Test Study Guide Peds Exam 1 Questions and Correct Answer
with Rationales
1. The nurse is aware that the age at which the posterior fontanelle closes is
g g g g g g g g g g g g g
months.
a. 2 to 3 g g
b. 3 to 6 g g
c. 6 to 9 g g
d. 9 to 12: ANS: A g g g g
The posterior fontanelle closes between 2 and 3 months of age.
g g g g g g g g g g
2. Which stage of development is most unstable and challenging regarding developmen
g g g g g g g g g g
t of personal identity?
g g g
A) Adolescence
B) Toddler hood g
C) Childhood
D) Infancy: A) Adolescence g g
3. A maternity nurse is providing instruction to a new mother regarding the psychosocial d
g g g g g g g g g g g g g
evelopment of the newborn infant. Using Erikson's psychoso-
g g g g g g g
cial development theory, the nurse would instruct the mother to:
g g g g g g g g g g
A) Allow the newborn infant to signal a need
g g g g g g g
B) Anticipate all of the needs of the newborn infant g g g g g g g g
C) Avoid the newborn infant during the first 10 minutes of crying
g g g g g g g g g g
D) Attend to the newborn infant immediately when crying: A) Allow the newborn infant to sign
g g g g g g g g g g g g g g
al a need. Trust vs Mistrust stage-This will allow the infant opportunity to gain trust.
g g g g g g g g g g g g g g
4. A mother of a 3-year-
g g g g
old tells a clinic nurse that the child is rebelling constantly and having temper tantrums.
g g g g g g g g g g g g g g g
The nurse most appropriately tells the mother to:
g g g g g g g
A) Punish the child every time the child says "no", to change the behavior
g g g g g g g g g g g g
B) Allow the behavior because this is normal at this age period
g g g g g g g g g g
1g/g45
,C) Set limits on the child's behavior
g g g g g
D) Ignore the child when this behavior occurs: C) Set limits on the child's behavior-
g g g g g g g g g g g g g
According to Erikson, the child focuses on independence between ages 1 and 3 years. Gaining i
g g g g g g g g g g g g g g g
ndependence often means that the child has to rebel against the parents' wishes. Saying thing
g g g g g g g g g g g g g g
s like "no" or "mine" and having temper tantrums are common during this period of developme
g g g g g g g g g g g g g g g
nt. Being consistent and setting limits on the child's behavior are the necessary elements.
g g g g g g g g g g g g g
5. A nurse is evaluating the developmental level of a 2-year-
g g g g g g g g g
old.Which of the following does the nurse expect to observe in this child?
g g g g g g g g g g g g g
A) Uses a fork to eatg g g g
B) Uses a cup to drink
g g g g
C) Uses a knife for cutting food
g g g g g
2g/g45
,D) Pours own milk into a cup: B. By age 2 years, the child can use a cup and can use a spoon co
g g g g g g g g g g g g g g g g g g g g g g
rrectly but with some spilling. By ages 3 to 4, the child begins to use a fork. By the end of the pres
g g g g g g g g g g g g g g g g g g g g g g
chool period, the child should be able to pour milk into a cup and begin to use a knife for cuttin
g g g g g g g g g g g g g g g g g g g g
g.
6. A clinic nurse assesses the communication patterns of a 5-month-
g g g g g g g g g
old infant. The nurse determines that the infant is demonstrating the highest level of devel
g g g g g g g g g g g g g g
opmental achievement expected if the infant: g g g g g
A) Uses simple words such as "mama" g g g g g
B) Uses monosyllabic babbling g g
C) Links syllables together g g
D) Coos when comforted: B. Using monosyllabic babbling occurs between 3 and 6 months of
g g g g g g g g g g g g g
age. Using simple words such as "mama" occurs between 9 and 12 months. Linking syllables
g g g g g g g g g g g g g g g g
together when communicating occurs between 6 and 9 months. Cooing begins at birth and co
g g g g g g g g g g g g g g
ntinues until 2 months. g g g
7. A nurse is preparing to care for a 5-year-
g g g g g g g g
old who has been placed in traction following a fracture of the femur. The nurse plans care, k
g g g g g g g g g g g g g g g g g
nowing that which of the following is the most appropriate activity for this child?
