NUR 231 Exam 4 Actual Exam V1 | NUR 231 Childbearing & Child
Caring Family (NUR231 Exam 4) | Galen College of Nursing
1. A nurse is assessing a 10-month-old infant during a wellness check. Which developmental
milestone should the nurse expect the infant to have achieved?
A. Using a neat pincer grasp to pick up small objects
B. Walking independently without support
C. Building a tower of three to four blocks
D. Speaking in four-word sentences
Answer: A
Rationale: This examination is designed to assess the student’s mastery of pediatric
nursing principles, focusing on the interplay between physiological illness and
developmental stages. It utilizes clinical scenarios to test critical thinking regarding patient
safety, family-centered care, and evidence-based interventions. At 10 months, a neat pincer
grasp is a standard fine motor milestone; walking usually occurs at 12 months, towers at
18 months, and sentences much later.
2. According to Erikson, which psychosocial stage is a 3-year-old toddler currently
experiencing?
A. Trust vs. Mistrust
B. Industry vs. Inferiority
C. Autonomy vs. Shame and Doubt
D. Initiative vs. Guilt
Answer: C
Rationale: Toddlers (ages 1-3) focus on developing a sense of personal control over
physical skills and a sense of independence, defined by Erikson as Autonomy vs. Shame and
Doubt.
3. A mother asks the nurse when she should start introducing solid foods to her 2-month-old
infant. What is the nurse’s best response?
A. Start now with rice cereal mixed in a bottle.
B. Introduce fruit juice first at 3 months.
C. Solid foods should only begin after the first birthday.
D. Wait until the infant is 4 to 6 months old.
, Answer: D
Rationale: The American Academy of Pediatrics recommends introducing solids between 4
and 6 months when the extrusion reflex disappears and the infant can sit with support.
4. A child is admitted with suspected epiglottitis. Which nursing action is contraindicated?
A. Visualizing the throat with a tongue blade
B. Monitoring oxygen saturation via pulse oximetry
C. Allowing the child to sit in a tripod position
D. Preparing for emergency intubation
Answer: A
Rationale: Attempting to visualize the throat in a child with epiglottitis can trigger a
laryngospasm, causing immediate airway obstruction.
5. When educating parents about car seat safety, which instruction should the nurse provide
for a 12-month-old weighing 22 lbs?
A. The child should transition to a forward-facing seat immediately.
B. The child should remain rear-facing in the back seat.
C. The car seat can be placed in the front passenger seat if the airbag is off.
D. The child can use a booster seat with a lap belt.
Answer: B
Rationale: Current safety guidelines recommend that children remain in a rear-facing car
seat until they reach the maximum height or weight allowed by the seat manufacturer,
typically at least age 2.
6. A 5-year-old child is hospitalized. According to Piaget, which cognitive stage is this child in?
A. Sensorimotor
B. Formal Operational
C. Concrete Operational
D. Preoperational
Answer: D
Rationale: Children aged 2 to 7 are in the preoperational stage, characterized by
egocentrism and magical thinking.
Caring Family (NUR231 Exam 4) | Galen College of Nursing
1. A nurse is assessing a 10-month-old infant during a wellness check. Which developmental
milestone should the nurse expect the infant to have achieved?
A. Using a neat pincer grasp to pick up small objects
B. Walking independently without support
C. Building a tower of three to four blocks
D. Speaking in four-word sentences
Answer: A
Rationale: This examination is designed to assess the student’s mastery of pediatric
nursing principles, focusing on the interplay between physiological illness and
developmental stages. It utilizes clinical scenarios to test critical thinking regarding patient
safety, family-centered care, and evidence-based interventions. At 10 months, a neat pincer
grasp is a standard fine motor milestone; walking usually occurs at 12 months, towers at
18 months, and sentences much later.
2. According to Erikson, which psychosocial stage is a 3-year-old toddler currently
experiencing?
A. Trust vs. Mistrust
B. Industry vs. Inferiority
C. Autonomy vs. Shame and Doubt
D. Initiative vs. Guilt
Answer: C
Rationale: Toddlers (ages 1-3) focus on developing a sense of personal control over
physical skills and a sense of independence, defined by Erikson as Autonomy vs. Shame and
Doubt.
3. A mother asks the nurse when she should start introducing solid foods to her 2-month-old
infant. What is the nurse’s best response?
A. Start now with rice cereal mixed in a bottle.
B. Introduce fruit juice first at 3 months.
C. Solid foods should only begin after the first birthday.
D. Wait until the infant is 4 to 6 months old.
, Answer: D
Rationale: The American Academy of Pediatrics recommends introducing solids between 4
and 6 months when the extrusion reflex disappears and the infant can sit with support.
4. A child is admitted with suspected epiglottitis. Which nursing action is contraindicated?
A. Visualizing the throat with a tongue blade
B. Monitoring oxygen saturation via pulse oximetry
C. Allowing the child to sit in a tripod position
D. Preparing for emergency intubation
Answer: A
Rationale: Attempting to visualize the throat in a child with epiglottitis can trigger a
laryngospasm, causing immediate airway obstruction.
5. When educating parents about car seat safety, which instruction should the nurse provide
for a 12-month-old weighing 22 lbs?
A. The child should transition to a forward-facing seat immediately.
B. The child should remain rear-facing in the back seat.
C. The car seat can be placed in the front passenger seat if the airbag is off.
D. The child can use a booster seat with a lap belt.
Answer: B
Rationale: Current safety guidelines recommend that children remain in a rear-facing car
seat until they reach the maximum height or weight allowed by the seat manufacturer,
typically at least age 2.
6. A 5-year-old child is hospitalized. According to Piaget, which cognitive stage is this child in?
A. Sensorimotor
B. Formal Operational
C. Concrete Operational
D. Preoperational
Answer: D
Rationale: Children aged 2 to 7 are in the preoperational stage, characterized by
egocentrism and magical thinking.
