NR 602 Primary Care of the Childbearing and Childrearing Family Final
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) – Final Exam: Asthma,
Infectious Disease, Dermatology, Orthopedics, Neurology, Cardiology, Genetics, Endocrinology
Source: Final Exam Blueprint – Asthma Step Therapy, Rashes, Orthopedic Exams, Congenital Heart
Disease, DDH, Seizures, Diabetes, CF, Sickle Cell, Turner/Down Syndromes
Format: Q&A Guide with Rationale – 100% Verified Answers
Verified: Latest 2025/2026 Update | Grade A+ Guaranteed
1: Step 1 Asthma Approach – Intermittent criteria?
Correct Answer: Symptoms ≤2 days/week; asymptomatic with normal PEF; SABA use ≤2 days/week;
no interference with normal activities; nighttime symptoms ≤2/month; FEV1 >80% predicted.
1. Intermittent asthma requires only SABA PRN; no daily controller.
2. Exacerbations brief (few hours to days).
3. Step 1 therapy: SABA as needed.
2: Step 2 Asthma Approach – Mild Persistent criteria?
Correct Answer: Symptoms >2 days/week but less than daily; SABA use >2 days/week; exacerbations
may affect activity; nighttime symptoms 3-4/month; FEV1 >80% predicted.
1. Daily controller medication needed (low-dose ICS).
2. SABA still needed for rescue.
3. Step 2: low-dose ICS + SABA PRN.
3: Step 3 Asthma Approach – Moderate Persistent criteria?
Correct Answer: Daily symptoms; daily SABA use; some activity limitation; exacerbations ≥2
times/week; nighttime symptoms >1/week but not nightly; FEV1 60-80% predicted.
1. Step 3: low-dose ICS + LABA OR medium-dose ICS.
2. Combination therapy improves control.
3. Refer to pulmonary if poor response.
4: Step 4 Asthma Approach – Severe Persistent criteria?
Correct Answer: Continual symptoms; SABA multiple times daily; extremely limited activity;
nighttime symptoms 7x/week; FEV1 <60% predicted.
1. Step 5-6: high-dose ICS + LABA + consider oral corticosteroids.
2. Omalizumab (anti-IgE) for allergic asthma.
3. Refer to pulmonologist/allergist.
, 5: Leukocoria (white film in pupil) requires what action?
Correct Answer: Immediate referral to pediatric ophthalmologist (rule out retinoblastoma, cataract,
retinal detachment, retinal dysplasia)
1. Retinoblastoma is most concerning; presents with leukocoria and strabismus.
2. All infants need red reflex exam before hospital discharge.
3. Urgent ophthalmology evaluation within 1 week.
6: Visual screening in children – when should it be done according to USPSTF?
Correct Answer: At least once between ages 3-5 years (to detect amblyopia)
1. Amblyopia treatment most effective before age 7.
2. Screening includes visual acuity, stereoacuity, and ocular alignment.
3. Earlier if risk factors (family history, prematurity).
7: Amblyopia treatment includes what?
Correct Answer: Patching of the "good eye" (usually 2 hours daily), atropine drops, or corrective
lenses for refractive errors.
1. Lazy eye is reduced vision not correctable by glasses.
2. Compliance critical for success.
3. Refer to pediatric ophthalmology.
8: Bacterial conjunctivitis first-line treatment in a neonate?
Correct Answer: Erythromycin ointment (after saline irrigation to remove exudate)
1. Most common causes: Chlamydia (clear mucoid) or gonorrhea (purulent).
2. Gonococcal conjunctivitis is ophthalmologic emergency.
3. Obtain culture before treatment.
9: Genu varum (bow-legged) is normal up to what age?
Correct Answer: 3 years (result of intrauterine positioning; physiologic)
1. Physiologic genu varum resolves by age 3, then transitions to genu valgum (knock-knee).
2. Pathologic if asymmetric, severe, or persists beyond 3 years.
3. Refer if associated pain, limping.
10: Legg-Calve-Perthes disease findings?
Correct Answer: Avascular necrosis of femoral head; painful limp; worse with activity; restricted
abduction and rotation; associated with low birth weight, white race.
