NR602 PEDIATRIC MIDTERM EXAM PRACTICE TEST BANK | 2026/2027
REVIEW COMPLETE 300-QUESTION BANK WITH VERIFIED ANSWERS &
DETAILED RATIONALES |CHAMBERLAIN UNIVERSITY NR602 PRIMARY
CARE OF THE CHILDBEARING & CHILDREARING FAMILY
PRACTICUM CURRICULUM UPDATED
SECTION 1: GROWTH & DEVELOPMENT MILESTONES (Questions 1–50)
Question 1
A 9-month-old infant should be able to perform which of the following
milestones?
A) Walk independently
B) Sit without support
C) Ride a tricycle
D) Say full sentences
[Correct Answer] B
Rationale: Sitting without support is a developmental milestone typically
achieved by 6–8 months of age. Independent walking usually occurs around 12
months, tricycle riding is a preschool skill (around 3–4 years), and full
sentences are not expected until 2–3 years of age.
Question 2
At what age should an infant typically begin to roll over from front to back?
A) 1 month
B) 3 months
C) 6 months
D) 9 months
[Correct Answer] B
Rationale: Most infants roll over from front to back by 3–4 months of age.
Rolling from back to front typically occurs around 5–6 months. At 1 month,
infants have very limited motor control; at 6 months, they are usually sitting
with support.
Question 3
1
,A 2-year-old child should have attained which of the following language
milestones?
A) Uses 2–3 word phrases
B) Speaks in full sentences
C) Uses pronouns correctly
D) Tells detailed stories
[Correct Answer] A
Rationale: At 24 months, toddlers typically have a vocabulary of 50–100 words
and begin combining 2–3 words into simple phrases (e.g., "more milk"). Full
sentences (B) emerge around 3 years, pronouns (C) around 2.5–3 years, and
detailed stories (D) are a preschool-age skill.
Question 4
Which fine motor skill is expected of a 12-month-old infant?
A) Pincer grasp
B) Scribbles spontaneously
C) Builds tower of two blocks
D) Uses spoon without spilling
[Correct Answer] A
Rationale: The pincer grasp (using thumb and index finger to pick up small
objects) develops around 9–10 months and is well-established by 12 months.
Scribbling (B) occurs around 15–18 months, building a tower of two blocks (C) is
a 15-month skill, and using a spoon without spilling (D) is not typically
achieved until 2–3 years of age.
Question 5
Which developmental milestone is expected at 4 months of age?
A) Stranger anxiety
B) Follows objects with eyes
C) Says "mama" specifically
D) Sits without support
[Correct Answer] B
2
,Rationale: At 4 months, infants track objects with their eyes across the
midline. Stranger anxiety (A) begins around 7–9 months. Saying "mama"
specifically (C) occurs around 10–12 months. Sitting without support (D) is a
6–8 month milestone.
Question 6
A 15-month-old toddler should be able to do which of the following?
A) Walk backward
B) Run smoothly
C) Stand alone and walk independently
D) Jump with both feet
[Correct Answer] C
Rationale: Most toddlers walk independently by 12–15 months. Walking
backward
(A) occurs around 18 months. Running smoothly (B) is a 2-year skill. Jumping
with both feet (D) occurs around 2.5–3 years.
Question 7
At what age does a child typically begin to show stranger anxiety?
A) 2 months
B) 4 months
C) 7 months
D) 12 months
[Correct Answer] C
Rationale: Stranger anxiety typically begins around 7–9 months of age, peaks
around 12–15 months, and gradually diminishes. It is a normal developmental
phase indicating attachment to primary caregivers.
Question 8
A mother reports that her 3-year-old is not yet using the toilet consistently.
What is the best response?
A) "This is a concern; you should seek developmental evaluation."
B) "Most children are fully trained by age 2."
C) "Toilet training readiness varies; it is normal for some children to be
3
, trained by age 4."
D) "You should start a strict training schedule immediately."
[Correct Answer] C
Rationale: Toilet training readiness varies widely. Most children achieve
daytime control by age 3, but nighttime control may take until age 4–5. An
occasional accident is normal. This is not necessarily a developmental concern
requiring evaluation at this age.
Question 9
Which developmental milestone is expected at 6 months of age?
A) Sitting without support
B) Transferring objects from one hand to another
C) Pincer grasp
D) Walking independently
[Correct Answer] B
Rationale: Transferring objects from one hand to another is a 6-month
milestone. Sitting without support (A) occurs at 6–8 months. Pincer grasp (C)
occurs at 9–10 months. Walking independently (D) occurs around 12 months.
Question 10
A 4-year-old child should be able to do which of the following gross motor
skills?
A) Stand on one foot for 5 seconds
B) Hop on one foot
C) Walk up stairs alternating feet
D) All of the above
[Correct Answer] D
Rationale: A typical 4-year-old can perform all of these gross motor skills:
stand on one foot for 5 seconds, hop on one foot, and walk up stairs
alternating feet. These milestones indicate normal development of balance,
coordination, and strength.
