,Galen NSG 3600 Exam 1 | Nursing Practice: Children's
Health (2026) Actual Q&A PDF
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 back to front
C) Holding the head steady when upright
D) Crawling on hands and knees
Correct Answer: Holding the head steady when upright
Rationale: By 4 months of age, infants typically can hold their head steady when
upright. Sitting without support is expected around 8 months, rolling from back to
front around 6 months, and crawling around 8–10 months.
2. A mother asks the nurse when her infant will likely double their birth weight.
Which response by the nurse is most accurate?
A) “Most infants double their birth weight by 4 months.”
B) “Most infants double their birth weight by 6 months.”
C) “Most infants double their birth weight by 9 months.”
D) “Most infants double their birth weight by 12 months.”
Correct Answer: “Most infants double their birth weight by 6 months.”
Rationale: Infants typically double their birth weight by 6 months of age and triple it
by 12 months. This is a key growth milestone used to assess adequate nutrition and
development.
,3. A nurse is teaching a group of parents about developmental milestones. At what
age should an infant begin to sit without support?
A) 4 months
B) 6 months
C) 8 months
D) 10 months
Correct Answer: 8 months
Rationale: Most infants can sit unsupported by 8 months of age. This gross motor
milestone requires sufficient core muscle strength and coordination.
4. A 2‑year‑old toddler is able to perform which gross motor skill?
A) Ride a tricycle
B) Kick a ball forward
C) Hop on one foot
D) Walk up stairs with alternating feet
Correct Answer: Kick a ball forward
Rationale: Kicking a ball forward is a typical gross motor skill for a 2‑year‑old. Riding
a tricycle is expected around 3 years, hopping on one foot around 4 years, and
walking up stairs with alternating feet around 3 years.
5. A nurse is evaluating the fine motor skills of a toddler. Which task is
developmentally appropriate for a toddler?
A) Buttoning a shirt
, B) Writing with a pencil
C) Holding a spoon to eat
D) Using a pincer grasp
Correct Answer: Holding a spoon to eat
Rationale: Holding a spoon to eat is a typical fine motor skill for a toddler. Buttoning
a shirt and writing with a pencil are skills expected at older ages, while the pincer
grasp develops in infancy.
6. A nurse is assessing a newborn’s reflexes. Which finding is a normal primitive reflex
that should be present at birth?
A) Absent Moro reflex
B) Asymmetric tonic neck reflex
C) Positive Babinski reflex
D) Negative palmar grasp
Correct Answer: Positive Babinski reflex
Rationale: The Babinski reflex (toes fan outward when the sole is stroked) is a normal
primitive reflex in newborns and infants up to 1 year. The Moro and palmar grasp
reflexes should be present at birth, and the asymmetric tonic neck reflex is also
normal in early infancy.
7. A nurse is assessing a 6‑month‑old infant during a well‑child visit. The nurse
expects the infant to have achieved which physical growth parameter?
A) Birth weight has tripled and birth length has increased by 50%
B) Birth weight has doubled and anterior fontanel is closed
Health (2026) Actual Q&A PDF
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 back to front
C) Holding the head steady when upright
D) Crawling on hands and knees
Correct Answer: Holding the head steady when upright
Rationale: By 4 months of age, infants typically can hold their head steady when
upright. Sitting without support is expected around 8 months, rolling from back to
front around 6 months, and crawling around 8–10 months.
2. A mother asks the nurse when her infant will likely double their birth weight.
Which response by the nurse is most accurate?
A) “Most infants double their birth weight by 4 months.”
B) “Most infants double their birth weight by 6 months.”
C) “Most infants double their birth weight by 9 months.”
D) “Most infants double their birth weight by 12 months.”
Correct Answer: “Most infants double their birth weight by 6 months.”
Rationale: Infants typically double their birth weight by 6 months of age and triple it
by 12 months. This is a key growth milestone used to assess adequate nutrition and
development.
,3. A nurse is teaching a group of parents about developmental milestones. At what
age should an infant begin to sit without support?
A) 4 months
B) 6 months
C) 8 months
D) 10 months
Correct Answer: 8 months
Rationale: Most infants can sit unsupported by 8 months of age. This gross motor
milestone requires sufficient core muscle strength and coordination.
4. A 2‑year‑old toddler is able to perform which gross motor skill?
A) Ride a tricycle
B) Kick a ball forward
C) Hop on one foot
D) Walk up stairs with alternating feet
Correct Answer: Kick a ball forward
Rationale: Kicking a ball forward is a typical gross motor skill for a 2‑year‑old. Riding
a tricycle is expected around 3 years, hopping on one foot around 4 years, and
walking up stairs with alternating feet around 3 years.
5. A nurse is evaluating the fine motor skills of a toddler. Which task is
developmentally appropriate for a toddler?
A) Buttoning a shirt
, B) Writing with a pencil
C) Holding a spoon to eat
D) Using a pincer grasp
Correct Answer: Holding a spoon to eat
Rationale: Holding a spoon to eat is a typical fine motor skill for a toddler. Buttoning
a shirt and writing with a pencil are skills expected at older ages, while the pincer
grasp develops in infancy.
6. A nurse is assessing a newborn’s reflexes. Which finding is a normal primitive reflex
that should be present at birth?
A) Absent Moro reflex
B) Asymmetric tonic neck reflex
C) Positive Babinski reflex
D) Negative palmar grasp
Correct Answer: Positive Babinski reflex
Rationale: The Babinski reflex (toes fan outward when the sole is stroked) is a normal
primitive reflex in newborns and infants up to 1 year. The Moro and palmar grasp
reflexes should be present at birth, and the asymmetric tonic neck reflex is also
normal in early infancy.
7. A nurse is assessing a 6‑month‑old infant during a well‑child visit. The nurse
expects the infant to have achieved which physical growth parameter?
A) Birth weight has tripled and birth length has increased by 50%
B) Birth weight has doubled and anterior fontanel is closed
