Growth and Development: NCLEX Questions and Answers
A. The transition point for switching to the forward facing position is defined by the manufacturer of the
convertible car safety seat but is generally at a body weight of 9 kg or 20 lb and 1 year of age. Convertible car
safety seats are used until the child weighs at least 40 lb. Options b, c, and d are incorrect - ansThe mother of a
toddler asks a nurse when it is safe to place the car safety seat in a face-forward position. The best nursing
response is which of the following?
A) When the toddler weighs 20 lbs
B) The seat should not be placed in a face-forward position unless there are safety locks in the car
C) The seat should never be place in a face-forward position because the risk of the child unbuckling the
harness
D) When the weight of the toddler is greater than 40 lbs
A) Adolescence - ansWhich stage of development is most unstable and challenging regarding development of
personal identity?
A) Adolescence
B) Toddler hood
C) Childhood
D) Infancy
A) Allow the newborn infant to signal a need. Trust vs Mistrust stage-This will allow the infant opportunity to
gain trust. - ansA maternity nurse is providing instruction to a new mother regarding the psychosocial
development of the newborn infant. Using Erikson's psychosocial development theory, the nurse would
instruct the mother to
A) Allow the newborn infant to signal a need
B) Anticipate all of the needs of the newborn infant
C) Avoid the newborn infant during the first 10 minutes of crying
D) Attend to the newborn infant immediately when crying
,ANS:
creep
At 7 months the infant begins to crawl, using arms and dragging trunk and legs. At 9 months the infant begins
to creep, holding his or her trunk above the floor. The next self-mobility activity is cruising, where the child
walks from one piece of furniture to the next before it begins to walk independently. - ansThe nurse explains
that the second process of self-mobility an infant learns is seen at the age of 9 months, when the infant begins
to ___________.
ANS: A
By 1 year, the pincer-grasp coordination of index finger and thumb is well established. - ansThe nurse observes
a 10-month-old infant using her index finger and thumb to pick up pieces of cereal. This behavior is evidence
that the infant has developed:
a. the pincer grasp.
b. a grasp reflex.
c. prehension ability.
d. the parachute reflex.
ANS: A
By age 7 months infants can transfer objects from one hand to the other, crossing the midline. The crude
pincer grasp is apparent at about age 9 months. The child can scribble spontaneously at age 15 months. At age
12 months the child can release cubes into a cup. - ansIn terms of fine motor development, the infant of 7
months should be able to:
a. Transfer objects from one hand to the other.
b. Use thumb and index finger in crude pincer grasp.
c. Hold crayon and make a mark on paper.
d. Release cubes into a cup.
, ANS: A
Magical thinking is believing that thoughts can cause events. Abstract thought does not develop until school-
age years. The concept of conservation is the cognitive task of school-age children ages 5 to 7 years. Five-year-
olds cannot understand another's perspective. - ansIn terms of cognitive development the 5-year-old child
would be expected to:
a. Use magical thinking.
b. Think abstractly.
c. Understand conservation of matter.
d. Be unable to comprehend another person's perspective.
ANS: A
Rolling from abdomen to back is developmentally appropriate for a 5-month-old infant. The ability to roll from
back to abdomen usually occurs at 6 months old. Sitting erect without support is a developmental milestone
usually achieved by 8 months. The 10-month-old infant can usually move from a prone to a sitting position. -
ansIn terms of gross motor development, what would the nurse expect a 5-month-old infant to do?
a. Roll from abdomen to back.
b. Roll from back to abdomen.
c. Sit erect without support.
d. Move from prone to sitting position.
ANS: A
Routine health assessments of adolescents should include questions that assess the presence of suicidal
ideation or intent. Questions such as, "Have you ever developed a plan to hurt yourself or kill yourself" should
be part of that assessment. Threats of suicide should always be taken seriously and evaluated. Suggesting that
the adolescent needs a plan and encouraging them to devise this plan are inappropriate statements by the
nurse. - ansAn adolescent girl tells the nurse that she is very suicidal. The nurse asks her if she has a specific
plan. Asking this should be considered:
a. An appropriate part of the assessment.
b. Not a critical part of the assessment.
