NR602 PRIMARY CARE OF THE
CHILDBEARING AND CHILDREARING
FAMILY FINAL EXAM
1. A 12-month-old infant is brought in for a well-child checkup. Which of the following
developmental milestones would be considered a ‘red flag’ if NOT achieved by this age?
A. Ability to walk independently across the room.
B. Pincer grasp to pick up small objects.
C. Speaking in two-word sentences.
D. Stacking a tower of six blocks.
Answer: B
Conceptual Explanation: A fine motor pincer grasp should be developed by 10-12
months. Walking independently usually occurs by 15 months, two-word sentences by 24
months, and a six-block tower by 24 months.
2. A 28-year-old pregnant patient at 32 weeks gestation presents with a sudden onset of
painless vaginal bleeding. What is the most likely diagnosis?
A. Placental abruption
,B. Vasa previa
C. Cervical insufficiency
D. Placenta previa
Answer: D
Conceptual Explanation: Placenta previa is characterized by painless, bright red vaginal
bleeding in the third trimester. Placental abruption is typically painful.
3. A 4-year-old presents with a high fever, ‘sandpaper’ rash that began on the neck, and a
bright red tongue. What is the recommended first-line treatment?
A. Acyclovir
B. Topical Permethrin
C. Amoxicillin
D. Supportive care only
Answer: C
Conceptual Explanation: These findings are consistent with Scarlet Fever (Group A
Strep). The first-line treatment is Penicillin or Amoxicillin to prevent complications like
rheumatic fever.
4. Which of the following findings is considered a ‘severe feature’ of preeclampsia?
A. Proteinuria of 300 mg in a 24-hour urine collection.
B. Blood pressure of 145/95 mmHg on two occasions.
, C. Platelet count of 90,000/mcL.
D. Mild edema in the lower extremities.
Answer: C
Conceptual Explanation: Severe features include platelets < 100,000, serum creatinine >
1.1, elevated liver enzymes, pulmonary edema, or BP > 160/110.
5. An 8-year-old male presents with persistent hip pain and a limp. Physical exam shows
limited internal rotation of the hip. What is the most likely diagnosis?
A. Slipped Capital Femoral Epiphysis (SCFE)
B. Legg-Calvé-Perthes disease
C. Osgood-Schlatter disease
D. Septic arthritis
Answer: B
Conceptual Explanation: Legg-Calvé-Perthes is avascular necrosis of the femoral head
typically seen in boys aged 4-10. SCFE is more common in obese adolescents.
6. A 24-year-old female requests contraception. She has a history of migraines with aura.
Which method is absolutely contraindicated?
A. Copper IUD (ParaGard)
B. Combined oral contraceptive (COC)
C. Progestin-only pill (Mini-pill)
CHILDBEARING AND CHILDREARING
FAMILY FINAL EXAM
1. A 12-month-old infant is brought in for a well-child checkup. Which of the following
developmental milestones would be considered a ‘red flag’ if NOT achieved by this age?
A. Ability to walk independently across the room.
B. Pincer grasp to pick up small objects.
C. Speaking in two-word sentences.
D. Stacking a tower of six blocks.
Answer: B
Conceptual Explanation: A fine motor pincer grasp should be developed by 10-12
months. Walking independently usually occurs by 15 months, two-word sentences by 24
months, and a six-block tower by 24 months.
2. A 28-year-old pregnant patient at 32 weeks gestation presents with a sudden onset of
painless vaginal bleeding. What is the most likely diagnosis?
A. Placental abruption
,B. Vasa previa
C. Cervical insufficiency
D. Placenta previa
Answer: D
Conceptual Explanation: Placenta previa is characterized by painless, bright red vaginal
bleeding in the third trimester. Placental abruption is typically painful.
3. A 4-year-old presents with a high fever, ‘sandpaper’ rash that began on the neck, and a
bright red tongue. What is the recommended first-line treatment?
A. Acyclovir
B. Topical Permethrin
C. Amoxicillin
D. Supportive care only
Answer: C
Conceptual Explanation: These findings are consistent with Scarlet Fever (Group A
Strep). The first-line treatment is Penicillin or Amoxicillin to prevent complications like
rheumatic fever.
4. Which of the following findings is considered a ‘severe feature’ of preeclampsia?
A. Proteinuria of 300 mg in a 24-hour urine collection.
B. Blood pressure of 145/95 mmHg on two occasions.
, C. Platelet count of 90,000/mcL.
D. Mild edema in the lower extremities.
Answer: C
Conceptual Explanation: Severe features include platelets < 100,000, serum creatinine >
1.1, elevated liver enzymes, pulmonary edema, or BP > 160/110.
5. An 8-year-old male presents with persistent hip pain and a limp. Physical exam shows
limited internal rotation of the hip. What is the most likely diagnosis?
A. Slipped Capital Femoral Epiphysis (SCFE)
B. Legg-Calvé-Perthes disease
C. Osgood-Schlatter disease
D. Septic arthritis
Answer: B
Conceptual Explanation: Legg-Calvé-Perthes is avascular necrosis of the femoral head
typically seen in boys aged 4-10. SCFE is more common in obese adolescents.
6. A 24-year-old female requests contraception. She has a history of migraines with aura.
Which method is absolutely contraindicated?
A. Copper IUD (ParaGard)
B. Combined oral contraceptive (COC)
C. Progestin-only pill (Mini-pill)
