PEDS GROWTH & DEVELOPMENT
PEDS NR 328 GROWTH & DEVELOPMENT MIDTERM
EXAM 2024/2025 PRIORITY EXAM
1. The nurse is preparing to perform a physical assessment on a 14-year-old girl. The nurse
gives her the option of her mother either staying in the room or leaving. This action should be
considered which of the following?
Appropriate, because of child’s age
Feedback: Pediatric patients in the adolescent age group should be examined privately
unless they are uncomfortable with this.
2. The school nurse is observing an 18-month-old child during lunchtime in the nursery school
cafeteria. Which of the following behaviors would the nurse expect to see?
The child uses a spoon but drops quite a bit. Picks up a sippy cup with 2 hands and drinks
3. A 6-month-old child received the following play things as a gift from a relative. The
nurse should advise the parents that which of the items is potentially dangerous for the
child to play with?
Balloon
Feedback: Balloons are potentially dangerous items for young children. They can become
deadly choking hazards if placed in the mouth when deflated.
4. Which of the following procedures should be performed first during the physical examination
of the newborn who is quiet and calm
Auscultation of the heart and lungs
Feedback: When a newborn is calm, quiet, and/or sleeping, it is an ideal time to assess the heart
and lungs.
5. The nurse is providing prehospital admission education to a 9-year-old child and family.
Which of the following methods would be most appropriate for the nurse to utilize during the
teaching session?
Take the child on a tour of the pediatric unit, and introduce the child to the nurses.
Feedback: It would be best to take the child on a tour of the pediatric unit and introduce the
child to the nurses.
6. A 13-month-old toddler is being discharged from the hospital. Which two of the
following potential health risks/injuries should the nurse address?
Poisoning and Burns
Feedback: Toddlers are at highest risk for poisonous ingestion and accidental burns.
7. A nurse is educating a parent regarding the immunizations that a child is to receive
during the first year of life. Which of the following immunizations did the nurse
, PEDS GROWTH & DEVELOPMENT
discuss?
Polio
Feedback: This is correct. Polio vaccine is given during infancy.
8. A 2½-year-old boy is being seen by the primary health-care provider for a well-child
checkup. Which of the following statements by the mother would indicate a need for
teaching?
"I worry that Johnny will get too close to the hot oven, so I put him in his playroom and
have him play by himself with his toys while I'm making dinner."
Feedback: This is correct. This action should be questioned. Because toddlers are immature and
inquisitive, it is inappropriate to leave them unsupervised.
9. The mother of a 1-month-old states that she is curious as to whether her infant is
developing normally. Which of the following developmental milestones would the
nurse inform the mother that the infant is expected to perform at this age?
Turning head from side to side
Feedback: This is correct. At one month of age, children still perform basic skills like
moving their heads from side to side.
10. A nurse is attempting to get a 5-year-old child's cooperation when auscultating heart
sounds. Which of the following comments is most likely to elicit the child's
cooperation?
Would you like to listen to the sounds your heart makes?"
Feedback: This is correct. Asking the child whether he or she would like to hear his or
her own heart is an excellent way to get the child's cooperation.
11. A nurse is providing education to the parents of a toddler. Which of the following
information should the nurse include? Select all that apply.
The child should receive an influenza vaccination every year.
The child should be allowed to take his or her special object to nursery
school Feedback: Correct. Children should receive the influenza vaccine
every year.
12. The nurse is obtaining a health history of a 6-year-old child who is being seen at the
clinic for the first time. Which of the following questions should the nurse ask the child
during the interview?
Select all that apply.
Do you have any pets at home?"
, PEDS GROWTH & DEVELOPMENT
Feedback: This is correct. "Do you have any pets at home?" should be
asked. "Can you tell me how many 1 plus 1 makes?"
"Can you tell me the name of one of your school friends?"
Feedback: This is correct. "Can you tell me the name of 1 of your school friends?" should
be asked.
What kinds of things do you like to play during recess at school?"
Feedback: This would be an appropriate question to ask.
13. While teaching the parents of a newborn about infant care and feeding, the nurse
instructs the parents to do which of the following:
Delay supplemental foods (like rice cereal) until the infant is 4 to 6
months old Feedback: Rice cereal can be introduced at 4-6 months of
age.
14. The nurse assesses a 2-month-old girl. The baby weighed 3,400 grams at birth, 3,800
grams at 1 month, and 4,000 grams at 2 months of age. The nurse plots the
information on the scale below. Which of the following conclusions and actions would
be appropriate for the nurse to make?
