NR.210.603 Human Growth & Development
(Birth through Adolescence)
Comprehensive Final Exam (Qns & Ans)
2025
Multiple Choice
1. A 3-month-old is brought in with a delay in head control.
Which neurological reflex may be absent or abnormal?
A) Moro reflex
B) Babinski reflex
C) Rooting reflex
D) Palmar grasp reflex
©2025
,ANS: A) Moro reflex
Rationale: Lack of or abnormal Moro reflex at 3 months may
indicate neurological impairment affecting head control.
2. During which of Piaget’s stages do children first develop the
ability to perform logical operations with concrete objects?
A) Sensorimotor
B) Preoperational
C) Concrete operational
D) Formal operational
ANS: C) Concrete operational
Rationale: Concrete operational stage (7–11 years) is
characterized by logical thinking concerning tangible, concrete
objects.
3. Which physical growth pattern accurately describes the
cephalocaudal principle?
A) Development from the trunk outward
B) Development from head to toe
C) Simultaneous arm and leg growth
D) Independent growth of each organ
©2025
,ANS: B) Development from head to toe
Rationale: The cephalocaudal principle describes how
development proceeds from head downward.
4. At what age is it most expected for a healthy child to use two-
word phrases?
A) 9 months
B) 12 months
C) 18 months
D) 24 months
ANS: D) 24 months
Rationale: Two-word phrases are typically expected around 2
years (24 months).
5. A 14-year-old presents with concern over body image and
identity. According to Erikson’s stages, which crisis is most
relevant?
A) Trust vs. mistrust
B) Autonomy vs. shame
C) Initiative vs. guilt
©2025
, D) Identity vs. role confusion
ANS: D) Identity vs. role confusion
Rationale: Adolescence is marked by the psychosocial crisis of
identity vs. role confusion.
6. Which healthcare concern is most typical in the school-age
period related to cognitive development?
A) Egocentric thinking
B) Magical thinking
C) Concrete reasoning
D) Hypothetical reasoning
ANS: C) Concrete reasoning
Rationale: School-age children process information concretely
and logically, not abstractly.
7. A mother is concerned her breastfed infant is not eating solids
at 8 months. Which response is most appropriate?
A) Solids are unnecessary until 12 months
B) Offer single-ingredient solids between 4-6 months
C) Breastmilk is insufficient after 6 months
©2025
(Birth through Adolescence)
Comprehensive Final Exam (Qns & Ans)
2025
Multiple Choice
1. A 3-month-old is brought in with a delay in head control.
Which neurological reflex may be absent or abnormal?
A) Moro reflex
B) Babinski reflex
C) Rooting reflex
D) Palmar grasp reflex
©2025
,ANS: A) Moro reflex
Rationale: Lack of or abnormal Moro reflex at 3 months may
indicate neurological impairment affecting head control.
2. During which of Piaget’s stages do children first develop the
ability to perform logical operations with concrete objects?
A) Sensorimotor
B) Preoperational
C) Concrete operational
D) Formal operational
ANS: C) Concrete operational
Rationale: Concrete operational stage (7–11 years) is
characterized by logical thinking concerning tangible, concrete
objects.
3. Which physical growth pattern accurately describes the
cephalocaudal principle?
A) Development from the trunk outward
B) Development from head to toe
C) Simultaneous arm and leg growth
D) Independent growth of each organ
©2025
,ANS: B) Development from head to toe
Rationale: The cephalocaudal principle describes how
development proceeds from head downward.
4. At what age is it most expected for a healthy child to use two-
word phrases?
A) 9 months
B) 12 months
C) 18 months
D) 24 months
ANS: D) 24 months
Rationale: Two-word phrases are typically expected around 2
years (24 months).
5. A 14-year-old presents with concern over body image and
identity. According to Erikson’s stages, which crisis is most
relevant?
A) Trust vs. mistrust
B) Autonomy vs. shame
C) Initiative vs. guilt
©2025
, D) Identity vs. role confusion
ANS: D) Identity vs. role confusion
Rationale: Adolescence is marked by the psychosocial crisis of
identity vs. role confusion.
6. Which healthcare concern is most typical in the school-age
period related to cognitive development?
A) Egocentric thinking
B) Magical thinking
C) Concrete reasoning
D) Hypothetical reasoning
ANS: C) Concrete reasoning
Rationale: School-age children process information concretely
and logically, not abstractly.
7. A mother is concerned her breastfed infant is not eating solids
at 8 months. Which response is most appropriate?
A) Solids are unnecessary until 12 months
B) Offer single-ingredient solids between 4-6 months
C) Breastmilk is insufficient after 6 months
©2025
