,Drexel NURS 328 Exam 2 | Pediatric Health Concepts (2026) Q&A
1. A nurse is assessing a 4-month-old infant during a well-child visit. Which developmental
milestone should the nurse expect the infant to have achieved?
A) Sitting without support
B) Rolling from front to back
C) Pincer grasp
D) Walking with assistance
Correct Answer: Rolling from front to back
Rationale: By 4 months, infants typically can roll from front to back and hold their head
steady when sitting with support. Sitting without support occurs around 6 months. The
pincer grasp develops around 9-10 months, and walking with assistance occurs around 12
months.
2. A nurse is providing education to parents about introducing solid foods to their infant.
At what age should the nurse recommend starting this?
A) 2-3 months
B) 4-6 months
C) 8-10 months
D) 12 months
Correct Answer: 4-6 months
Rationale: The American Academy of Pediatrics recommends introducing solid foods at
approximately 4-6 months of age, when the infant demonstrates readiness signs such as
,good head control, ability to sit with support, and loss of the tongue-thrust reflex.
Introduction before 4 months is not recommended.
3. The nurse is assessing a newborn's reflexes. Which reflex is present at birth and should
disappear by 4-6 months of age?
A) Palmar grasp
B) Stepping reflex
C) Moro reflex
D) All of the above
Correct Answer: All of the above
Rationale: The palmar grasp, stepping reflex, and Moro reflex are all primitive reflexes
present at birth that typically integrate by 4-6 months. Persistence beyond this age may
indicate neurological impairment.
4. A nurse is assessing the fine motor skills of a 9-month-old infant. Which finding is
expected?
A) Pincer grasp
B) Building a tower of two blocks
C) Scribbling
D) Using a spoon
Correct Answer: Pincer grasp
Rationale: The pincer grasp (using thumb and forefinger) typically develops around 9-10
months of age. Building a tower of two blocks is a 15-month milestone, scribbling is
around 18 months, and using a spoon is typically seen at 18-24 months.
, 5. A 2-year-old toddler is exhibiting temper tantrums. According to Erikson, this behavior
is consistent with which stage of psychosocial development?
A) Trust versus mistrust
B) Autonomy versus shame and doubt
C) Initiative versus guilt
D) Industry versus inferiority
Correct Answer: Autonomy versus shame and doubt
Rationale: Toddlers (ages 1-3 years) are in the autonomy versus shame and doubt stage.
They are developing a sense of personal control and independence, often expressing this
through negativism and temper tantrums. This is a normal part of development.
6. The nurse is assessing a 5-year-old child's cognitive development according to Piaget.
Which characteristic is most consistent with the preoperational stage?
A) Abstract reasoning
B) Conservation
C) Magical thinking
D) Reversibility
Correct Answer: Magical thinking
Rationale: The preoperational stage (ages 2-7 years) is characterized by magical thinking,
egocentrism, and symbolic play. Children in this stage believe their thoughts can influence
events. Abstract reasoning and conservation are features of the concrete operational and
formal operational stages.
1. A nurse is assessing a 4-month-old infant during a well-child visit. Which developmental
milestone should the nurse expect the infant to have achieved?
A) Sitting without support
B) Rolling from front to back
C) Pincer grasp
D) Walking with assistance
Correct Answer: Rolling from front to back
Rationale: By 4 months, infants typically can roll from front to back and hold their head
steady when sitting with support. Sitting without support occurs around 6 months. The
pincer grasp develops around 9-10 months, and walking with assistance occurs around 12
months.
2. A nurse is providing education to parents about introducing solid foods to their infant.
At what age should the nurse recommend starting this?
A) 2-3 months
B) 4-6 months
C) 8-10 months
D) 12 months
Correct Answer: 4-6 months
Rationale: The American Academy of Pediatrics recommends introducing solid foods at
approximately 4-6 months of age, when the infant demonstrates readiness signs such as
,good head control, ability to sit with support, and loss of the tongue-thrust reflex.
Introduction before 4 months is not recommended.
3. The nurse is assessing a newborn's reflexes. Which reflex is present at birth and should
disappear by 4-6 months of age?
A) Palmar grasp
B) Stepping reflex
C) Moro reflex
D) All of the above
Correct Answer: All of the above
Rationale: The palmar grasp, stepping reflex, and Moro reflex are all primitive reflexes
present at birth that typically integrate by 4-6 months. Persistence beyond this age may
indicate neurological impairment.
4. A nurse is assessing the fine motor skills of a 9-month-old infant. Which finding is
expected?
A) Pincer grasp
B) Building a tower of two blocks
C) Scribbling
D) Using a spoon
Correct Answer: Pincer grasp
Rationale: The pincer grasp (using thumb and forefinger) typically develops around 9-10
months of age. Building a tower of two blocks is a 15-month milestone, scribbling is
around 18 months, and using a spoon is typically seen at 18-24 months.
, 5. A 2-year-old toddler is exhibiting temper tantrums. According to Erikson, this behavior
is consistent with which stage of psychosocial development?
A) Trust versus mistrust
B) Autonomy versus shame and doubt
C) Initiative versus guilt
D) Industry versus inferiority
Correct Answer: Autonomy versus shame and doubt
Rationale: Toddlers (ages 1-3 years) are in the autonomy versus shame and doubt stage.
They are developing a sense of personal control and independence, often expressing this
through negativism and temper tantrums. This is a normal part of development.
6. The nurse is assessing a 5-year-old child's cognitive development according to Piaget.
Which characteristic is most consistent with the preoperational stage?
A) Abstract reasoning
B) Conservation
C) Magical thinking
D) Reversibility
Correct Answer: Magical thinking
Rationale: The preoperational stage (ages 2-7 years) is characterized by magical thinking,
egocentrism, and symbolic play. Children in this stage believe their thoughts can influence
events. Abstract reasoning and conservation are features of the concrete operational and
formal operational stages.
