NR602 Week 4 Midterm Practice Exam (2025/2026)
Primary Care of Childbearing & Childrearing Family
(High-Yield + ATI/Chamberlain Style)
SECTION 1: PEDIATRIC DEVELOPMENT & WELL-
CHILD CARE
1. A 9-month-old infant should be able to:
A. Walk independently
B. Sit without support
C. Ride a tricycle
D. Say full sentences
Answer: B. Sit without support
Rationale: Sitting without support typically occurs by 6–8
months.
2. The first sign of puberty in boys is:
A. Pubic hair growth
B. Testicular enlargement
,C. Voice deepening
D. Axillary hair
Answer: B. Testicular enlargement
Rationale: This is the earliest Tanner stage II finding.
3. A 12-month-old gross motor milestone includes:
A. Stooping and recovering
B. Writing letters
C. Jumping rope
D. Drawing circles
Answer: A. Stooping and recovering
Rationale: Expected by ~12 months.
4. The most important indicator of adequate growth in
infants is:
A. Head circumference
B. Weight gain
,C. Hair growth
D. Appetite
Answer: B. Weight gain
Rationale: Weight is the most sensitive growth indicator.
SECTION 2: IMMUNIZATIONS
5. A 2-month-old infant should receive:
A. MMR, Varicella
B. DTaP, IPV, Hib, PCV13, Rotavirus
C. HPV only
D. Hepatitis A only
Answer: B. DTaP, IPV, Hib, PCV13, Rotavirus
Rationale: Standard 2-month vaccine schedule.
6. Live vaccines are contraindicated in:
, A. Immunocompromised patients
B. Healthy children
C. Mild cold
D. Allergies
Answer: A. Immunocompromised patients
Rationale: Risk of infection from attenuated virus.
7. The HPV vaccine is recommended starting at:
A. Birth
B. 2 years
C. 11–12 years
D. 18 years
Answer: C. 11–12 years
Rationale: Pre-sexual exposure protection.
SECTION 3: PEDIATRIC INFECTIOUS DISEASES
Primary Care of Childbearing & Childrearing Family
(High-Yield + ATI/Chamberlain Style)
SECTION 1: PEDIATRIC DEVELOPMENT & WELL-
CHILD CARE
1. A 9-month-old infant should be able to:
A. Walk independently
B. Sit without support
C. Ride a tricycle
D. Say full sentences
Answer: B. Sit without support
Rationale: Sitting without support typically occurs by 6–8
months.
2. The first sign of puberty in boys is:
A. Pubic hair growth
B. Testicular enlargement
,C. Voice deepening
D. Axillary hair
Answer: B. Testicular enlargement
Rationale: This is the earliest Tanner stage II finding.
3. A 12-month-old gross motor milestone includes:
A. Stooping and recovering
B. Writing letters
C. Jumping rope
D. Drawing circles
Answer: A. Stooping and recovering
Rationale: Expected by ~12 months.
4. The most important indicator of adequate growth in
infants is:
A. Head circumference
B. Weight gain
,C. Hair growth
D. Appetite
Answer: B. Weight gain
Rationale: Weight is the most sensitive growth indicator.
SECTION 2: IMMUNIZATIONS
5. A 2-month-old infant should receive:
A. MMR, Varicella
B. DTaP, IPV, Hib, PCV13, Rotavirus
C. HPV only
D. Hepatitis A only
Answer: B. DTaP, IPV, Hib, PCV13, Rotavirus
Rationale: Standard 2-month vaccine schedule.
6. Live vaccines are contraindicated in:
, A. Immunocompromised patients
B. Healthy children
C. Mild cold
D. Allergies
Answer: A. Immunocompromised patients
Rationale: Risk of infection from attenuated virus.
7. The HPV vaccine is recommended starting at:
A. Birth
B. 2 years
C. 11–12 years
D. 18 years
Answer: C. 11–12 years
Rationale: Pre-sexual exposure protection.
SECTION 3: PEDIATRIC INFECTIOUS DISEASES
