NURS 5432 Final Exam UPDATED
ACTUAL Exam Questions and
CORRECT Answers 2026 UPDATE
EXAM GUIDE
Birth to 6months calorie requirement - ANSWER-120kcal/kg/day
7 months to 1 year Calorie requirement - ANSWER-100 kcal/kg/day
2 to 10 years caloric requirements - ANSWER-100 to 70 kcal/kg/day
Adolescent calorie requirements - ANSWER-45 kcal/kg/day (significant decrease)
How much Vitamin D a day does an infant need starting at 2 months? - ANSWER-
400IU
NOTE: this applies to both breast fed and formula fed infants
How much Iron do infants who are exclusively breastfeeding need? - ANSWER-1
mg/kg/day of iron is recommended
Absent red reflex could indicate these two things: - ANSWER-Congenital Cataracts
Retinoblastoma
What issue with the eyes could indicate Gonococcus, chlamydia, or herpes? -
ANSWER-Purulent Eye Discharge
Disconjugate gaze is considered abnormal, True or False? - ANSWER-False:
Disconjugate gaze is normal
What do response do we look for when testing the hearing if a Newborn? - ANSWER-
Startle Response
A newborn has small white cysts on the palate and gums of the mouth. What's this and
should it be a concern? - ANSWER-Epstein pearls (common)
Gross Motor: Good head control - ANSWER-2-3 months
,What is the Tonic Neck Reflex? - ANSWER-Occurs when newborn's head is turned to
the side, the arm on that side will extend while the opposite arm will contract - prepares
the infant for voluntary reaching and may be a precursor to hand/eye coordination.
What age (range) does Tonic neck for the fencing reflex appear? - ANSWER-2-3
months
Gross Motor: Rolls back to front - ANSWER-5-6 months
Gross motor: sits alone - ANSWER-7 months
Gross Motor: Pulls to stand - ANSWER-9-10 months
Gross Motor: stands alone - ANSWER-11-12 months
Gross Motor: Walks - ANSWER-12-14 months
Gross Motor: walks up and down stairs - ANSWER-22-24 months
Gross Motor: jumps - ANSWER-24-28 months
Fine Motor: Grasps and shakes rattle - ANSWER-2-3 months
Fine Motor: Reaches out for object - ANSWER-3-4 Months
Fine Motor: Hand to hand transfer* - ANSWER-5-6 months
Fine Motor: Raking grasp - ANSWER-6-7 months
Fine Motor: Finger Grasp - ANSWER-7-9 months
Fine motor: Pincer grasp* - ANSWER-8-10 months
Fine Motor: Pinch Grasp - ANSWER-12 months
Fine Motor: Marks on paper - ANSWER-10-12 months
Fine Motor: Stacks 3 blocks - ANSWER-17-18 months
Fine Motor: stacks 6-7 blocks - ANSWER-22-24 months
Language: Smiles and coos - ANSWER-2-3 months
Language: Laughs - ANSWER-4-5 months
Language: Babbles - ANSWER-5-6 months
,Language: "Mama-dada" - ANSWER-8-9 months
Language: waves bye-bye - ANSWER-8-9 months
Language: Understands "no" - ANSWER-9-10 months
Language: Points to body - ANSWER-15-18 months
Language: 2 word sentences - ANSWER-18-22 months
Language: 30-50 word vocabulary - ANSWER-22-24 months
What age range should a child be able to feed themselves with fingers and start to use
a spoon? - ANSWER-13-18 months
What age can an child:
Walk backwards
Throw a ball
Stack 3-4 block? - ANSWER-18 months
At what age does babbling reach a peak? - ANSWER-12 months
What age is 75% of speech understandable? - ANSWER-3 years old
By what age should they understand 100% of language? - ANSWER-4 years old and
older (kindergarten age)
Tanner Stage 1 (Pre-pubertal)
Does either sex have pubic hair? Yes or No? - ANSWER-No pubic hair for either sex
Which Tanner Stage does soft pubic hair start to appear for both sexes? - ANSWER-
Tanner Stage II
