• MSN 629 Exam 09/09/2026
MSN 629 Week 3 Quiz 4 – Full Questions and
Answers | 2026 Update | Graded A+; Northern
Kentucky University Guaranteed Pass and First
Attempt– (2026) Actual Questions & Answers
100% Guarantee Pass
1. During a well child exam, the primary care pediatric nurse practitioner learns that the parents of a
young child fight frequently about finances. The parents state that they do not fight in front of the
child and feel that the situation is temporary and related to the father's job layoff. What will the nurse
practitioner do?
a. Reassure them that the child is too young to understand.
b. Recommend that they continue to not argue in front of the child.
c. Suggest counseling to learn ways to handle stress.
d. Tell them that the conflict will resolve when the situation changes. –
P 1
, • MSN 629 Exam 09/09/2026
Correct Answer :ANS: C
Marital problems can result in child behavior difficulties and anxieties, and conflict can be picked up by
the child. The parents should try to learn to modify unhealthy behaviors, such as increased conflict during
stressful situations. Even when children do not understand, they pick up on cues from the parents about
anxiety and stress and can internalize these feelings. Avoiding arguments in front of the child does not
alleviate the underlying conflict and stress. The behavior of fighting during this stressful situation may
indicate a pattern of response to stress and will only recur with each subsequent stressful period.
2. The primary care pediatric nurse practitioner conducts a well baby exam on an infant and notes mild
gross motor delays but no delays in other areas. Which initial course of action will the nurse
practitioner recommend?
a. Consult a developmental specialist for a more complete evaluation.
b. Prepare the parents for a potentially serious developmental disorder.
c. Refer the infant to an early intervention program for physical therapy.
d. Teach the parents to provide exercises to encourage motor development. –
Correct Answer :ANS: D
The child who has mild delays in only one area may be managed initially by having the parent provide
appropriate exercises. If this is not effective, or if delays become more severe, referrals for evaluation or
early intervention services are warranted. A mild delay does not necessarily signal a serious disorder, so
this action is not indicated.
3. The primary care pediatric nurse practitioner sees a developmentally delayed toddler for an initial
visit. The family has just moved to the area and asks the nurse practitioner about community services
and resources for their child. What should the nurse practitioner do initially?
a. Ask the parents if they have an individualized family service plan (IFSP).
b. Consult with a physician to ensure the child gets appropriate care.
P 2
, • MSN 629 Exam 09/09/2026
c. Inform the family that services are provided when the child begins school.
d. Refer the family to a social worker for assistance with referrals and services. –
Correct Answer :ANS: A
Families with children who have developmental delays are eligible for early intervention services and
should have IFSPs in place. This family may have one from their previous community, and it can be used
as a starting point to determine needs. It is not necessary to consult with a physician to coordinate
community resources. Early intervention is provided from birth, according to federal law. Until the
specific referrals are known, the social worker is not consulted.
4. The primary care pediatric nurse practitioner is examining a newborn infant recently discharged from
the neonatal intensive care unit after a premature birth. The parent is upset and expresses worry about
whether the infant will be normal. What will the nurse practitioner do in this situation?
a. Explain to the parent that developmental delays often do not manifest at first.
b. Perform a developmental assessment and tell the parent which delays are evident.
c. Point out the tasks that the infant can perform while conducting the assessment.
d. Refer the infant to a developmental specialist for a complete evaluation.
- Correct Answer :ANS: C
When discussing developmental delays with parents, it is important to be positive and to initially focus on
strengths. Explaining that developmental delays develop over time is true but does not reassure the parent
or help the parent cope with feelings. Referrals are not indicated unless delays are present and may take
time.
5. Which recommendation will a primary care pediatric nurse practitioner make when parents ask about
ways to discipline their 3-year-old child who draws on the walls with crayons?
a. Give the child washable markers so the drawings can be removed easily.
b. Provide a roll of paper for drawing and teach the child to use this.
P 3
, • MSN 629 Exam 09/09/2026
c. Put the child in "timeout" each time the child draws on the walls.
d. Take the crayons away from the child to prevent the behavior. –
Correct Answer :ANS: B
Discipline involves training or education that molds appropriate behavior and is used to teach the child
what is permitted and encouraged. Providing an appropriate outlet for drawing helps to teach the child
where to use the crayons. Using washable markers allows the parents to clean the walls but does not teach
the child appropriate behaviors. Timeout and taking away the crayons are forms of punishment, or a loss
of privileges, that are administered as a form of retribution.
6. The primary care pediatric nurse practitioner enters an exam room and finds a 2-month-old infant in a
car seat on the exam table. The infant's mother is playing a game on her smart phone. The nurse
practitioner interprets this behavior as :
a. a sign that the mother has postpartum depression.
b. extremely concerning for potential parental neglect.
c. of moderate concern for parenting problems.
d. within the normal range of behavior in early parenthood. –
Correct Answer :ANS: C
A parent who seems disinterested in a child raises moderate concerns for parenting problems. It does not
necessarily signal postpartum depression. It is not a mark for extreme concern. It is not within the
expected range of behaviors.
7. During a well child assessment of an 18-month-old child, the primary care pediatric nurse practitioner
observes the child becoming irritable and uncooperative. The parent tells the child to stop fussing.
What will the nurse practitioner do?
a. Allow the parent to put the child in a "timeout."
b. Ask the parent about usual discipline practices.
c. Offer the child a book or a toy to look at.
