NUR 254 MATERNAL AND PEDIATRICS EXAM 1
VERSION 2 COMPLETE STUDY GUIDE 2026
◉ Red Flags call HCP. Answer: Posterior fontanelle open after 2
months
Anterior fontanelle open after 18 months
Weight Gain < 2x @ 6 months
Weight gain <4x @ 12 months
Should babble @ 9 months
Fontanelle bulging or sunken in
◉ Pediatric Assessment. Answer: Interact with parents
Child sits on parents lap
Equipment out of sight
Invasive last (BP, temp, ear exam)
◉ Ear Assessment. Answer: <3- pinna down and back
>3- pinna up & back
◉ Infant Milestones. Answer: 1 month: grasp reflex
2 months: posterior fontanelle closes
, 3 months- hold objects
4 months: roll front to back, smiles, Moro gone
6 months: roll back to front, first sounds, teeth erupt, solid foods
introduced
8 months: sits unsupported
9-12 months: starting to walk
◉ Toddler Milestones. Answer: 15 months- creeps upstairs
18 months- anterior fontanelle closes
24 months- parallel play, egocentric, runs well
30 months- jumps both feet, starts potty training
◉ Screening for Lead Poisoning. Answer: Universal screening done
at 1 & 2 years old
◉ Preschooler Developmental Milestones. Answer: 3 years- rides
tricycle, walks upstairs with alternate feet, parallel & associative
play
4 years- hops on 1 foot, uses scissors
5 years- associative play
◉ Immunizations. Answer: Minor illnesses (cold)- not
contraindicated in vaccines
VERSION 2 COMPLETE STUDY GUIDE 2026
◉ Red Flags call HCP. Answer: Posterior fontanelle open after 2
months
Anterior fontanelle open after 18 months
Weight Gain < 2x @ 6 months
Weight gain <4x @ 12 months
Should babble @ 9 months
Fontanelle bulging or sunken in
◉ Pediatric Assessment. Answer: Interact with parents
Child sits on parents lap
Equipment out of sight
Invasive last (BP, temp, ear exam)
◉ Ear Assessment. Answer: <3- pinna down and back
>3- pinna up & back
◉ Infant Milestones. Answer: 1 month: grasp reflex
2 months: posterior fontanelle closes
, 3 months- hold objects
4 months: roll front to back, smiles, Moro gone
6 months: roll back to front, first sounds, teeth erupt, solid foods
introduced
8 months: sits unsupported
9-12 months: starting to walk
◉ Toddler Milestones. Answer: 15 months- creeps upstairs
18 months- anterior fontanelle closes
24 months- parallel play, egocentric, runs well
30 months- jumps both feet, starts potty training
◉ Screening for Lead Poisoning. Answer: Universal screening done
at 1 & 2 years old
◉ Preschooler Developmental Milestones. Answer: 3 years- rides
tricycle, walks upstairs with alternate feet, parallel & associative
play
4 years- hops on 1 foot, uses scissors
5 years- associative play
◉ Immunizations. Answer: Minor illnesses (cold)- not
contraindicated in vaccines