PN 3004 Final Exam 2025/2026 – Verified Q&A
with Rationales: Child Development, Pregnancy,
Mental Health & Health Promotion (Complete
Study Guide)
Conquer the PN 3004 Final Exam 2025/2026 with the ultimate study guide! This
comprehensive document contains verified questions and answers with detailed Rationales,
meticulously compiled to cover every major concept from the Health Promotion 3 curriculum.
Save countless hours of study time and eliminate exam anxiety by downloading this all-in-one
resource designed for guaranteed success.
Why This Guide Works:
This isn't just a list of answers; it's a strategic learning tool. Each question is paired with a
correct answer and a clear, concise Rationale to explain the "why" behind the concept. This
approach builds a deep understanding of the material, moving beyond simple memorization
to ensure you're ready for any question the exam throws at you.
Key Topics Covered:
✓ Growth & Development: Erikson's & Piaget's Stages, Milestones from infancy to
adulthood.
✓ Maternal-Child Nursing: Prenatal care, hormonal changes, newborn assessment
(Apgar), breastfeeding & postpartum care.
✓ Mental Health: Suicide prevention, trauma-informed care, therapeutic
communication.
✓ Health Promotion: Client education, teaching strategies (cognitive, affective,
psychomotor), immunization & harm reduction
,1. A nurse is assessing a 6-month-old infant during a well-child visit. Which developmental
milestone should the nurse expect to observe?
a) Sits independently without support
b) Rolls from back to front
c) Walks while holding onto furniture
d) Uses a pincer grasp to pick up small objects
Answer: b) Rolls from back to front
Rationale: At 6 months of age, rolling from back to front is an expected gross motor milestone.
Sitting independently typically occurs around 8 months, cruising furniture around 9-10 months,
and pincer grasp develops around 9-12 months.
2. A postpartum client reports excessive crying, difficulty sleeping, and feelings of
hopelessness that have persisted for 3 weeks after delivery. Which condition is the client most
likely experiencing?
a) Baby blues
b) Postpartum depression
c) Postpartum psychosis
d) adjustment disorder
Answer: b) Postpartum depression
Rationale: Postpartum depression is characterized by symptoms lasting longer than 2 weeks,
including excessive crying, anhedonia, sleep disturbances, and hopelessness. Baby blues typically
resolve within 2 weeks. Postpartum psychosis involves delusions and hallucinations.
3. The nurse is teaching a class on newborn care. Which statement regarding safe sleep
practices should the nurse include?
a) Place the baby on the stomach to prevent aspiration
b) Place the baby on the back for all sleep times
c) Place soft bedding in the crib for comfort
d) Keep the room temperature above 75°F
Answer: b) Place the baby on the back for all sleep times
Rationale: The back-to-sleep position is recommended to reduce the risk of Sudden Infant Death
Syndrome (SIDS). Stomach sleeping, soft bedding, and overheating are all risk factors for SIDS.
,4. A nurse is assessing a newborn 1 minute after birth. The newborn has a heart rate of 110
bpm, respiratory effort with weak cry, some flexion of extremities, grimace in response to
suctioning, and pink body with blue extremities. What Apgar score should the nurse assign?
a) 5
b) 6
c) 7
d) 8
Answer: c) 7
Rationale: Heart rate >100 = 2 points; respiratory effort weak cry = 1 point; some flexion = 1
point; grimace = 1 point; pink body/blue extremities (acrocyanosis) = 1 point. Total = 7,
indicating a stable newborn requiring routine monitoring.
5. A 24-month-old toddler is brought to the clinic. The parent states the child only says "want
ball" and "daddy go." Which action should the nurse take?
a) Refer the child for a developmental evaluation
b) Document this as an expected language milestone
c) Ask about hearing screening results
d) Recommend speech therapy immediately
Answer: b) Document this as an expected language milestone
Rationale: At 24 months, toddlers should be using two-word phrases, which is exactly what this
child is demonstrating. This is an expected language milestone. No referral is needed at this
time.
6. A nurse is caring for a client with preeclampsia at 36 weeks gestation who reports right
upper quadrant pain. Which complication should the nurse suspect?
a) Placental abruption
b) HELLP syndrome
c) Preterm labor
d) Cholecystitis
Answer: b) HELLP syndrome
Rationale: Right upper quadrant (RUQ) pain in a client with preeclampsia may indicate liver
, capsule distension, a sign of HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets).
This is a medical emergency requiring immediate intervention.
7. The nurse is performing an assessment on a 3-year-old preschooler. Which fine motor skill
should the nurse expect the child to demonstrate?
a) Drawing a circle or cross
b) Cutting with scissors
c) Writing letters of the alphabet
d) Tying shoelaces
Answer: a) Drawing a circle or cross
Rationale: At age 3, children can typically draw a circle or cross and build with blocks. Cutting
with scissors and writing letters are skills expected at age 4-5. Tying shoelaces develops around
age 6.
8. A nurse is teaching a prenatal class about nutrition. Which calorie intake recommendation
should the nurse provide for a client in the second trimester?
a) 1800 calories per day
b) 2100 calories per day
c) 2400 calories per day
d) 2700 calories per day
Answer: b) 2100 calories per day
Rationale: During the second and third trimesters, the recommended caloric intake is
approximately 2100 calories per day to support fetal growth and maternal health. This
represents an increase of about 300-350 calories above prepregnancy needs.
