WONGS ESSENTIALS OF PEDIATRIC
NURSING 11TH EDITION STUDY GUIDE 2026
CHILD HEALTH ASSESSMENT QUESTIONS
AND ANSWERS
◉ Distractions for Young Patients
Answer: ID badges, pen lights, pacifier, bottle
◉ Neuro Exam Observation
Answer: 60-75% of neuro exam can be done by close observation
◉ Vital Signs in Children
Answer: Smaller kids have higher HR and RR, lower BP
◉ Fontanelle Closure
Answer: Anterior: 12-18 months, Posterior: 2-3 months
◉ Vision Development in Newborns
Answer: Farsighted until 8 months, follow from midline at 3 months
, ◉ Primitive Reflexes
Answer: Moro Reflex: Birth-4m, ATNR: 2wks-6mo, Protective
Equilibrium: 4-6mo, Parachute Reflex: 8-9mo, Galant Reflex: N/A,
Babinski Reflex: Birth-1yr, Palmar/Plantar Grasp: N/A, Pain
Assessment Tool: N/A
◉ Patterns of Growth and Development
Answer: Infancy: Neonate (birth-28 days), Infant (1-12 months),
Early Childhood: Toddler (1-3 years), Preschooler (3-6 years),
Middle Childhood: School age (6-12 years), Later Childhood:
Prepubertal (10-13 years), Adolescent (13-18 years)
◉ Developmental Stages in Infants 2 month Fine Motors
Answer: 2 months: Some head control, lift head, neck and upper
chest with support on arms
◉ Developmental Stages in Infants 6 months Fine motor
Answer: 6 months: Poke with finger, Shakes, bangs, throws and
drops objects
◉ Developmental Stages in Infants 4 months Gross Motor
Answer: Reaches for and bats objects, Roll over stomach to back
◉ Developmental Stages in Infants 6 months Gross Motor
NURSING 11TH EDITION STUDY GUIDE 2026
CHILD HEALTH ASSESSMENT QUESTIONS
AND ANSWERS
◉ Distractions for Young Patients
Answer: ID badges, pen lights, pacifier, bottle
◉ Neuro Exam Observation
Answer: 60-75% of neuro exam can be done by close observation
◉ Vital Signs in Children
Answer: Smaller kids have higher HR and RR, lower BP
◉ Fontanelle Closure
Answer: Anterior: 12-18 months, Posterior: 2-3 months
◉ Vision Development in Newborns
Answer: Farsighted until 8 months, follow from midline at 3 months
, ◉ Primitive Reflexes
Answer: Moro Reflex: Birth-4m, ATNR: 2wks-6mo, Protective
Equilibrium: 4-6mo, Parachute Reflex: 8-9mo, Galant Reflex: N/A,
Babinski Reflex: Birth-1yr, Palmar/Plantar Grasp: N/A, Pain
Assessment Tool: N/A
◉ Patterns of Growth and Development
Answer: Infancy: Neonate (birth-28 days), Infant (1-12 months),
Early Childhood: Toddler (1-3 years), Preschooler (3-6 years),
Middle Childhood: School age (6-12 years), Later Childhood:
Prepubertal (10-13 years), Adolescent (13-18 years)
◉ Developmental Stages in Infants 2 month Fine Motors
Answer: 2 months: Some head control, lift head, neck and upper
chest with support on arms
◉ Developmental Stages in Infants 6 months Fine motor
Answer: 6 months: Poke with finger, Shakes, bangs, throws and
drops objects
◉ Developmental Stages in Infants 4 months Gross Motor
Answer: Reaches for and bats objects, Roll over stomach to back
◉ Developmental Stages in Infants 6 months Gross Motor