Tanner Stage II Female - ANSWER-Breast buds appear
Tanner Stage II Males - ANSWER-Measurable testes enlargement
Tanner Stage III Female - ANSWER-Breast mounds form
Tanner Stage III Male - ANSWER-Penis begins to enlarge in size (LENGTH)
Tanner Stage IV Female - ANSWER-Breast enlargement forms "mound on mound"
breast contour
Tanner Stage IV Male - ANSWER-Penis begins to Widen
, Tanner Stage V Female - ANSWER-Breast takes on adult contour
Tanner Stage V Male - ANSWER-Penis and testes enlarge to adult size
Name 4 Live Attenuated Vaccines: - ANSWER-MMR
Varicella
Rotavirus
FluMist
What is the Live to Live rule? - ANSWER-Administer live vaccines on the same day or
at least 28 days apart to avoid immune interference
What is the schedule of the Hepatitis B Vaccine? - ANSWER-First: birth
Second: 1-2 months
Third: 6 months
If the Hep B vaccine serious administration is delayed, you need to restart the series,
True or False? - ANSWER-False
How early can the Tdap vaccine be given? - ANSWER-6 weeks of age
How many doses of DTap needs to be given to children of < 7 years of age? -
ANSWER-Five doses
Between what ages should children ,younger than 7 years old, get all their doses of
DTap? - ANSWER-Between ages 4-6 years old
How many doses of Tdap should children between 11-18 years old get? - ANSWER-1
dose
When should a pregnant woman be immunized for Tdap in order to optimize antibody
transfer to the fetus? - ANSWER-20 weeks gestation
Women receive Tdap within every pregnancy, True or False? - ANSWER-True
Tdap vaccine after 20 weeks of pregnancy is for Fetal antibodies and NOT so much for
the mothers immunization
How many doses of Polio (OPV) need to be given starting at 6 weeks? - ANSWER-4
doses
Charlie got her first polio vaccine at 6 weeks of age, when should she come back for the
next dose? - ANSWER-At 10 weeks (4 weeks later)
Carla got her third dose of the polio vaccine after she turned 4 years old, her mother
wants to know when she need to come back for the 4th dose. What should you tell her?
ACTUAL Exam Questions and
CORRECT Answers 2026 UPDATE
EXAM GUIDE
Birth to 6months calorie requirement - ANSWER-120kcal/kg/day
7 months to 1 year Calorie requirement - ANSWER-100 kcal/kg/day
2 to 10 years caloric requirements - ANSWER-100 to 70 kcal/kg/day
Adolescent calorie requirements - ANSWER-45 kcal/kg/day (significant decrease)
How much Vitamin D a day does an infant need starting at 2 months? - ANSWER-
400IU
NOTE: this applies to both breast fed and formula fed infants
How much Iron do infants who are exclusively breastfeeding need? - ANSWER-1
mg/kg/day of iron is recommended
Absent red reflex could indicate these two things: - ANSWER-Congenital Cataracts
Retinoblastoma
What issue with the eyes could indicate Gonococcus, chlamydia, or herpes? -
ANSWER-Purulent Eye Discharge
Disconjugate gaze is considered abnormal, True or False? - ANSWER-False:
Disconjugate gaze is normal
What do response do we look for when testing the hearing if a Newborn? - ANSWER-
Startle Response
A newborn has small white cysts on the palate and gums of the mouth. What's this and
should it be a concern? - ANSWER-Epstein pearls (common)
Gross Motor: Good head control - ANSWER-2-3 months
,What is the Tonic Neck Reflex? - ANSWER-Occurs when newborn's head is turned to
the side, the arm on that side will extend while the opposite arm will contract - prepares
the infant for voluntary reaching and may be a precursor to hand/eye coordination.
