1|Page
NR 602/ NR602 FINAL EXAM: PRIMARY CARE
OF THE CHILDBEARING & CHILDREARING
FAMILY | QUESTIONS & ANSWERS WITH
RATIONALE| GRADE A| CHAMBERLAIN
Exam Structure:
Subject: Primary Care of the Childbearing & Childrearing Family
Source: Chamberlain University, NR602 Final Exam
Format: Q&A Guide with Rationale
1: What is the gold standard test for Chlamydia trachomatis?
Options:
A. Culture
B. Nucleic Acid Amplification Test (NAT)
C. Gram Stain
D. Wet Mount
Correct Answer: B. Nucleic Acid Amplification Test (NAT)
Rationale:
1. NAT is more sensitive and specific for detecting chlamydial DNA or
RNA.
2. Culture is not the gold standard for Chlamydia trachomatis.
3. NAT testing is preferred due to its superior diagnostic accuracy.
2: Which finding is characteristic of Chlamydia trachomatis infection?
Options:
A. Positive whiff test
B. Negative whiff test with mucopurulent discharge and positive clue cells
C. Curd-like discharge
D. Strawberry cervix
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Correct Answer: B. Negative whiff test with mucopurulent discharge
and positive clue cells
Rationale:
1. Chlamydia trachomatis often presents with a negative whiff test.
2. Mucopurulent discharge and presence of clue cells on microscopy are
characteristic.
3. This distinguishes it from other vaginal infections.
4. Option C is incorrect: Curd-like discharge is characteristic of
candidiasis.
5. Option D is incorrect: Strawberry cervix is characteristic of
trichomoniasis.
3: What are common symptoms of Chlamydia trachomatis?
Options:
A. Dysuria, intramenstrual spotting, postcoital bleeding, painful sex,
purulent vaginal discharge
B. Severe itching and curd-like discharge
C. Fishy odor and homogeneous discharge
D. Painless chancre
Correct Answer: A. Dysuria, intramenstrual spotting, postcoital
bleeding, painful sex, purulent vaginal discharge
Rationale:
1. Symptoms include dysuria, abnormal bleeding, dyspareunia, and
purulent discharge.
2. Many individuals may be asymptomatic.
3. Option B describes candidiasis; Option C describes bacterial vaginosis;
Option D describes syphilis.
4: How is Chlamydia trachomatis diagnosed?
Options:
A. Blood test
B. Urine or endocervical/vaginal swab
C. Skin biopsy
D. Stool culture
Correct Answer: B. Urine or endocervical/vaginal swab
Rationale:
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1. Diagnosis is typically made via NAAT testing of urine or swab
specimens.
2. Specimens are collected from the endocervix or vagina.
5: What is the recommended treatment for Chlamydia trachomatis?
Options:
A. Metronidazole
B. Azithromycin 1g single dose or doxycycline plus ceftriaxone
C. Fluconazole
D. Acyclovir
Correct Answer: B. Azithromycin 1g single dose or doxycycline plus
ceftriaxone
Rationale:
1. First-line treatment includes azithromycin or doxycycline.
2. Ceftriaxone is often combined if co-infection with gonorrhea is
suspected.
3. This prevents complications like PID.
6: What is Gonorrhea?
Options:
A. A fungal infection
B. A sexually transmitted infection that first causes cervical infection and
can ascend to the upper reproductive tract
C. A parasitic infection
D. A viral skin condition
Correct Answer: B. A sexually transmitted infection that first causes
cervical infection and can ascend to the upper reproductive tract
Rationale:
1. Gonorrhea is an STI caused by Neisseria gonorrhoeae.
2. It starts at the cervix and potentially spreads to the endometrium and
fallopian tubes.
3. It requires mandatory reporting.
7: How can gonorrhea be prevented?
Options:
A. Annual screening for all sexually active women ≤25 years, condom use,
partner treatment
NR 602/ NR602 FINAL EXAM: PRIMARY CARE
OF THE CHILDBEARING & CHILDREARING
FAMILY | QUESTIONS & ANSWERS WITH
RATIONALE| GRADE A| CHAMBERLAIN
Exam Structure:
Subject: Primary Care of the Childbearing & Childrearing Family
Source: Chamberlain University, NR602 Final Exam
Format: Q&A Guide with Rationale
1: What is the gold standard test for Chlamydia trachomatis?
Options:
A. Culture
B. Nucleic Acid Amplification Test (NAT)
C. Gram Stain
D. Wet Mount
Correct Answer: B. Nucleic Acid Amplification Test (NAT)
Rationale:
1. NAT is more sensitive and specific for detecting chlamydial DNA or
RNA.
2. Culture is not the gold standard for Chlamydia trachomatis.
3. NAT testing is preferred due to its superior diagnostic accuracy.
2: Which finding is characteristic of Chlamydia trachomatis infection?
Options:
A. Positive whiff test
B. Negative whiff test with mucopurulent discharge and positive clue cells
C. Curd-like discharge
D. Strawberry cervix
, 2|Page
Correct Answer: B. Negative whiff test with mucopurulent discharge
and positive clue cells
Rationale:
1. Chlamydia trachomatis often presents with a negative whiff test.
2. Mucopurulent discharge and presence of clue cells on microscopy are
characteristic.
3. This distinguishes it from other vaginal infections.
4. Option C is incorrect: Curd-like discharge is characteristic of
candidiasis.
5. Option D is incorrect: Strawberry cervix is characteristic of
trichomoniasis.
3: What are common symptoms of Chlamydia trachomatis?
Options:
A. Dysuria, intramenstrual spotting, postcoital bleeding, painful sex,
purulent vaginal discharge
B. Severe itching and curd-like discharge
C. Fishy odor and homogeneous discharge
D. Painless chancre
Correct Answer: A. Dysuria, intramenstrual spotting, postcoital
bleeding, painful sex, purulent vaginal discharge
Rationale:
1. Symptoms include dysuria, abnormal bleeding, dyspareunia, and
purulent discharge.
2. Many individuals may be asymptomatic.
3. Option B describes candidiasis; Option C describes bacterial vaginosis;
Option D describes syphilis.
4: How is Chlamydia trachomatis diagnosed?
Options:
A. Blood test
B. Urine or endocervical/vaginal swab
C. Skin biopsy
D. Stool culture
Correct Answer: B. Urine or endocervical/vaginal swab
Rationale:
, 3|Page
1. Diagnosis is typically made via NAAT testing of urine or swab
specimens.
2. Specimens are collected from the endocervix or vagina.
5: What is the recommended treatment for Chlamydia trachomatis?
Options:
A. Metronidazole
B. Azithromycin 1g single dose or doxycycline plus ceftriaxone
C. Fluconazole
D. Acyclovir
Correct Answer: B. Azithromycin 1g single dose or doxycycline plus
ceftriaxone
Rationale:
1. First-line treatment includes azithromycin or doxycycline.
2. Ceftriaxone is often combined if co-infection with gonorrhea is
suspected.
3. This prevents complications like PID.
6: What is Gonorrhea?
Options:
A. A fungal infection
B. A sexually transmitted infection that first causes cervical infection and
can ascend to the upper reproductive tract
C. A parasitic infection
D. A viral skin condition
Correct Answer: B. A sexually transmitted infection that first causes
cervical infection and can ascend to the upper reproductive tract
Rationale:
1. Gonorrhea is an STI caused by Neisseria gonorrhoeae.
2. It starts at the cervix and potentially spreads to the endometrium and
fallopian tubes.
3. It requires mandatory reporting.
7: How can gonorrhea be prevented?
Options:
A. Annual screening for all sexually active women ≤25 years, condom use,
partner treatment
