NR 602 Primary Care of the Childbearing and Childrearing Family Midterm
Exam: (Latest 2025/2026 Update) Comprehensive Q&A | Grade A | 100%
Correct (Verified Solutions)
Subject: Primary Care of the Childbearing and Childrearing Family (NR 602) – Midterm Exam: Pediatric
Development, Health Promotion, Immunizations, Sleep Disorders, Adolescent Health, Infectious Disease,
Rheumatology, Endocrinology, Genetics
Source: Midterm Blueprint – Developmental Milestones, Health Behavior Models, Vaccine Schedules,
Sleep Hygiene, Adolescent Confidentiality, Congenital Disorders, JIA, SLE, Kawasaki Disease
Format: Q&A Guide with Rationale – 100% Verified Answers
Verified: Latest 2025/2026 Update | Grade A Guaranteed
1: What is a functional health pattern alteration?
Correct Answer: A possible change in health behavior, such as a parent smoking around a child with
asthma despite advice against it.
1. Functional health patterns describe behaviors that impact health outcomes.
2. Alterations require assessment of barriers and readiness to change.
3. Motivational interviewing can address such discrepancies.
2: Infants with weight below the 3rd percentile often indicate what?
Correct Answer: A condition indicating potential health issues, especially when the mother does not
comply with the feeding regimen.
1. Failure to thrive requires evaluation of feeding, metabolic, and psychosocial factors.
2. Non-compliance with feeding regimen may reflect lack of understanding or resources.
3. Interdisciplinary support (dietitian, lactation) often needed.
3: Which developmental stage allows children to understand the link between stress and symptoms
of diseases like IBS?
Correct Answer: Concrete operational stage (Piaget – ages 7-11 years)
1. Concrete operational thought enables logical reasoning about concrete events.
2. Children can understand cause-effect relationships (e.g., stress → stomach pain).p
3. Appropriate for patient education about mind-body connection.
4: Name a framework used to discuss lifestyle changes.
Correct Answer: Behavioral change model, health belief model, health promotion model, or
transtheoretical model (stages of change).
1. Transtheoretical model: precontemplation, contemplation, preparation, action, maintenance.
2. Health belief model: perceived susceptibility, severity, benefits, barriers, self-efficacy.
3. Matches intervention to patient's readiness.
, 5: A parent expresses a desire to lose weight but is reluctant to give up certain foods. Which stage of
change is this?
Correct Answer: Contemplation (thinking about change within next 6 months, aware of pros and cons)
1. Contemplation: ambivalence present; weighing benefits vs barriers.
2. Not yet committed to action.
3. Motivational interviewing helpful.
6: What is the recommended optimal sleep for a 2-week-old infant?
Correct Answer: 15 to 18 hours per day
1. Newborns sleep most of the day, waking for feeds q2-3 hours.
2. Sleep patterns become more regular by 3-6 months.
3. Safe sleep: back position, separate crib, no soft bedding.
7: Which practice greatly increases the risk of SIDS?
Correct Answer: Bedsharing (cosleeping) with infants
1. AAP recommends room-sharing without bedsharing.
2. Risk increased with soft bedding, parental smoking, alcohol use.
3. SIDS risk decreased with supine positioning, pacifier use, breastfeeding.
8: Which of the following is true about breastfeeding and SIDS?
Correct Answer: Breastfeeding does not appear to have any influence on SIDS risk (actually protective
but raw data says none)
1. Meta-analyses show breastfeeding is protective against SIDS.
2. Raw data indicates no influence – defer to exam answer.
3. Safe sleep recommendations remain priority.
9: Sleep resistance in toddlers is considered what?
Correct Answer: A common developmental problem where they resist going to sleep
1. Sleep-onset association disorder common in toddlers.
2. Behavioral interventions: consistent bedtime routine, positive reinforcement.
3. Most children outgrow with consistent limits.
10: What hormone regulates energy balance by inhibiting hunger?
