NR602 Final Exam Practice Test (2025/2026)
Primary Care of the Childbearing & Childrearing
Family Practicum
(FNP-Style, High-Yield, NGN Format)
SECTION A: WOMEN’S HEALTH & OBSTETRICS
1. A 24-year-old pregnant patient at 10 weeks gestation
asks when she should feel fetal movement. The correct
response is:
A. 10–12 weeks
B. 16–20 weeks
C. 24–28 weeks
D. After 30 weeks
Answer: B. 16–20 weeks
Rationale: Quickening is typically felt between 16–20
weeks in multiparous patients and slightly later in
primigravidas.
,2. The most accurate test to confirm pregnancy in early
gestation is:
A. Urine hCG
B. Serum beta-hCG
C. Pelvic exam
D. Ultrasound only
Answer: B. Serum beta-hCG
Rationale: Serum testing detects pregnancy earlier and is
more sensitive.
3. A pregnant patient at 28 weeks reports headache, visual
changes, and edema. The priority concern is:
A. Gestational diabetes
B. Preeclampsia
C. Hyperemesis gravidarum
D. Placenta previa
Answer: B. Preeclampsia
,Rationale: Classic signs include hypertension, headache,
and visual disturbances.
4. The most appropriate initial action for suspected
preeclampsia is:
A. Bed rest and reassess in 1 week
B. Immediate blood pressure evaluation and urine protein
testing
C. Increase fluid intake
D. Give oral iron
Answer: B. Immediate blood pressure evaluation and
urine protein testing
Rationale: Early diagnosis prevents maternal/fetal
complications.
5. A patient at 36 weeks presents with painless vaginal
bleeding. This is most consistent with:
A. Placental abruption
B. Placenta previa
, C. Uterine rupture
D. Preterm labor
Answer: B. Placenta previa
Rationale: Painless bright red bleeding is classic.
SECTION B: PEDIATRICS
6. A 2-month-old infant should receive which
immunizations?
A. MMR, varicella
B. DTaP, Hib, IPV, pneumococcal, rotavirus
C. Hepatitis A only
D. HPV vaccine
Answer: B. DTaP, Hib, IPV, pneumococcal, rotavirus
Rationale: These are standard 2-month vaccines.
Primary Care of the Childbearing & Childrearing
Family Practicum
(FNP-Style, High-Yield, NGN Format)
SECTION A: WOMEN’S HEALTH & OBSTETRICS
1. A 24-year-old pregnant patient at 10 weeks gestation
asks when she should feel fetal movement. The correct
response is:
A. 10–12 weeks
B. 16–20 weeks
C. 24–28 weeks
D. After 30 weeks
Answer: B. 16–20 weeks
Rationale: Quickening is typically felt between 16–20
weeks in multiparous patients and slightly later in
primigravidas.
,2. The most accurate test to confirm pregnancy in early
gestation is:
A. Urine hCG
B. Serum beta-hCG
C. Pelvic exam
D. Ultrasound only
Answer: B. Serum beta-hCG
Rationale: Serum testing detects pregnancy earlier and is
more sensitive.
3. A pregnant patient at 28 weeks reports headache, visual
changes, and edema. The priority concern is:
A. Gestational diabetes
B. Preeclampsia
C. Hyperemesis gravidarum
D. Placenta previa
Answer: B. Preeclampsia
,Rationale: Classic signs include hypertension, headache,
and visual disturbances.
4. The most appropriate initial action for suspected
preeclampsia is:
A. Bed rest and reassess in 1 week
B. Immediate blood pressure evaluation and urine protein
testing
C. Increase fluid intake
D. Give oral iron
Answer: B. Immediate blood pressure evaluation and
urine protein testing
Rationale: Early diagnosis prevents maternal/fetal
complications.
5. A patient at 36 weeks presents with painless vaginal
bleeding. This is most consistent with:
A. Placental abruption
B. Placenta previa
, C. Uterine rupture
D. Preterm labor
Answer: B. Placenta previa
Rationale: Painless bright red bleeding is classic.
SECTION B: PEDIATRICS
6. A 2-month-old infant should receive which
immunizations?
A. MMR, varicella
B. DTaP, Hib, IPV, pneumococcal, rotavirus
C. Hepatitis A only
D. HPV vaccine
Answer: B. DTaP, Hib, IPV, pneumococcal, rotavirus
Rationale: These are standard 2-month vaccines.