1. Most common 4-8 years, boys>girls.
2. Treatment: abduction brace or casting; refer to orthopedics.
3. X-ray AP and frog-leg lateral views diagnostic.
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) – Final Exam: Asthma,
Infectious Disease, Dermatology, Orthopedics, Neurology, Cardiology, Genetics, Endocrinology
Source: Final Exam Blueprint – Asthma Step Therapy, Rashes, Orthopedic Exams, Congenital Heart
Disease, DDH, Seizures, Diabetes, CF, Sickle Cell, Turner/Down Syndromes
Format: Q&A Guide with Rationale – 100% Verified Answers
Verified: Latest 2025/2026 Update | Grade A+ Guaranteed
1: Step 1 Asthma Approach – Intermittent criteria?
Correct Answer: Symptoms ≤2 days/week; asymptomatic with normal PEF; SABA use ≤2 days/week;
no interference with normal activities; nighttime symptoms ≤2/month; FEV1 >80% predicted.
1. Intermittent asthma requires only SABA PRN; no daily controller.
2. Exacerbations brief (few hours to days).
3. Step 1 therapy: SABA as needed.
2: Step 2 Asthma Approach – Mild Persistent criteria?
Correct Answer: Symptoms >2 days/week but less than daily; SABA use >2 days/week; exacerbations
may affect activity; nighttime symptoms 3-4/month; FEV1 >80% predicted.
1. Daily controller medication needed (low-dose ICS).
2. SABA still needed for rescue.
3. Step 2: low-dose ICS + SABA PRN.
3: Step 3 Asthma Approach – Moderate Persistent criteria?
Correct Answer: Daily symptoms; daily SABA use; some activity limitation; exacerbations ≥2
times/week; nighttime symptoms >1/week but not nightly; FEV1 60-80% predicted.
1. Step 3: low-dose ICS + LABA OR medium-dose ICS.
2. Combination therapy improves control.
3. Refer to pulmonary if poor response.
4: Step 4 Asthma Approach – Severe Persistent criteria?
Correct Answer: Continual symptoms; SABA multiple times daily; extremely limited activity;
nighttime symptoms 7x/week; FEV1 <60% predicted.
1. Step 5-6: high-dose ICS + LABA + consider oral corticosteroids.
2. Omalizumab (anti-IgE) for allergic asthma.
3. Refer to pulmonologist/allergist.
, 5: Leukocoria (white film in pupil) requires what action?
Correct Answer: Immediate referral to pediatric ophthalmologist (rule out retinoblastoma, cataract,
retinal detachment, retinal dysplasia)
1. Retinoblastoma is most concerning; presents with leukocoria and strabismus.
2. All infants need red reflex exam before hospital discharge.
3. Urgent ophthalmology evaluation within 1 week.
6: Visual screening in children – when should it be done according to USPSTF?
Correct Answer: At least once between ages 3-5 years (to detect amblyopia)
1. Amblyopia treatment most effective before age 7.
2. Screening includes visual acuity, stereoacuity, and ocular alignment.
3. Earlier if risk factors (family history, prematurity).
7: Amblyopia treatment includes what?
Correct Answer: Patching of the "good eye" (usually 2 hours daily), atropine drops, or corrective
lenses for refractive errors.
1. Lazy eye is reduced vision not correctable by glasses.
2. Compliance critical for success.
3. Refer to pediatric ophthalmology.
8: Bacterial conjunctivitis first-line treatment in a neonate?
Correct Answer: Erythromycin ointment (after saline irrigation to remove exudate)
1. Most common causes: Chlamydia (clear mucoid) or gonorrhea (purulent).
2. Gonococcal conjunctivitis is ophthalmologic emergency.
3. Obtain culture before treatment.
9: Genu varum (bow-legged) is normal up to what age?
Correct Answer: 3 years (result of intrauterine positioning; physiologic)
1. Physiologic genu varum resolves by age 3, then transitions to genu valgum (knock-knee).
2. Pathologic if asymmetric, severe, or persists beyond 3 years.
3. Refer if associated pain, limping.
10: Legg-Calve-Perthes disease findings?
Correct Answer: Avascular necrosis of femoral head; painful limp; worse with activity; restricted
abduction and rotation; associated with low birth weight, white race.
1. Most common 4-8 years, boys>girls.
2. Treatment: abduction brace or casting; refer to orthopedics.
3. X-ray AP and frog-leg lateral views diagnostic.