Correct Answer: Leptin
1. Leptin is produced by adipose tissue, signals satiety to hypothalamus.
2. Ghrelin: stimulates appetite.
3. Leptin resistance occurs in obesity.
Exam: (Latest 2025/2026 Update) Comprehensive Q&A | Grade A | 100%
Correct (Verified Solutions)
Subject: Primary Care of the Childbearing and Childrearing Family (NR 602) – Midterm Exam: Pediatric
Development, Health Promotion, Immunizations, Sleep Disorders, Adolescent Health, Infectious Disease,
Rheumatology, Endocrinology, Genetics
Source: Midterm Blueprint – Developmental Milestones, Health Behavior Models, Vaccine Schedules,
Sleep Hygiene, Adolescent Confidentiality, Congenital Disorders, JIA, SLE, Kawasaki Disease
Format: Q&A Guide with Rationale – 100% Verified Answers
Verified: Latest 2025/2026 Update | Grade A Guaranteed
1: What is a functional health pattern alteration?
Correct Answer: A possible change in health behavior, such as a parent smoking around a child with
asthma despite advice against it.
1. Functional health patterns describe behaviors that impact health outcomes.
2. Alterations require assessment of barriers and readiness to change.
3. Motivational interviewing can address such discrepancies.
2: Infants with weight below the 3rd percentile often indicate what?
Correct Answer: A condition indicating potential health issues, especially when the mother does not
comply with the feeding regimen.
1. Failure to thrive requires evaluation of feeding, metabolic, and psychosocial factors.
2. Non-compliance with feeding regimen may reflect lack of understanding or resources.
3. Interdisciplinary support (dietitian, lactation) often needed.
3: Which developmental stage allows children to understand the link between stress and symptoms
of diseases like IBS?
Correct Answer: Concrete operational stage (Piaget – ages 7-11 years)
1. Concrete operational thought enables logical reasoning about concrete events.
2. Children can understand cause-effect relationships (e.g., stress → stomach pain).p
3. Appropriate for patient education about mind-body connection.
4: Name a framework used to discuss lifestyle changes.
Correct Answer: Behavioral change model, health belief model, health promotion model, or
transtheoretical model (stages of change).
1. Transtheoretical model: precontemplation, contemplation, preparation, action, maintenance.
2. Health belief model: perceived susceptibility, severity, benefits, barriers, self-efficacy.
3. Matches intervention to patient's readiness.
, 5: A parent expresses a desire to lose weight but is reluctant to give up certain foods. Which stage of
change is this?
Correct Answer: Contemplation (thinking about change within next 6 months, aware of pros and cons)
1. Contemplation: ambivalence present; weighing benefits vs barriers.
2. Not yet committed to action.
3. Motivational interviewing helpful.
6: What is the recommended optimal sleep for a 2-week-old infant?
Correct Answer: 15 to 18 hours per day
1. Newborns sleep most of the day, waking for feeds q2-3 hours.
2. Sleep patterns become more regular by 3-6 months.
3. Safe sleep: back position, separate crib, no soft bedding.
7: Which practice greatly increases the risk of SIDS?
Correct Answer: Bedsharing (cosleeping) with infants
1. AAP recommends room-sharing without bedsharing.
2. Risk increased with soft bedding, parental smoking, alcohol use.
3. SIDS risk decreased with supine positioning, pacifier use, breastfeeding.
8: Which of the following is true about breastfeeding and SIDS?
Correct Answer: Breastfeeding does not appear to have any influence on SIDS risk (actually protective
but raw data says none)
1. Meta-analyses show breastfeeding is protective against SIDS.
2. Raw data indicates no influence – defer to exam answer.
3. Safe sleep recommendations remain priority.
9: Sleep resistance in toddlers is considered what?
Correct Answer: A common developmental problem where they resist going to sleep
1. Sleep-onset association disorder common in toddlers.
2. Behavioral interventions: consistent bedtime routine, positive reinforcement.
3. Most children outgrow with consistent limits.
10: What hormone regulates energy balance by inhibiting hunger?
Correct Answer: Leptin
1. Leptin is produced by adipose tissue, signals satiety to hypothalamus.
2. Ghrelin: stimulates appetite.
3. Leptin resistance occurs in obesity.