4
REVIEW COMPLETE 300-QUESTION BANK WITH VERIFIED ANSWERS &
DETAILED RATIONALES |CHAMBERLAIN UNIVERSITY NR602 PRIMARY
CARE OF THE CHILDBEARING & CHILDREARING FAMILY
PRACTICUM CURRICULUM UPDATED
SECTION 1: GROWTH & DEVELOPMENT MILESTONES (Questions 1–50)
Question 1
A 9-month-old infant should be able to perform which of the following
milestones?
A) Walk independently
B) Sit without support
C) Ride a tricycle
D) Say full sentences
[Correct Answer] B
Rationale: Sitting without support is a developmental milestone typically
achieved by 6–8 months of age. Independent walking usually occurs around 12
months, tricycle riding is a preschool skill (around 3–4 years), and full
sentences are not expected until 2–3 years of age.
Question 2
At what age should an infant typically begin to roll over from front to back?
A) 1 month
B) 3 months
C) 6 months
D) 9 months
[Correct Answer] B
Rationale: Most infants roll over from front to back by 3–4 months of age.
Rolling from back to front typically occurs around 5–6 months. At 1 month,
infants have very limited motor control; at 6 months, they are usually sitting
with support.
Question 3
1
,A 2-year-old child should have attained which of the following language
milestones?
A) Uses 2–3 word phrases
B) Speaks in full sentences
C) Uses pronouns correctly
D) Tells detailed stories
[Correct Answer] A
Rationale: At 24 months, toddlers typically have a vocabulary of 50–100 words
and begin combining 2–3 words into simple phrases (e.g., "more milk"). Full
sentences (B) emerge around 3 years, pronouns (C) around 2.5–3 years, and
detailed stories (D) are a preschool-age skill.
Question 4
Which fine motor skill is expected of a 12-month-old infant?
A) Pincer grasp
B) Scribbles spontaneously
C) Builds tower of two blocks
D) Uses spoon without spilling
[Correct Answer] A
Rationale: The pincer grasp (using thumb and index finger to pick up small
objects) develops around 9–10 months and is well-established by 12 months.
Scribbling (B) occurs around 15–18 months, building a tower of two blocks (C) is
a 15-month skill, and using a spoon without spilling (D) is not typically
achieved until 2–3 years of age.
Question 5
Which developmental milestone is expected at 4 months of age?
A) Stranger anxiety
B) Follows objects with eyes
C) Says "mama" specifically
D) Sits without support
[Correct Answer] B
2
,Rationale: At 4 months, infants track objects with their eyes across the
midline. Stranger anxiety (A) begins around 7–9 months. Saying "mama"
specifically (C) occurs around 10–12 months. Sitting without support (D) is a
6–8 month milestone.
Question 6
A 15-month-old toddler should be able to do which of the following?
A) Walk backward
B) Run smoothly
C) Stand alone and walk independently
D) Jump with both feet
[Correct Answer] C
Rationale: Most toddlers walk independently by 12–15 months. Walking
backward
(A) occurs around 18 months. Running smoothly (B) is a 2-year skill. Jumping
with both feet (D) occurs around 2.5–3 years.
Question 7
At what age does a child typically begin to show stranger anxiety?
A) 2 months
B) 4 months
C) 7 months
D) 12 months
[Correct Answer] C
Rationale: Stranger anxiety typically begins around 7–9 months of age, peaks
around 12–15 months, and gradually diminishes. It is a normal developmental
phase indicating attachment to primary caregivers.
Question 8
A mother reports that her 3-year-old is not yet using the toilet consistently.
What is the best response?
A) "This is a concern; you should seek developmental evaluation."
B) "Most children are fully trained by age 2."
C) "Toilet training readiness varies; it is normal for some children to be
3
, trained by age 4."
D) "You should start a strict training schedule immediately."
[Correct Answer] C
Rationale: Toilet training readiness varies widely. Most children achieve
daytime control by age 3, but nighttime control may take until age 4–5. An
occasional accident is normal. This is not necessarily a developmental concern
requiring evaluation at this age.
Question 9
Which developmental milestone is expected at 6 months of age?
A) Sitting without support
B) Transferring objects from one hand to another
C) Pincer grasp
D) Walking independently
[Correct Answer] B
Rationale: Transferring objects from one hand to another is a 6-month
milestone. Sitting without support (A) occurs at 6–8 months. Pincer grasp (C)
occurs at 9–10 months. Walking independently (D) occurs around 12 months.
Question 10
A 4-year-old child should be able to do which of the following gross motor
skills?
A) Stand on one foot for 5 seconds
B) Hop on one foot
C) Walk up stairs alternating feet
D) All of the above
[Correct Answer] D
Rationale: A typical 4-year-old can perform all of these gross motor skills:
stand on one foot for 5 seconds, hop on one foot, and walk up stairs
alternating feet. These milestones indicate normal development of balance,
coordination, and strength.
4