A. The transition point for switching to the forward facing position is defined by the manufacturer of the
convertible car safety seat but is generally at a body weight of 9 kg or 20 lb and 1 year of age. Convertible car
safety seats are used until the child weighs at least 40 lb. Options b, c, and d are incorrect - ansThe mother of a
toddler asks a nurse when it is safe to place the car safety seat in a face-forward position. The best nursing
response is which of the following?
A) When the toddler weighs 20 lbs
B) The seat should not be placed in a face-forward position unless there are safety locks in the car
C) The seat should never be place in a face-forward position because the risk of the child unbuckling the
harness
D) When the weight of the toddler is greater than 40 lbs
A) Adolescence - ansWhich stage of development is most unstable and challenging regarding development of
personal identity?
A) Adolescence
B) Toddler hood
C) Childhood
D) Infancy
A) Allow the newborn infant to signal a need. Trust vs Mistrust stage-This will allow the infant opportunity to
gain trust. - ansA maternity nurse is providing instruction to a new mother regarding the psychosocial
development of the newborn infant. Using Erikson's psychosocial development theory, the nurse would
instruct the mother to
A) Allow the newborn infant to signal a need
B) Anticipate all of the needs of the newborn infant
C) Avoid the newborn infant during the first 10 minutes of crying
D) Attend to the newborn infant immediately when crying
,ANS:
creep
At 7 months the infant begins to crawl, using arms and dragging trunk and legs. At 9 months the infant begins
to creep, holding his or her trunk above the floor. The next self-mobility activity is cruising, where the child
walks from one piece of furniture to the next before it begins to walk independently. - ansThe nurse explains
that the second process of self-mobility an infant learns is seen at the age of 9 months, when the infant begins
to ___________.
ANS: A
By 1 year, the pincer-grasp coordination of index finger and thumb is well established. - ansThe nurse observes
a 10-month-old infant using her index finger and thumb to pick up pieces of cereal. This behavior is evidence
that the infant has developed:
a. the pincer grasp.
b. a grasp reflex.
c. prehension ability.
d. the parachute reflex.
ANS: A
By age 7 months infants can transfer objects from one hand to the other, crossing the midline. The crude
pincer grasp is apparent at about age 9 months. The child can scribble spontaneously at age 15 months. At age
12 months the child can release cubes into a cup. - ansIn terms of fine motor development, the infant of 7
months should be able to:
a. Transfer objects from one hand to the other.
b. Use thumb and index finger in crude pincer grasp.
c. Hold crayon and make a mark on paper.
d. Release cubes into a cup.
, ANS: A
Magical thinking is believing that thoughts can cause events. Abstract thought does not develop until school-
age years. The concept of conservation is the cognitive task of school-age children ages 5 to 7 years. Five-year-
olds cannot understand another's perspective. - ansIn terms of cognitive development the 5-year-old child
would be expected to:
a. Use magical thinking.
b. Think abstractly.
c. Understand conservation of matter.
d. Be unable to comprehend another person's perspective.
ANS: A
Rolling from abdomen to back is developmentally appropriate for a 5-month-old infant. The ability to roll from
back to abdomen usually occurs at 6 months old. Sitting erect without support is a developmental milestone
usually achieved by 8 months. The 10-month-old infant can usually move from a prone to a sitting position. -
ansIn terms of gross motor development, what would the nurse expect a 5-month-old infant to do?
a. Roll from abdomen to back.
b. Roll from back to abdomen.
c. Sit erect without support.
d. Move from prone to sitting position.
ANS: A
Routine health assessments of adolescents should include questions that assess the presence of suicidal
ideation or intent. Questions such as, "Have you ever developed a plan to hurt yourself or kill yourself" should
be part of that assessment. Threats of suicide should always be taken seriously and evaluated. Suggesting that
the adolescent needs a plan and encouraging them to devise this plan are inappropriate statements by the
nurse. - ansAn adolescent girl tells the nurse that she is very suicidal. The nurse asks her if she has a specific
plan. Asking this should be considered:
a. An appropriate part of the assessment.
b. Not a critical part of the assessment.
