,NSG 3600 Exam 3 | Pediatric Nursing |
Galen College | 26/27|Guaranteed Pass
1. A nurse is assessing a 4-month-old infant with suspected developmental dysplasia of the hip (DDH).
Which finding should the nurse expect to observe?
A) Symmetrical gluteal folds
B) Limited hip abduction on the affected side
C) Full range of motion in both hips
D) Equal leg lengths
Correct Answer: Limited hip abduction on the affected side
Rationale: Limited hip abduction is a classic sign of DDH, resulting from the femoral head being
displaced from the acetabulum. Asymmetrical gluteal folds and unequal leg lengths are also findings,
but limited abduction is a key diagnostic indicator. Symmetrical folds and full range of motion are
normal findings.
2. A nurse is providing anticipatory guidance to the parents of a 15-month-old toddler. Which
statement by the parents indicates a correct understanding of injury prevention for this age?
A) "We will keep the poison control number readily available."
B) "We will allow our child to ride in a forward-facing car seat."
C) "We will place pillows in the crib for comfort."
D) "We will let our child play with small toys to develop fine motor skills."
Correct Answer: "We will keep the poison control number readily available."
Rationale: Toddlers are at high risk for poisoning due to their increased mobility and oral exploration.
Keeping the poison control number accessible is a key safety measure. Forward-facing car seats are
for older children, pillows in the crib increase SIDS risk, and small toys are a choking hazard.
,3. A nurse is assessing a 6-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) Transferring objects from one hand to the other
C) Using a pincer grasp
D) Walking independently
Correct Answer: Transferring objects from one hand to the other
Rationale: By 6 months, infants typically can transfer objects from one hand to the other. Sitting
without support occurs around 8 months, the pincer grasp develops around 9-10 months, and walking
independently occurs around 12-15 months.
4. The parent of a 2-year-old child reports that the child has frequent temper tantrums. Which
response by the nurse is most appropriate?
A) "This is a normal behavior for a toddler who is developing autonomy."
B) "You should punish the child to stop this behavior."
C) "This indicates a developmental delay that needs evaluation."
D) "You should ignore the child until the tantrum stops."
Correct Answer: "This is a normal behavior for a toddler who is developing autonomy."
Rationale: Temper tantrums are a normal part of toddler development as children struggle with
autonomy versus shame and doubt. Punishment is not effective, and tantrums are not necessarily a
sign of developmental delay. While ignoring can be a strategy, the explanation should focus on the
developmental context.
5. A nurse is assessing a 4-year-old child. According to Erikson, which developmental task is the child
working to achieve?
A) Trust versus mistrust
B) Autonomy versus shame and doubt
C) Initiative versus guilt
, D) Industry versus inferiority
Correct Answer: Initiative versus guilt
Rationale: Preschool-age children (ages 3-6) are in Erikson's initiative versus guilt stage, where they
begin to assert control and power over their environment through play and social interaction. Trust is
infancy, autonomy is toddlerhood, and industry is school age.
6. A nurse is assessing a school-age child for signs of developmental delay. Which finding is a red flag
for a 7-year-old child?
A) The child cannot ride a bicycle.
B) The child has difficulty with reading and writing.
C) The child prefers to play alone.
D) The child cannot tie shoelaces.
Correct Answer: The child has difficulty with reading and writing.
Rationale: By age 7, children are typically in the concrete operational stage and should be developing
basic literacy skills. Difficulty with reading and writing is a red flag for a learning disability or
developmental delay. Riding a bicycle and tying shoelaces may develop later.
7. A nurse is teaching a parent about the immunization schedule. At which age should a child receive
the varicella vaccine?
A) 2 months
B) 6 months
C) 12 months
D) 4 years
Correct Answer: 12 months
Galen College | 26/27|Guaranteed Pass
1. A nurse is assessing a 4-month-old infant with suspected developmental dysplasia of the hip (DDH).
Which finding should the nurse expect to observe?
A) Symmetrical gluteal folds
B) Limited hip abduction on the affected side
C) Full range of motion in both hips
D) Equal leg lengths
Correct Answer: Limited hip abduction on the affected side
Rationale: Limited hip abduction is a classic sign of DDH, resulting from the femoral head being
displaced from the acetabulum. Asymmetrical gluteal folds and unequal leg lengths are also findings,
but limited abduction is a key diagnostic indicator. Symmetrical folds and full range of motion are
normal findings.
2. A nurse is providing anticipatory guidance to the parents of a 15-month-old toddler. Which
statement by the parents indicates a correct understanding of injury prevention for this age?
A) "We will keep the poison control number readily available."
B) "We will allow our child to ride in a forward-facing car seat."
C) "We will place pillows in the crib for comfort."
D) "We will let our child play with small toys to develop fine motor skills."
Correct Answer: "We will keep the poison control number readily available."
Rationale: Toddlers are at high risk for poisoning due to their increased mobility and oral exploration.
Keeping the poison control number accessible is a key safety measure. Forward-facing car seats are
for older children, pillows in the crib increase SIDS risk, and small toys are a choking hazard.
,3. A nurse is assessing a 6-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) Transferring objects from one hand to the other
C) Using a pincer grasp
D) Walking independently
Correct Answer: Transferring objects from one hand to the other
Rationale: By 6 months, infants typically can transfer objects from one hand to the other. Sitting
without support occurs around 8 months, the pincer grasp develops around 9-10 months, and walking
independently occurs around 12-15 months.
4. The parent of a 2-year-old child reports that the child has frequent temper tantrums. Which
response by the nurse is most appropriate?
A) "This is a normal behavior for a toddler who is developing autonomy."
B) "You should punish the child to stop this behavior."
C) "This indicates a developmental delay that needs evaluation."
D) "You should ignore the child until the tantrum stops."
Correct Answer: "This is a normal behavior for a toddler who is developing autonomy."
Rationale: Temper tantrums are a normal part of toddler development as children struggle with
autonomy versus shame and doubt. Punishment is not effective, and tantrums are not necessarily a
sign of developmental delay. While ignoring can be a strategy, the explanation should focus on the
developmental context.
5. A nurse is assessing a 4-year-old child. According to Erikson, which developmental task is the child
working to achieve?
A) Trust versus mistrust
B) Autonomy versus shame and doubt
C) Initiative versus guilt
, D) Industry versus inferiority
Correct Answer: Initiative versus guilt
Rationale: Preschool-age children (ages 3-6) are in Erikson's initiative versus guilt stage, where they
begin to assert control and power over their environment through play and social interaction. Trust is
infancy, autonomy is toddlerhood, and industry is school age.
6. A nurse is assessing a school-age child for signs of developmental delay. Which finding is a red flag
for a 7-year-old child?
A) The child cannot ride a bicycle.
B) The child has difficulty with reading and writing.
C) The child prefers to play alone.
D) The child cannot tie shoelaces.
Correct Answer: The child has difficulty with reading and writing.
Rationale: By age 7, children are typically in the concrete operational stage and should be developing
basic literacy skills. Difficulty with reading and writing is a red flag for a learning disability or
developmental delay. Riding a bicycle and tying shoelaces may develop later.
7. A nurse is teaching a parent about the immunization schedule. At which age should a child receive
the varicella vaccine?
A) 2 months
B) 6 months
C) 12 months
D) 4 years
Correct Answer: 12 months