g g g g g g g g g g g g g
A) Large picture books g g
B) A radio g
C) Crayons and coloring book g g g
D) A sports video: C. In the preschooler, play is simple and imaginative and includes activitie
g g g g g g g g g g g g g g
s such as crayons and coloring books, puppets, felt and magnetic boards, and Play-
g g g g g g g g g g g g g
Doh. Large picture books are most appropriate for the infant. A radio and a sports video are m
g g g g g g g g g g g g g g g g g
ost appropriate for the adolescent.
g g g g
8. A 16-year- g
old is admitted to the hospital for acute appendicitis, and an appendectomy is performed
g g g g g g g g g g g g g
.Which of the following nursing interventions is most appropriate to facilitate normal gro
g g g g g g g g g g g g g
wth and development?
g g
A) Allow the family to bring in the child's favorite computer games
g g g g g g g g g g
B) Encourage the parents to room-in with the child g g g g g g g
C) Encourage the child to rest and read g g g g g g
3g/g45
, D) Allow the child to participate in activities with other individuals in the same age group
g g g g g g g g g g g g g g g
when the condition permits: D. Adolescents often are not sure whether they want their parent
g g g g g g g g g g g g g g
s with them when they are hospitalized. Because of the importance of the peer group, separati
g g g g g g g g g g g g g g g
on from friends is a source of anxiety. Ideally, the members of the peer group will support their i
g g g g g g g g g g g g g g g g g g
ll friend. Options a, b, and c isolate the child from the peer group.
g g g g g g g g g g g g g
9. The mother of a toddler asks a nurse when it is safe to place the car safety seat in a face-
g g g g g g g g g g g g g g g g g g g g
forward position.The best nursing response is which of the following?
g g g g g g g g g g
4g/g45
with Rationales
1. The nurse is aware that the age at which the posterior fontanelle closes is
g g g g g g g g g g g g g
months.
a. 2 to 3 g g
b. 3 to 6 g g
c. 6 to 9 g g
d. 9 to 12: ANS: A g g g g
The posterior fontanelle closes between 2 and 3 months of age.
g g g g g g g g g g
2. Which stage of development is most unstable and challenging regarding developmen
g g g g g g g g g g
t of personal identity?
g g g
A) Adolescence
B) Toddler hood g
C) Childhood
D) Infancy: A) Adolescence g g
3. A maternity nurse is providing instruction to a new mother regarding the psychosocial d
g g g g g g g g g g g g g
evelopment of the newborn infant. Using Erikson's psychoso-
g g g g g g g
cial development theory, the nurse would instruct the mother to:
g g g g g g g g g g
A) Allow the newborn infant to signal a need
g g g g g g g
B) Anticipate all of the needs of the newborn infant g g g g g g g g
C) Avoid the newborn infant during the first 10 minutes of crying
g g g g g g g g g g
D) Attend to the newborn infant immediately when crying: A) Allow the newborn infant to sign
g g g g g g g g g g g g g g
al a need. Trust vs Mistrust stage-This will allow the infant opportunity to gain trust.
g g g g g g g g g g g g g g
4. A mother of a 3-year-
g g g g
old tells a clinic nurse that the child is rebelling constantly and having temper tantrums.
g g g g g g g g g g g g g g g
The nurse most appropriately tells the mother to:
g g g g g g g
A) Punish the child every time the child says "no", to change the behavior
g g g g g g g g g g g g
B) Allow the behavior because this is normal at this age period
g g g g g g g g g g
1g/g45
,C) Set limits on the child's behavior
g g g g g
D) Ignore the child when this behavior occurs: C) Set limits on the child's behavior-
g g g g g g g g g g g g g
According to Erikson, the child focuses on independence between ages 1 and 3 years. Gaining i
g g g g g g g g g g g g g g g
ndependence often means that the child has to rebel against the parents' wishes. Saying thing
g g g g g g g g g g g g g g
s like "no" or "mine" and having temper tantrums are common during this period of developme
g g g g g g g g g g g g g g g
nt. Being consistent and setting limits on the child's behavior are the necessary elements.