9. Which assessment finding in a newborn would be considered abnormal and require further
evaluation?
a) Acrocyanosis of the hands and feet
b) Irregular respiratory pattern
c) Head circumference 2 cm larger than chest
d) Absent Moro reflex
with Rationales: Child Development, Pregnancy,
Mental Health & Health Promotion (Complete
Study Guide)
Conquer the PN 3004 Final Exam 2025/2026 with the ultimate study guide! This
comprehensive document contains verified questions and answers with detailed Rationales,
meticulously compiled to cover every major concept from the Health Promotion 3 curriculum.
Save countless hours of study time and eliminate exam anxiety by downloading this all-in-one
resource designed for guaranteed success.
Why This Guide Works:
This isn't just a list of answers; it's a strategic learning tool. Each question is paired with a
correct answer and a clear, concise Rationale to explain the "why" behind the concept. This
approach builds a deep understanding of the material, moving beyond simple memorization
to ensure you're ready for any question the exam throws at you.
Key Topics Covered:
✓ Growth & Development: Erikson's & Piaget's Stages, Milestones from infancy to
adulthood.
✓ Maternal-Child Nursing: Prenatal care, hormonal changes, newborn assessment
(Apgar), breastfeeding & postpartum care.
✓ Mental Health: Suicide prevention, trauma-informed care, therapeutic
communication.
✓ Health Promotion: Client education, teaching strategies (cognitive, affective,
psychomotor), immunization & harm reduction
,1. A nurse is assessing a 6-month-old infant during a well-child visit. Which developmental
milestone should the nurse expect to observe?
a) Sits independently without support
b) Rolls from back to front
c) Walks while holding onto furniture
d) Uses a pincer grasp to pick up small objects
Answer: b) Rolls from back to front
Rationale: At 6 months of age, rolling from back to front is an expected gross motor milestone.
Sitting independently typically occurs around 8 months, cruising furniture around 9-10 months,
and pincer grasp develops around 9-12 months.
2. A postpartum client reports excessive crying, difficulty sleeping, and feelings of
hopelessness that have persisted for 3 weeks after delivery. Which condition is the client most
likely experiencing?
a) Baby blues
b) Postpartum depression
c) Postpartum psychosis
d) adjustment disorder
Answer: b) Postpartum depression
Rationale: Postpartum depression is characterized by symptoms lasting longer than 2 weeks,
including excessive crying, anhedonia, sleep disturbances, and hopelessness. Baby blues typically
resolve within 2 weeks. Postpartum psychosis involves delusions and hallucinations.
3. The nurse is teaching a class on newborn care. Which statement regarding safe sleep
practices should the nurse include?
a) Place the baby on the stomach to prevent aspiration
b) Place the baby on the back for all sleep times
c) Place soft bedding in the crib for comfort
d) Keep the room temperature above 75°F
Answer: b) Place the baby on the back for all sleep times
Rationale: The back-to-sleep position is recommended to reduce the risk of Sudden Infant Death
Syndrome (SIDS). Stomach sleeping, soft bedding, and overheating are all risk factors for SIDS.
,4. A nurse is assessing a newborn 1 minute after birth. The newborn has a heart rate of 110
bpm, respiratory effort with weak cry, some flexion of extremities, grimace in response to
suctioning, and pink body with blue extremities. What Apgar score should the nurse assign?
a) 5
b) 6
c) 7
d) 8
Answer: c) 7
Rationale: Heart rate >100 = 2 points; respiratory effort weak cry = 1 point; some flexion = 1
point; grimace = 1 point; pink body/blue extremities (acrocyanosis) = 1 point. Total = 7,
indicating a stable newborn requiring routine monitoring.
5. A 24-month-old toddler is brought to the clinic. The parent states the child only says "want
ball" and "daddy go." Which action should the nurse take?
a) Refer the child for a developmental evaluation
b) Document this as an expected language milestone
c) Ask about hearing screening results
d) Recommend speech therapy immediately
Answer: b) Document this as an expected language milestone
Rationale: At 24 months, toddlers should be using two-word phrases, which is exactly what this
child is demonstrating. This is an expected language milestone. No referral is needed at this
time.
6. A nurse is caring for a client with preeclampsia at 36 weeks gestation who reports right
upper quadrant pain. Which complication should the nurse suspect?
a) Placental abruption
b) HELLP syndrome
c) Preterm labor
d) Cholecystitis
Answer: b) HELLP syndrome
Rationale: Right upper quadrant (RUQ) pain in a client with preeclampsia may indicate liver
, capsule distension, a sign of HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets).
This is a medical emergency requiring immediate intervention.
7. The nurse is performing an assessment on a 3-year-old preschooler. Which fine motor skill
should the nurse expect the child to demonstrate?
a) Drawing a circle or cross
b) Cutting with scissors
c) Writing letters of the alphabet
d) Tying shoelaces
Answer: a) Drawing a circle or cross
Rationale: At age 3, children can typically draw a circle or cross and build with blocks. Cutting
with scissors and writing letters are skills expected at age 4-5. Tying shoelaces develops around
age 6.
8. A nurse is teaching a prenatal class about nutrition. Which calorie intake recommendation
should the nurse provide for a client in the second trimester?
a) 1800 calories per day
b) 2100 calories per day
c) 2400 calories per day
d) 2700 calories per day
Answer: b) 2100 calories per day
Rationale: During the second and third trimesters, the recommended caloric intake is
approximately 2100 calories per day to support fetal growth and maternal health. This
represents an increase of about 300-350 calories above prepregnancy needs.
9. Which assessment finding in a newborn would be considered abnormal and require further
evaluation?
a) Acrocyanosis of the hands and feet
b) Irregular respiratory pattern
c) Head circumference 2 cm larger than chest
d) Absent Moro reflex