PEDS NR 328 GROWTH & DEVELOPMENT MIDTERM
EXAM 2024/2025 PRIORITY EXAM
1. The nurse is preparing to perform a physical assessment on a 14-year-old girl. The nurse
gives her the option of her mother either staying in the room or leaving. This action should be
considered which of the following?
Appropriate, because of child’s age
Feedback: Pediatric patients in the adolescent age group should be examined privately
unless they are uncomfortable with this.
2. The school nurse is observing an 18-month-old child during lunchtime in the nursery school
cafeteria. Which of the following behaviors would the nurse expect to see?
The child uses a spoon but drops quite a bit. Picks up a sippy cup with 2 hands and drinks
3. A 6-month-old child received the following play things as a gift from a relative. The
nurse should advise the parents that which of the items is potentially dangerous for the
child to play with?
Balloon
Feedback: Balloons are potentially dangerous items for young children. They can become
deadly choking hazards if placed in the mouth when deflated.
4. Which of the following procedures should be performed first during the physical examination
of the newborn who is quiet and calm
Auscultation of the heart and lungs
Feedback: When a newborn is calm, quiet, and/or sleeping, it is an ideal time to assess the heart
and lungs.
5. The nurse is providing prehospital admission education to a 9-year-old child and family.
Which of the following methods would be most appropriate for the nurse to utilize during the
teaching session?
Take the child on a tour of the pediatric unit, and introduce the child to the nurses.
Feedback: It would be best to take the child on a tour of the pediatric unit and introduce the
child to the nurses.
6. A 13-month-old toddler is being discharged from the hospital. Which two of the
following potential health risks/injuries should the nurse address?
Poisoning and Burns
Feedback: Toddlers are at highest risk for poisonous ingestion and accidental burns.
7. A nurse is educating a parent regarding the immunizations that a child is to receive
during the first year of life. Which of the following immunizations did the nurse
, PEDS GROWTH & DEVELOPMENT
discuss?
Polio
Feedback: This is correct. Polio vaccine is given during infancy.
8. A 2½-year-old boy is being seen by the primary health-care provider for a well-child
checkup. Which of the following statements by the mother would indicate a need for
teaching?
"I worry that Johnny will get too close to the hot oven, so I put him in his playroom and
have him play by himself with his toys while I'm making dinner."
Feedback: This is correct. This action should be questioned. Because toddlers are immature and
inquisitive, it is inappropriate to leave them unsupervised.
9. The mother of a 1-month-old states that she is curious as to whether her infant is
developing normally. Which of the following developmental milestones would the
nurse inform the mother that the infant is expected to perform at this age?
Turning head from side to side
Feedback: This is correct. At one month of age, children still perform basic skills like
moving their heads from side to side.
10. A nurse is attempting to get a 5-year-old child's cooperation when auscultating heart
sounds. Which of the following comments is most likely to elicit the child's
cooperation?
Would you like to listen to the sounds your heart makes?"
Feedback: This is correct. Asking the child whether he or she would like to hear his or
her own heart is an excellent way to get the child's cooperation.
11. A nurse is providing education to the parents of a toddler. Which of the following
information should the nurse include? Select all that apply.
The child should receive an influenza vaccination every year.
The child should be allowed to take his or her special object to nursery
school Feedback: Correct. Children should receive the influenza vaccine
every year.
12. The nurse is obtaining a health history of a 6-year-old child who is being seen at the
clinic for the first time. Which of the following questions should the nurse ask the child
during the interview?
Select all that apply.
Do you have any pets at home?"
, PEDS GROWTH & DEVELOPMENT
Feedback: This is correct. "Do you have any pets at home?" should be
asked. "Can you tell me how many 1 plus 1 makes?"
"Can you tell me the name of one of your school friends?"
Feedback: This is correct. "Can you tell me the name of 1 of your school friends?" should
be asked.
What kinds of things do you like to play during recess at school?"
Feedback: This would be an appropriate question to ask.
13. While teaching the parents of a newborn about infant care and feeding, the nurse
instructs the parents to do which of the following:
Delay supplemental foods (like rice cereal) until the infant is 4 to 6
months old Feedback: Rice cereal can be introduced at 4-6 months of
age.
14. The nurse assesses a 2-month-old girl. The baby weighed 3,400 grams at birth, 3,800
grams at 1 month, and 4,000 grams at 2 months of age. The nurse plots the
information on the scale below. Which of the following conclusions and actions would
be appropriate for the nurse to make?
