The Ultimate Alonzo Harwood Pediatric
Wellness Q&A Guide: Questions &
Clinical Rationales for a 100% Score
(Sentinel U APS Advanced Practice Series
2026)
SECTION 1: FOUNDATIONAL PEDIATRIC KNOWLEDGE & DEVELOPMENTAL
MILESTONES
**Q1: A 4-year-old child like Alonzo should be able to accomplish which fine
motor skill?**
- A) Tying shoelaces
- B) Drawing a circle
- C) Using safety scissors
- D) Writing first name
**Answer: B) Drawing a circle**
**Rationale:** Drawing a circle is an age-appropriate fine motor milestone for a
4-year-old. Tying shoelaces typically emerges at age 6, using scissors at age 5, and
writing a first name at age 5–6.
---
,**Q2: Which developmental screening tool is most appropriate for a wellness
visit in a 4-year-old?**
- A) M-CHAT
- B) Denver II
- C) PHQ-9
- D) CAGE questionnaire
**Answer: B) Denver II**
**Rationale:** The Denver II screens personal-social, fine motor-adaptive,
language, and gross motor domains. M-CHAT is for toddlers (16–30 months).
PHQ-9 and CAGE are for mental health/substance use in older patients.
---
**Q3: Alonzo speaks in 4-5 word sentences and asks "why" questions constantly.
This language development is typical for which age?**
- A) 2 years
- B) 3 years
- C) 4 years
- D) 5 years
**Answer: C) 4 years**
,**Rationale:** Four-year-olds typically use 4-5 word sentences, ask many
questions (especially "why"), and can tell simple stories. Two-year-olds use 2-3
word phrases; 3-year-olds use 3-4 word sentences.
---
**Q4: Which gross motor milestone is expected in a typically developing 4-year-
old?**
- A) Hopping on one foot
- B) Skipping
- C) Walking backward
- D) Standing on tiptoes
**Answer: A) Hopping on one foot**
**Rationale:** Hopping on one foot emerges at age 4. Skipping develops at age 5.
Walking backward is a 3-year-old skill. Standing on tiptoes is a 2-3 year skill.
---
**Q5: Red flags for developmental delay at age 4 include all EXCEPT:**
- A) Unable to copy a circle
- B) Does not use "me" and "you" correctly
- C) Can brush teeth with help
- D) No interest in interactive games
, **Answer: C) Can brush teeth with help**
**Rationale:** Brushing teeth with help is appropriate for age 4. The other
options represent developmental red flags requiring further evaluation.
---
**Q6: A 4-year-old's play behavior is typically described as:**
- A) Solitary play
- B) Parallel play
- C) Associative play
- D) Cooperative play
**Answer: C) Associative play**
**Rationale:** Four-year-olds engage in associative play—playing with others but
without formal organization. They begin to interact, share, and engage in simple
group activities but may not have structured rules yet.
---
**Q7: At what age should a child typically be able to stand on one foot for 3
seconds?**
- A) 2 years
- B) 3 years
- C) 4 years
Wellness Q&A Guide: Questions &
Clinical Rationales for a 100% Score
(Sentinel U APS Advanced Practice Series
2026)
SECTION 1: FOUNDATIONAL PEDIATRIC KNOWLEDGE & DEVELOPMENTAL
MILESTONES
**Q1: A 4-year-old child like Alonzo should be able to accomplish which fine
motor skill?**
- A) Tying shoelaces
- B) Drawing a circle
- C) Using safety scissors
- D) Writing first name
**Answer: B) Drawing a circle**
**Rationale:** Drawing a circle is an age-appropriate fine motor milestone for a
4-year-old. Tying shoelaces typically emerges at age 6, using scissors at age 5, and
writing a first name at age 5–6.
---
,**Q2: Which developmental screening tool is most appropriate for a wellness
visit in a 4-year-old?**
- A) M-CHAT
- B) Denver II
- C) PHQ-9
- D) CAGE questionnaire
**Answer: B) Denver II**
**Rationale:** The Denver II screens personal-social, fine motor-adaptive,
language, and gross motor domains. M-CHAT is for toddlers (16–30 months).
PHQ-9 and CAGE are for mental health/substance use in older patients.
---
**Q3: Alonzo speaks in 4-5 word sentences and asks "why" questions constantly.
This language development is typical for which age?**
- A) 2 years
- B) 3 years
- C) 4 years
- D) 5 years
**Answer: C) 4 years**
,**Rationale:** Four-year-olds typically use 4-5 word sentences, ask many
questions (especially "why"), and can tell simple stories. Two-year-olds use 2-3
word phrases; 3-year-olds use 3-4 word sentences.
---
**Q4: Which gross motor milestone is expected in a typically developing 4-year-
old?**
- A) Hopping on one foot
- B) Skipping
- C) Walking backward
- D) Standing on tiptoes
**Answer: A) Hopping on one foot**
**Rationale:** Hopping on one foot emerges at age 4. Skipping develops at age 5.
Walking backward is a 3-year-old skill. Standing on tiptoes is a 2-3 year skill.
---
**Q5: Red flags for developmental delay at age 4 include all EXCEPT:**
- A) Unable to copy a circle
- B) Does not use "me" and "you" correctly
- C) Can brush teeth with help
- D) No interest in interactive games
, **Answer: C) Can brush teeth with help**
**Rationale:** Brushing teeth with help is appropriate for age 4. The other
options represent developmental red flags requiring further evaluation.
---
**Q6: A 4-year-old's play behavior is typically described as:**
- A) Solitary play
- B) Parallel play
- C) Associative play
- D) Cooperative play
**Answer: C) Associative play**
**Rationale:** Four-year-olds engage in associative play—playing with others but
without formal organization. They begin to interact, share, and engage in simple
group activities but may not have structured rules yet.
---
**Q7: At what age should a child typically be able to stand on one foot for 3
seconds?**
- A) 2 years
- B) 3 years
- C) 4 years
