NR602 / NR 602 Midterm Exam With 350 + Quiz And Ans
with verified rationales (Latest 2024/2025): Primary Care of
the Childbearing & Childrearing Family Practicum –
Chamberlain | Verified Questions & Answers | A+ Graded
Which of the following best describes Kawasaki disease diagnosis?
A. Confirmed by a specific blood test
B. Diagnosed only through imaging
C. Diagnosed clinically based on fever and characteristic symptoms
D. Diagnosed by genetic testing
Correct Answer: C
Rationale:
Kawasaki disease is a clinical diagnosis because there is no single definitive laboratory test
that confirms it. Instead, clinicians rely on a combination of persistent fever (at least 5 days)
plus at least four of five key clinical features, including mucous membrane changes (such as
red cracked lips and strawberry tongue), bilateral non-purulent conjunctivitis, polymorphous
rash, cervical lymphadenopathy, and swelling or redness of hands and feet. Laboratory tests
may show supportive findings such as elevated inflammatory markers or abnormal liver
function, but they are not diagnostic. This makes clinical recognition essential because
delayed diagnosis increases the risk of serious complications such as coronary artery
aneurysms.
What is the primary treatment for Kawasaki disease?
A. Antibiotics only
B. IVIG and aspirin
C. Chemotherapy
D. Steroids only
Correct Answer: B
Rationale:
The standard treatment for Kawasaki disease is intravenous immunoglobulin (IVIG)
combined with high-dose aspirin. IVIG reduces inflammation and significantly lowers the risk
of coronary artery complications, which are the most serious outcome of untreated disease.
Aspirin is used for its anti-inflammatory and antiplatelet effects. Early treatment, ideally
within the first 10 days of illness, is critical to prevent long-term cardiovascular damage.
,What is retinoblastoma?
A. Infection of the retina
B. Malignant tumor of the retina
C. Degeneration of the optic nerve
D. Inflammation of the cornea
Correct Answer: B
Rationale:
Retinoblastoma is a malignant tumor originating from the retina, typically occurring in young
children. It arises due to mutations in the RB1 tumor suppressor gene. Because it is a rapidly
growing cancer, early detection is critical. It may be hereditary or sporadic, and untreated
cases can lead to vision loss, metastasis, and life-threatening complications.
Which clinical sign is most characteristic of retinoblastoma?
A. Blue sclera
B. Cat’s eye reflex (leukocoria)
C. Drooping eyelid
D. Dilated pupils only
Correct Answer: B
Rationale:
The most classic sign of retinoblastoma is leukocoria, also called “cat’s eye reflex,” where the
pupil appears white instead of black due to tumor reflection. This is often noticed in flash
photography. Other symptoms include strabismus (misaligned eyes), redness, swelling, and
visual impairment. Leukocoria is considered a red flag finding requiring immediate
ophthalmologic evaluation.
At what age should children be routinely screened for retinoblastoma?
A. Until 1 year of age only
B. Until 3 years of age
C. From birth to 7 years of age
D. Only at birth
Correct Answer: C
Rationale:
Screening is recommended from birth up to around 7 years of age, although most cases are
,diagnosed much earlier, usually before age 3. After age 7, routine screening is generally not
necessary in asymptomatic children unless they carry a known RB1 mutation. Early screening
is essential because early-stage detection greatly improves survival and preserves vision.
Which asthma classification is defined by symptoms occurring fewer than 2 days per week?
A. Mild persistent asthma
B. Moderate persistent asthma
C. Severe persistent asthma
D. Intermittent asthma
Correct Answer: D
Rationale:
Intermittent asthma is characterized by infrequent symptoms occurring less than two days
per week, minimal nighttime awakenings, and normal lung function between episodes.
Patients typically experience no interference with daily activities. This classification indicates
the least severe form of asthma and is often managed with as-needed short-acting
bronchodilators.
Which asthma type is characterized by daily symptoms?
A. Intermittent
B. Mild persistent
C. Moderate persistent
D. Severe persistent
Correct Answer: C
Rationale:
Moderate persistent asthma presents with daily symptoms, nighttime awakenings more than
once per week, and regular use of rescue inhalers. Lung function is reduced, and patients
often experience limitations in daily activities. This level of asthma severity requires both
controller and rescue medications for management.
Which asthma severity involves symptoms throughout the day and frequent nighttime
awakening?
A. Mild persistent
B. Moderate persistent
C. Severe persistent
D. Intermittent
, Correct Answer: C
Rationale:
Severe persistent asthma is the most serious category, with symptoms occurring throughout
the day, frequent nighttime awakenings, and severe limitation in physical activity. Patients
often require multiple daily doses of rescue medication, and lung function is significantly
reduced. This condition requires intensive long-term management.
What is the recommended age for routine HPV vaccination?
A. At birth
B. 5–6 years
C. 11–12 years
D. 18–21 years only
Correct Answer: C
Rationale:
The HPV vaccine is routinely recommended at ages 11–12, although it can be started as
early as age 9. Vaccination at this age ensures protection before exposure to the virus.
Catch-up vaccination is recommended up to age 26 for those not previously vaccinated.
Which vaccine is contraindicated during pregnancy?
A. Tdap
B. Inactivated influenza vaccine
C. MMR vaccine
D. Pneumococcal vaccine
Correct Answer: C
Rationale:
The MMR vaccine is contraindicated in pregnancy because it is a live attenuated vaccine and
poses a theoretical risk to the fetus. Other live vaccines such as varicella and intranasal
influenza are also avoided. In contrast, inactivated vaccines like influenza (injectable) and
Tdap are recommended during pregnancy for maternal and neonatal protection.
Which vaccine is recommended during pregnancy?
