I would assume that the US ICBM's would be launched at cities and high value assets around Red China. As for the conventional freefall bombs, well they would have been used by SAC to take out harder to hit targets...(ie: Scud style launchers).
The benefit of bombs is that the target can be shifted on the fly. Also, with the right aircraft, a bomb can be dropped without warning, whereas ICBM launches can be detected at launch and tracked.
We used to, as did the Russians, patrol with armed aircraft. it's possible taht the first strike would come from aircraft dropped weapons, so, it's not out of the question that the Megaton bomb is possible.
It could also be an American bomb, dropped by accident or surviving the destruction of the aircraft.