NR 602
MIDTERM EXAM
Expected Questions with Answers
(Primary Care of the Childbearing & Childrearing Family)
Chamberlain
This Document Description:
• Includes expected exam questions with verified answers
to help students review core concepts, strengthen
clinical understanding, and prepare confidently for the
Midterm exam.
• Ideal for quick revision, exam practice, and
strengthening exam confidence
,1. The primary care pediatric nurse practitioner is evaluating a heart murmur
during a pre-participation examination of a high school athlete. Which finding
would be a concern requiring referral to a cardiologist?
A. A murmur that is louder when squatting and softer when standing
B. A murmur that is quieter when squatting and louder with a Valsalva
maneuver
C. A murmur with narrow and variable splitting of S2
D. A systolic murmur that is grade 1 or 2
Answer: B. A murmur that is quieter when squatting and louder with a
Valsalva maneuver
Expert Rationale: Normally, squatting increases venous return and makes
murmurs louder, while standing or Valsalva decreases intensity. The reverse
pattern suggests hypertrophic cardiomyopathy or mitral valve prolapse,
requiring cardiology evaluation to rule out sudden cardiac death risk.
---
2. The primary care pediatric nurse practitioner is discussing lifestyle changes
with an adolescent who has hypertension. What will the nurse practitioner
recommend about exercise for this client?
A. Regular to vigorous activity initially with a combination of resistance and
aerobic exercise to maintain lower blood pressure
,B. Moderate daily exercise such as walking for 20 minutes daily with increasing
intensity as blood pressure drops
C. Vigorous aerobic exercise combined with maximal strength training to lower
blood pressure
D. Vigorous aerobic exercise only to reduce blood pressure and then to
maintain lowered blood pressure
Answer: A. Regular to vigorous activity initially with a combination of
resistance and aerobic exercise to maintain lower blood pressure
Expert Rationale: Current guidelines recommend 30-60 minutes of moderate-
to-vigorous physical activity daily for children with hypertension. Resistance
training is safe and effective for maintaining blood pressure control once
hypertension is managed.
---
3. The primary care pediatric nurse practitioner is discussing fitness and
exercise with the parents of a 5-year-old child who ask what kinds of activities
are developmentally appropriate for their child. What will the nurse
practitioner recommend?
A. Bike riding
B. Interactive play
C. Martial arts
D. Organized sports
, Answer: A. Bike riding
Expert Rationale: Bike riding with training wheels or alongside parents is
appropriate for preschoolers (ages 3-5). Interactive play is recommended for
toddlers; martial arts and organized sports are more appropriate for school-age
children (6+ years).
---
4. The parent of a child newly diagnosed with epilepsy asks the primary care
pediatric nurse practitioner if the child will ever be able to participate in gym
or sports. What will the nurse practitioner recommend?
A. Bicycle riding is not safe for children with seizures
B. Contact sports should be avoided
C. Direct supervision of some activities is necessary
D. Underwater sports are not recommended
Answer: C. Direct supervision of some activities is necessary
Expert Rationale: Children with epilepsy can participate in most sports with
appropriate supervision to minimize injury risk if a seizure occurs. Underwater
sports, contact sports, and cycling may require additional precautions but are
not absolutely contraindicated.
---
MIDTERM EXAM
Expected Questions with Answers
(Primary Care of the Childbearing & Childrearing Family)
Chamberlain
This Document Description:
• Includes expected exam questions with verified answers
to help students review core concepts, strengthen
clinical understanding, and prepare confidently for the
Midterm exam.
• Ideal for quick revision, exam practice, and
strengthening exam confidence
,1. The primary care pediatric nurse practitioner is evaluating a heart murmur
during a pre-participation examination of a high school athlete. Which finding
would be a concern requiring referral to a cardiologist?
A. A murmur that is louder when squatting and softer when standing
B. A murmur that is quieter when squatting and louder with a Valsalva
maneuver
C. A murmur with narrow and variable splitting of S2
D. A systolic murmur that is grade 1 or 2
Answer: B. A murmur that is quieter when squatting and louder with a
Valsalva maneuver
Expert Rationale: Normally, squatting increases venous return and makes
murmurs louder, while standing or Valsalva decreases intensity. The reverse
pattern suggests hypertrophic cardiomyopathy or mitral valve prolapse,
requiring cardiology evaluation to rule out sudden cardiac death risk.
---
2. The primary care pediatric nurse practitioner is discussing lifestyle changes
with an adolescent who has hypertension. What will the nurse practitioner
recommend about exercise for this client?
A. Regular to vigorous activity initially with a combination of resistance and
aerobic exercise to maintain lower blood pressure
,B. Moderate daily exercise such as walking for 20 minutes daily with increasing
intensity as blood pressure drops
C. Vigorous aerobic exercise combined with maximal strength training to lower
blood pressure
D. Vigorous aerobic exercise only to reduce blood pressure and then to
maintain lowered blood pressure
Answer: A. Regular to vigorous activity initially with a combination of
resistance and aerobic exercise to maintain lower blood pressure
Expert Rationale: Current guidelines recommend 30-60 minutes of moderate-
to-vigorous physical activity daily for children with hypertension. Resistance
training is safe and effective for maintaining blood pressure control once
hypertension is managed.
---
3. The primary care pediatric nurse practitioner is discussing fitness and
exercise with the parents of a 5-year-old child who ask what kinds of activities
are developmentally appropriate for their child. What will the nurse
practitioner recommend?
A. Bike riding
B. Interactive play
C. Martial arts
D. Organized sports
, Answer: A. Bike riding
Expert Rationale: Bike riding with training wheels or alongside parents is
appropriate for preschoolers (ages 3-5). Interactive play is recommended for
toddlers; martial arts and organized sports are more appropriate for school-age
children (6+ years).
---
4. The parent of a child newly diagnosed with epilepsy asks the primary care
pediatric nurse practitioner if the child will ever be able to participate in gym
or sports. What will the nurse practitioner recommend?
A. Bicycle riding is not safe for children with seizures
B. Contact sports should be avoided
C. Direct supervision of some activities is necessary
D. Underwater sports are not recommended
Answer: C. Direct supervision of some activities is necessary
Expert Rationale: Children with epilepsy can participate in most sports with
appropriate supervision to minimize injury risk if a seizure occurs. Underwater
sports, contact sports, and cycling may require additional precautions but are
not absolutely contraindicated.
---