A. MMR
B. Varicella
with verified rationales (Latest 2024/2025): Primary Care of
the Childbearing & Childrearing Family Practicum –
Chamberlain | Verified Questions & Answers | A+ Graded
Which of the following best describes Kawasaki disease diagnosis?
A. Confirmed by a specific blood test
B. Diagnosed only through imaging
C. Diagnosed clinically based on fever and characteristic symptoms
D. Diagnosed by genetic testing
Correct Answer: C
Rationale:
Kawasaki disease is a clinical diagnosis because there is no single definitive laboratory test
that confirms it. Instead, clinicians rely on a combination of persistent fever (at least 5 days)
plus at least four of five key clinical features, including mucous membrane changes (such as
red cracked lips and strawberry tongue), bilateral non-purulent conjunctivitis, polymorphous
rash, cervical lymphadenopathy, and swelling or redness of hands and feet. Laboratory tests
may show supportive findings such as elevated inflammatory markers or abnormal liver
function, but they are not diagnostic. This makes clinical recognition essential because
delayed diagnosis increases the risk of serious complications such as coronary artery
aneurysms.
What is the primary treatment for Kawasaki disease?
A. Antibiotics only
B. IVIG and aspirin
C. Chemotherapy
D. Steroids only
Correct Answer: B
Rationale:
The standard treatment for Kawasaki disease is intravenous immunoglobulin (IVIG)
combined with high-dose aspirin. IVIG reduces inflammation and significantly lowers the risk
of coronary artery complications, which are the most serious outcome of untreated disease.
Aspirin is used for its anti-inflammatory and antiplatelet effects. Early treatment, ideally
within the first 10 days of illness, is critical to prevent long-term cardiovascular damage.
,What is retinoblastoma?
A. Infection of the retina
B. Malignant tumor of the retina
C. Degeneration of the optic nerve
D. Inflammation of the cornea
Correct Answer: B
Rationale:
Retinoblastoma is a malignant tumor originating from the retina, typically occurring in young
children. It arises due to mutations in the RB1 tumor suppressor gene. Because it is a rapidly
growing cancer, early detection is critical. It may be hereditary or sporadic, and untreated
cases can lead to vision loss, metastasis, and life-threatening complications.
Which clinical sign is most characteristic of retinoblastoma?
A. Blue sclera
B. Cat’s eye reflex (leukocoria)
C. Drooping eyelid
D. Dilated pupils only
Correct Answer: B
Rationale:
The most classic sign of retinoblastoma is leukocoria, also called “cat’s eye reflex,” where the
pupil appears white instead of black due to tumor reflection. This is often noticed in flash
photography. Other symptoms include strabismus (misaligned eyes), redness, swelling, and
visual impairment. Leukocoria is considered a red flag finding requiring immediate
ophthalmologic evaluation.
At what age should children be routinely screened for retinoblastoma?
A. Until 1 year of age only
B. Until 3 years of age
C. From birth to 7 years of age
D. Only at birth
Correct Answer: C
Rationale:
Screening is recommended from birth up to around 7 years of age, although most cases are
,diagnosed much earlier, usually before age 3. After age 7, routine screening is generally not
necessary in asymptomatic children unless they carry a known RB1 mutation. Early screening
is essential because early-stage detection greatly improves survival and preserves vision.
Which asthma classification is defined by symptoms occurring fewer than 2 days per week?
A. Mild persistent asthma
B. Moderate persistent asthma
C. Severe persistent asthma
D. Intermittent asthma
Correct Answer: D
Rationale:
Intermittent asthma is characterized by infrequent symptoms occurring less than two days
per week, minimal nighttime awakenings, and normal lung function between episodes.
Patients typically experience no interference with daily activities. This classification indicates
the least severe form of asthma and is often managed with as-needed short-acting
bronchodilators.
Which asthma type is characterized by daily symptoms?
A. Intermittent
B. Mild persistent
C. Moderate persistent
D. Severe persistent
Correct Answer: C
Rationale:
Moderate persistent asthma presents with daily symptoms, nighttime awakenings more than
once per week, and regular use of rescue inhalers. Lung function is reduced, and patients
often experience limitations in daily activities. This level of asthma severity requires both
controller and rescue medications for management.
Which asthma severity involves symptoms throughout the day and frequent nighttime
awakening?
A. Mild persistent
B. Moderate persistent
C. Severe persistent
D. Intermittent
, Correct Answer: C
Rationale:
Severe persistent asthma is the most serious category, with symptoms occurring throughout
the day, frequent nighttime awakenings, and severe limitation in physical activity. Patients
often require multiple daily doses of rescue medication, and lung function is significantly
reduced. This condition requires intensive long-term management.
What is the recommended age for routine HPV vaccination?
A. At birth
B. 5–6 years
C. 11–12 years
D. 18–21 years only
Correct Answer: C
Rationale:
The HPV vaccine is routinely recommended at ages 11–12, although it can be started as
early as age 9. Vaccination at this age ensures protection before exposure to the virus.
Catch-up vaccination is recommended up to age 26 for those not previously vaccinated.
Which vaccine is contraindicated during pregnancy?
A. Tdap
B. Inactivated influenza vaccine
C. MMR vaccine
D. Pneumococcal vaccine
Correct Answer: C
Rationale:
The MMR vaccine is contraindicated in pregnancy because it is a live attenuated vaccine and
poses a theoretical risk to the fetus. Other live vaccines such as varicella and intranasal
influenza are also avoided. In contrast, inactivated vaccines like influenza (injectable) and
Tdap are recommended during pregnancy for maternal and neonatal protection.
Which vaccine is recommended during pregnancy?
A. MMR
B. Varicella