g g g g g g g g g g g g g
5. A nurse is evaluating the developmental level of a 2-year-
g g g g g g g g g
old.Which of the following does the nurse expect to observe in this child?
g g g g g g g g g g g g g
A) Uses a fork to eatg g g g
B) Uses a cup to drink
g g g g
C) Uses a knife for cutting food
g g g g g
2g/g45
,D) Pours own milk into a cup: B. By age 2 years, the child can use a cup and can use a spoon co
g g g g g g g g g g g g g g g g g g g g g g
rrectly but with some spilling. By ages 3 to 4, the child begins to use a fork. By the end of the pres
g g g g g g g g g g g g g g g g g g g g g g
chool period, the child should be able to pour milk into a cup and begin to use a knife for cuttin
g g g g g g g g g g g g g g g g g g g g
g.
6. A clinic nurse assesses the communication patterns of a 5-month-
g g g g g g g g g
old infant. The nurse determines that the infant is demonstrating the highest level of devel
g g g g g g g g g g g g g g
opmental achievement expected if the infant: g g g g g
A) Uses simple words such as "mama" g g g g g
B) Uses monosyllabic babbling g g
C) Links syllables together g g
D) Coos when comforted: B. Using monosyllabic babbling occurs between 3 and 6 months of
g g g g g g g g g g g g g
age. Using simple words such as "mama" occurs between 9 and 12 months. Linking syllables
g g g g g g g g g g g g g g g g
together when communicating occurs between 6 and 9 months. Cooing begins at birth and co
g g g g g g g g g g g g g g
ntinues until 2 months. g g g
7. A nurse is preparing to care for a 5-year-
g g g g g g g g
old who has been placed in traction following a fracture of the femur. The nurse plans care, k
g g g g g g g g g g g g g g g g g
nowing that which of the following is the most appropriate activity for this child?
g g g g g g g g g g g g g
A) Large picture books g g
B) A radio g
C) Crayons and coloring book g g g
D) A sports video: C. In the preschooler, play is simple and imaginative and includes activitie
g g g g g g g g g g g g g g
s such as crayons and coloring books, puppets, felt and magnetic boards, and Play-
g g g g g g g g g g g g g
Doh. Large picture books are most appropriate for the infant. A radio and a sports video are m
g g g g g g g g g g g g g g g g g
ost appropriate for the adolescent.
g g g g
8. A 16-year- g
old is admitted to the hospital for acute appendicitis, and an appendectomy is performed
g g g g g g g g g g g g g
.Which of the following nursing interventions is most appropriate to facilitate normal gro
g g g g g g g g g g g g g
wth and development?
g g
A) Allow the family to bring in the child's favorite computer games
g g g g g g g g g g
B) Encourage the parents to room-in with the child g g g g g g g
C) Encourage the child to rest and read g g g g g g
3g/g45
, D) Allow the child to participate in activities with other individuals in the same age group
g g g g g g g g g g g g g g g
when the condition permits: D. Adolescents often are not sure whether they want their parent
g g g g g g g g g g g g g g
s with them when they are hospitalized. Because of the importance of the peer group, separati
g g g g g g g g g g g g g g g
on from friends is a source of anxiety. Ideally, the members of the peer group will support their i
g g g g g g g g g g g g g g g g g g
ll friend. Options a, b, and c isolate the child from the peer group.
g g g g g g g g g g g g g
9. The mother of a toddler asks a nurse when it is safe to place the car safety seat in a face-
g g g g g g g g g g g g g g g g g g g g
forward position.The best nursing response is which of the following?
g g g g g g g g g g
4g/g45