What age (range) does Tonic neck for the fencing reflex appear? - ANSWER-2-3
months
Gross Motor: Rolls back to front - ANSWER-5-6 months
Gross motor: sits alone - ANSWER-7 months
Gross Motor: Pulls to stand - ANSWER-9-10 months
Gross Motor: stands alone - ANSWER-11-12 months
Gross Motor: Walks - ANSWER-12-14 months
Gross Motor: walks up and down stairs - ANSWER-22-24 months
Gross Motor: jumps - ANSWER-24-28 months
Fine Motor: Grasps and shakes rattle - ANSWER-2-3 months
Fine Motor: Reaches out for object - ANSWER-3-4 Months
Fine Motor: Hand to hand transfer* - ANSWER-5-6 months
Fine Motor: Raking grasp - ANSWER-6-7 months
Fine Motor: Finger Grasp - ANSWER-7-9 months
Fine motor: Pincer grasp* - ANSWER-8-10 months
Fine Motor: Pinch Grasp - ANSWER-12 months
Fine Motor: Marks on paper - ANSWER-10-12 months
Fine Motor: Stacks 3 blocks - ANSWER-17-18 months
Fine Motor: stacks 6-7 blocks - ANSWER-22-24 months
Language: Smiles and coos - ANSWER-2-3 months
Language: Laughs - ANSWER-4-5 months
Language: Babbles - ANSWER-5-6 months
,Language: "Mama-dada" - ANSWER-8-9 months
Language: waves bye-bye - ANSWER-8-9 months
Language: Understands "no" - ANSWER-9-10 months
Language: Points to body - ANSWER-15-18 months
Language: 2 word sentences - ANSWER-18-22 months
Language: 30-50 word vocabulary - ANSWER-22-24 months
What age range should a child be able to feed themselves with fingers and start to use
a spoon? - ANSWER-13-18 months
What age can an child:
Walk backwards
Throw a ball
Stack 3-4 block? - ANSWER-18 months
At what age does babbling reach a peak? - ANSWER-12 months
What age is 75% of speech understandable? - ANSWER-3 years old
By what age should they understand 100% of language? - ANSWER-4 years old and
older (kindergarten age)
Tanner Stage 1 (Pre-pubertal)
Does either sex have pubic hair? Yes or No? - ANSWER-No pubic hair for either sex
Which Tanner Stage does soft pubic hair start to appear for both sexes? - ANSWER-
Tanner Stage II
Tanner Stage II Female - ANSWER-Breast buds appear
Tanner Stage II Males - ANSWER-Measurable testes enlargement
Tanner Stage III Female - ANSWER-Breast mounds form
Tanner Stage III Male - ANSWER-Penis begins to enlarge in size (LENGTH)
Tanner Stage IV Female - ANSWER-Breast enlargement forms "mound on mound"
breast contour
Tanner Stage IV Male - ANSWER-Penis begins to Widen
, Tanner Stage V Female - ANSWER-Breast takes on adult contour
Tanner Stage V Male - ANSWER-Penis and testes enlarge to adult size
Name 4 Live Attenuated Vaccines: - ANSWER-MMR
Varicella
Rotavirus
FluMist
What is the Live to Live rule? - ANSWER-Administer live vaccines on the same day or
at least 28 days apart to avoid immune interference
What is the schedule of the Hepatitis B Vaccine? - ANSWER-First: birth
Second: 1-2 months
Third: 6 months
If the Hep B vaccine serious administration is delayed, you need to restart the series,
True or False? - ANSWER-False
How early can the Tdap vaccine be given? - ANSWER-6 weeks of age
How many doses of DTap needs to be given to children of < 7 years of age? -
ANSWER-Five doses
Between what ages should children ,younger than 7 years old, get all their doses of
DTap? - ANSWER-Between ages 4-6 years old
How many doses of Tdap should children between 11-18 years old get? - ANSWER-1
dose
When should a pregnant woman be immunized for Tdap in order to optimize antibody
transfer to the fetus? - ANSWER-20 weeks gestation
Women receive Tdap within every pregnancy, True or False? - ANSWER-True
Tdap vaccine after 20 weeks of pregnancy is for Fetal antibodies and NOT so much for
the mothers immunization
How many doses of Polio (OPV) need to be given starting at 6 weeks? - ANSWER-4
doses
Charlie got her first polio vaccine at 6 weeks of age, when should she come back for the
next dose? - ANSWER-At 10 weeks (4 weeks later)
Carla got her third dose of the polio vaccine after she turned 4 years old, her mother
wants to know when she need to come back for the 4th dose. What should you tell her?
