Certified Pediatric Nurse Growth & Development
Developmental Care and Anticipatory Guidance Competency
test preparation questions with approved Answers 2026/2027
Infant Reflexes - correct answer present in full term infant at birth, disappear by 4
months
Rooting - correct answer stroke cheek; face will turn toward and beging to suck
Babinski reflex - correct answer stroke outer sole of the foot upward; causes toes to
hyperextend
Abnormality after 2 years (CNS)
Palmar grasp relex - correct answer touch palms, fingers will curl downward to grasp
object
Plantar grasp - correct answer place fingers at base of toes, toes will curl downward
moro (startle) - correct answer loud noise or sudden movement; infant will extend limb
and spread fingers then retract limb
stepping - correct answer hold infant upright with feet touching table, infant will move
legs and feet as if stepping
tonic neck (fencing) - correct answer supine with head turned to one side ; infant will
flex arm and leg on opposite side of body and will extend arm and leg on side infant is
facing
Infant Teething - correct answer recommend comfort measures
Infant Teeth - correct answer first tooth appears around 6 months
,20 baby teeth (deciduous) all in place by 3 yo
Brush teeth twice daily w/ water and non fluroide toothpaste
Avoid propping bottle to prevent carries
Infant Flouride - correct answer supplement beginning at 6mo
fluroidated community water or fluroride drops or bottled water
Infant Nutrition AAP Recommendation - correct answer breastfeeding exclusively for
first 4-6 months and then in combination with foods until age 1
Breastfeeding - correct answer promote during prenatal periods
newborns breastfeed Q2-3 hours
Formula Feeding - correct answer newborns drink 2-3oz per feeding (20 oz/day)
4 month old drinks up to 30oz/day
greater than 6mo 24-32oz/day + solids
Infant Vitamin Supplementation - correct answer Breastfed infants: add vit D
immediately after birth & add iron (mulitvitamin w/ iron) at 4mo
Formula fed: iron fortified - contains iron and vit d
Earliest Age for solid foods - correct answer 4 mo - when extrusion reflex disappears
Ideally - no solids for first 6 months (GI tolerates poorly)
Infant Solid Food Introduction - correct answer -Introduce one food at a time
-Order: Rice cereal, other cereals, yellow and green veggies, non ctirus fruits, citrus
fruits
-wait 4-7 days in between introductions of new foods
, When to introduce a sippy cup - correct answer by 6 months
When to encouarge self feeding - correct answer 6-7 months
When to transition from baby food to table food - correct answer 6-12 months
Foods to avoid for infants - correct answer peanuts, popcorn, hotdogs, sausage, whole
grapes, hard candy
Juice for infants - correct answer 6-12 month old
limit to 4-6oz/day
ideal to avoid completely
When does infant sleep through the night with 1-2 naps - correct answer 5-6 months
Infant Safety - burn prevention - correct answer set hot water heater to 120
Infant Safety - drowning prevention - correct answer never leave alone in tub
Infant safety Falls - correct answer use gates across stairways, discourage use of
walkers
Infant safety electrocution - correct answer safety plugs in outlets
Infant safety car seats - correct answer rear facing up to 2 years old
infant safety crib safety - correct answer crib rails up at all times
SIDS Prevention - correct answer -Back to Sleep
Developmental Care and Anticipatory Guidance Competency
test preparation questions with approved Answers 2026/2027
Infant Reflexes - correct answer present in full term infant at birth, disappear by 4
months
Rooting - correct answer stroke cheek; face will turn toward and beging to suck
Babinski reflex - correct answer stroke outer sole of the foot upward; causes toes to
hyperextend
Abnormality after 2 years (CNS)
Palmar grasp relex - correct answer touch palms, fingers will curl downward to grasp
object
Plantar grasp - correct answer place fingers at base of toes, toes will curl downward
moro (startle) - correct answer loud noise or sudden movement; infant will extend limb
and spread fingers then retract limb
stepping - correct answer hold infant upright with feet touching table, infant will move
legs and feet as if stepping
tonic neck (fencing) - correct answer supine with head turned to one side ; infant will
flex arm and leg on opposite side of body and will extend arm and leg on side infant is
facing
Infant Teething - correct answer recommend comfort measures
Infant Teeth - correct answer first tooth appears around 6 months
,20 baby teeth (deciduous) all in place by 3 yo
Brush teeth twice daily w/ water and non fluroide toothpaste
Avoid propping bottle to prevent carries
Infant Flouride - correct answer supplement beginning at 6mo
fluroidated community water or fluroride drops or bottled water
Infant Nutrition AAP Recommendation - correct answer breastfeeding exclusively for
first 4-6 months and then in combination with foods until age 1
Breastfeeding - correct answer promote during prenatal periods
newborns breastfeed Q2-3 hours
Formula Feeding - correct answer newborns drink 2-3oz per feeding (20 oz/day)
4 month old drinks up to 30oz/day
greater than 6mo 24-32oz/day + solids
Infant Vitamin Supplementation - correct answer Breastfed infants: add vit D
immediately after birth & add iron (mulitvitamin w/ iron) at 4mo
Formula fed: iron fortified - contains iron and vit d
Earliest Age for solid foods - correct answer 4 mo - when extrusion reflex disappears
Ideally - no solids for first 6 months (GI tolerates poorly)
Infant Solid Food Introduction - correct answer -Introduce one food at a time
-Order: Rice cereal, other cereals, yellow and green veggies, non ctirus fruits, citrus
fruits
-wait 4-7 days in between introductions of new foods
, When to introduce a sippy cup - correct answer by 6 months
When to encouarge self feeding - correct answer 6-7 months
When to transition from baby food to table food - correct answer 6-12 months
Foods to avoid for infants - correct answer peanuts, popcorn, hotdogs, sausage, whole
grapes, hard candy
Juice for infants - correct answer 6-12 month old
limit to 4-6oz/day
ideal to avoid completely
When does infant sleep through the night with 1-2 naps - correct answer 5-6 months
Infant Safety - burn prevention - correct answer set hot water heater to 120
Infant Safety - drowning prevention - correct answer never leave alone in tub
Infant safety Falls - correct answer use gates across stairways, discourage use of
walkers
Infant safety electrocution - correct answer safety plugs in outlets
Infant safety car seats - correct answer rear facing up to 2 years old
infant safety crib safety - correct answer crib rails up at all times
SIDS Prevention - correct answer -Back to Sleep
