500 mg PO BID for 7 days.
3. Which of the following physical examination findings is most indicative of pyloric stenosis
in a 4-week-old infant?
A. A palpable olive-shaped mass in the epigastrium
B. Current jelly stools
C. Sausage-shaped mass in the right upper quadrant
D. Abdominal distension and failure to pass meconium
Answer: A
, Conceptual Explanation: An olive-shaped mass in the epigastrium is a pathognomonic
sign of hypertrophic pyloric stenosis. Current jelly stools suggest intussusception.
4. A 16-year-old male is noted to have sparse pubic hair, small testes, and slight enlargement
of the breast tissue (gynecomastia). According to Tanner Staging, which stage is he most
likely in?
A. Stage I
B. Stage III
C. Stage II
D. Stage IV
Answer: B
Conceptual Explanation: Tanner Stage III in males is characterized by further
enlargement of the penis and testes, and pubic hair that is darker and coarser but not yet
spreading to the thighs. Gynecomastia often peaks during Stage III.
5. Which of the following is a contraindication for the use of combined oral contraceptives
(COCs)?
A. Migraine with aura
B. Controlled hypertension
C. History of dysmenorrhea
D. Age 30 and non-smoker