P 4
MSN 629 Week 3 Quiz 4 – Full Questions and
Answers | 2026 Update | Graded A+; Northern
Kentucky University Guaranteed Pass and First
Attempt– (2026) Actual Questions & Answers
100% Guarantee Pass
1. During a well child exam, the primary care pediatric nurse practitioner learns that the parents of a
young child fight frequently about finances. The parents state that they do not fight in front of the
child and feel that the situation is temporary and related to the father's job layoff. What will the nurse
practitioner do?
a. Reassure them that the child is too young to understand.
b. Recommend that they continue to not argue in front of the child.
c. Suggest counseling to learn ways to handle stress.
d. Tell them that the conflict will resolve when the situation changes. –
P 1
, • MSN 629 Exam 09/09/2026
Correct Answer :ANS: C
Marital problems can result in child behavior difficulties and anxieties, and conflict can be picked up by
the child. The parents should try to learn to modify unhealthy behaviors, such as increased conflict during
stressful situations. Even when children do not understand, they pick up on cues from the parents about
anxiety and stress and can internalize these feelings. Avoiding arguments in front of the child does not
alleviate the underlying conflict and stress. The behavior of fighting during this stressful situation may
indicate a pattern of response to stress and will only recur with each subsequent stressful period.
2. The primary care pediatric nurse practitioner conducts a well baby exam on an infant and notes mild
gross motor delays but no delays in other areas. Which initial course of action will the nurse
practitioner recommend?
a. Consult a developmental specialist for a more complete evaluation.
b. Prepare the parents for a potentially serious developmental disorder.
c. Refer the infant to an early intervention program for physical therapy.
d. Teach the parents to provide exercises to encourage motor development. –
Correct Answer :ANS: D
The child who has mild delays in only one area may be managed initially by having the parent provide
appropriate exercises. If this is not effective, or if delays become more severe, referrals for evaluation or
early intervention services are warranted. A mild delay does not necessarily signal a serious disorder, so
this action is not indicated.
3. The primary care pediatric nurse practitioner sees a developmentally delayed toddler for an initial
visit. The family has just moved to the area and asks the nurse practitioner about community services
and resources for their child. What should the nurse practitioner do initially?
a. Ask the parents if they have an individualized family service plan (IFSP).
b. Consult with a physician to ensure the child gets appropriate care.
P 2
, • MSN 629 Exam 09/09/2026
c. Inform the family that services are provided when the child begins school.
d. Refer the family to a social worker for assistance with referrals and services. –
Correct Answer :ANS: A
Families with children who have developmental delays are eligible for early intervention services and
should have IFSPs in place. This family may have one from their previous community, and it can be used
as a starting point to determine needs. It is not necessary to consult with a physician to coordinate
community resources. Early intervention is provided from birth, according to federal law. Until the
specific referrals are known, the social worker is not consulted.
4. The primary care pediatric nurse practitioner is examining a newborn infant recently discharged from
the neonatal intensive care unit after a premature birth. The parent is upset and expresses worry about
whether the infant will be normal. What will the nurse practitioner do in this situation?
a. Explain to the parent that developmental delays often do not manifest at first.
b. Perform a developmental assessment and tell the parent which delays are evident.
c. Point out the tasks that the infant can perform while conducting the assessment.
d. Refer the infant to a developmental specialist for a complete evaluation.
- Correct Answer :ANS: C
When discussing developmental delays with parents, it is important to be positive and to initially focus on
strengths. Explaining that developmental delays develop over time is true but does not reassure the parent
or help the parent cope with feelings. Referrals are not indicated unless delays are present and may take
time.
5. Which recommendation will a primary care pediatric nurse practitioner make when parents ask about
ways to discipline their 3-year-old child who draws on the walls with crayons?
a. Give the child washable markers so the drawings can be removed easily.
b. Provide a roll of paper for drawing and teach the child to use this.
P 3
, • MSN 629 Exam 09/09/2026
c. Put the child in "timeout" each time the child draws on the walls.
d. Take the crayons away from the child to prevent the behavior. –
Correct Answer :ANS: B
Discipline involves training or education that molds appropriate behavior and is used to teach the child
what is permitted and encouraged. Providing an appropriate outlet for drawing helps to teach the child
where to use the crayons. Using washable markers allows the parents to clean the walls but does not teach
the child appropriate behaviors. Timeout and taking away the crayons are forms of punishment, or a loss
of privileges, that are administered as a form of retribution.
6. The primary care pediatric nurse practitioner enters an exam room and finds a 2-month-old infant in a
car seat on the exam table. The infant's mother is playing a game on her smart phone. The nurse
practitioner interprets this behavior as :
a. a sign that the mother has postpartum depression.
b. extremely concerning for potential parental neglect.
c. of moderate concern for parenting problems.
d. within the normal range of behavior in early parenthood. –
Correct Answer :ANS: C
A parent who seems disinterested in a child raises moderate concerns for parenting problems. It does not
necessarily signal postpartum depression. It is not a mark for extreme concern. It is not within the
expected range of behaviors.
7. During a well child assessment of an 18-month-old child, the primary care pediatric nurse practitioner
observes the child becoming irritable and uncooperative. The parent tells the child to stop fussing.
What will the nurse practitioner do?
a. Allow the parent to put the child in a "timeout."
b. Ask the parent about usual discipline practices.
c. Offer the child a book or a toy to look at.
P 4
