,NR 602 Midterm Exam Prep – Primary Care Childbearing & Childrearing Family –
(2026) Actual Questions & Answers (Chamberlain) 100% Guarantee Pass
Pediatric Gastrointestinal & Metabolic
1. Pyloric Stenosis
A 6-week-old male presents with projectile vomiting after every feeding. He
appears hungry immediately after vomiting. An olive-shaped mass is palpated in
the epigastric area. What is the most appropriate next step?
A. Upper GI series
B. Abdominal ultrasound
C. Serum amylase and lipase
D. CT scan of the abdomen
Answer: B. Abdominal ultrasound is the gold standard for diagnosing pyloric
stenosis .
2. Intussusception
A 2-year-old is brought in with sudden onset of intermittent, crampy abdominal
pain. The mother reports seeing "jelly-like" blood in the stool. What is the most
likely diagnosis?
A. Appendicitis
B. Intussusception
C. Hirschsprung disease
D. Pyloric stenosis
Answer: B. The classic triad is intermittent colicky pain, currant jelly stools, and a
sausage-shaped mass .
3. Foreign Body Ingestion
A toddler presents with sudden-onset wheezing and drooling. The parent reports
the child was playing with a small toy. What is the initial management step?
A. Order a chest X-ray
B. Perform the Heimlich maneuver
C. Prepare for immediate bronchoscopy
D. Observe the child in the office
Answer: A. An X-ray can help identify the location and type of foreign body .
, 4. Constipation
A 2-year-old male has not had a bowel movement in 5 days. His mother reports
that when he does stool, it is large and hard. What is the most appropriate first-
line management?
A. Rectal biopsy
B. Osmotic laxative and dietary modification
C. Stimulant laxative daily
D. Immediate surgical referral
Answer: B. Osmotic laxatives (like polyethylene glycol) combined with dietary
changes are first-line for functional constipation .
5. Dehydration
A child with gastroenteritis presents with sunken eyes, dry mucous membranes,
and a capillary refill time of 3 seconds. What is the next step?
A. Reassure the parents and send home
B. Begin oral rehydration therapy
C. Initiate IV fluids
D. Administer an anti-emetic
Answer: C. These are signs of moderate to severe dehydration, requiring IV fluid
therapy .
6. Failure to Thrive
An infant is below the 3rd percentile for weight and has not gained weight in 2
months. Which condition is a potential GI cause of Failure to Thrive?
A. Congenital heart disease
B. Pyloric stenosis
C. Urinary tract infection
D. Hyperthyroidism
Answer: B. GI causes include GERD, pyloric stenosis, and Crohn's disease .
7. Colic
A 4-week-old infant cries for more than 3 hours a day, more than 3 days a week,
for the past 3 weeks. The infant is gaining weight well. What is the most
appropriate management?
A. Referral to a pediatric gastroenterologist
(2026) Actual Questions & Answers (Chamberlain) 100% Guarantee Pass
Pediatric Gastrointestinal & Metabolic
1. Pyloric Stenosis
A 6-week-old male presents with projectile vomiting after every feeding. He
appears hungry immediately after vomiting. An olive-shaped mass is palpated in
the epigastric area. What is the most appropriate next step?
A. Upper GI series
B. Abdominal ultrasound
C. Serum amylase and lipase
D. CT scan of the abdomen
Answer: B. Abdominal ultrasound is the gold standard for diagnosing pyloric
stenosis .
2. Intussusception
A 2-year-old is brought in with sudden onset of intermittent, crampy abdominal
pain. The mother reports seeing "jelly-like" blood in the stool. What is the most
likely diagnosis?
A. Appendicitis
B. Intussusception
C. Hirschsprung disease
D. Pyloric stenosis
Answer: B. The classic triad is intermittent colicky pain, currant jelly stools, and a
sausage-shaped mass .
3. Foreign Body Ingestion
A toddler presents with sudden-onset wheezing and drooling. The parent reports
the child was playing with a small toy. What is the initial management step?
A. Order a chest X-ray
B. Perform the Heimlich maneuver
C. Prepare for immediate bronchoscopy
D. Observe the child in the office
Answer: A. An X-ray can help identify the location and type of foreign body .
, 4. Constipation
A 2-year-old male has not had a bowel movement in 5 days. His mother reports
that when he does stool, it is large and hard. What is the most appropriate first-
line management?
A. Rectal biopsy
B. Osmotic laxative and dietary modification
C. Stimulant laxative daily
D. Immediate surgical referral
Answer: B. Osmotic laxatives (like polyethylene glycol) combined with dietary
changes are first-line for functional constipation .
5. Dehydration
A child with gastroenteritis presents with sunken eyes, dry mucous membranes,
and a capillary refill time of 3 seconds. What is the next step?
A. Reassure the parents and send home
B. Begin oral rehydration therapy
C. Initiate IV fluids
D. Administer an anti-emetic
Answer: C. These are signs of moderate to severe dehydration, requiring IV fluid
therapy .
6. Failure to Thrive
An infant is below the 3rd percentile for weight and has not gained weight in 2
months. Which condition is a potential GI cause of Failure to Thrive?
A. Congenital heart disease
B. Pyloric stenosis
C. Urinary tract infection
D. Hyperthyroidism
Answer: B. GI causes include GERD, pyloric stenosis, and Crohn's disease .
7. Colic
A 4-week-old infant cries for more than 3 hours a day, more than 3 days a week,
for the past 3 weeks. The infant is gaining weight well. What is the most
appropriate management?
A. Referral to a pediatric gastroenterologist
