NSG 317 Exam 1 Blueprint: Key Insights on Child Growth &
Development Questions and Correct Detailed Answers with Complete
Solution | Graded A+ | New Update 2025-2026
NSG 317 Exam 1 Blueprint
40 questions, 80 points - multiple choice, multiple response, & fill in the blank
Module 1: G&D of Infants, Toddlers, Preschoolers, School Age, and Adolescents ~ 45%
Accurately apply nursing process based on age group as it applies to child's growth and development
Establish an understanding of how to utilize developmentally appropriate communication techniques
when assessing the pediatric patient.
Develop a basic understanding of each age group including: o Growth, including average weight and
height for each age group
o Developmental Milestones including infant, cephalocaudal, speech, toddler,
preschooler adolescent and puberty
o Psychosocial and Cognitive abilities including Erickson and Piaget o Nutrition, including
infants and toddlers o Nursing Assessment and prioritization
o Education and Safety, including vaccine - parent education, choking and mental health
o Mortality Risk
Module 2: Care of the Family & Child with Chronic Illness, Cognitive, Hearing and Visual Impairment ~45%
Use ethical reasoning in pediatric patient centered care Disability, End of Life Care:
o Discuss concepts related to grief, death and dying for the child and their family
o Recognize signs and symptoms of the dying patient
o Recognize nursing interventions that support the patient and family at the time of death
Cognitive/Sensory Dysfunction including:
o Cognitive Impairment, family centered care and support of the family of the cognitively
impaired child
o Safety, socialization, and peer support of the cognitively impaired patient o Down Syndrome o
Autism Spectrum Disorder o Attention Deficit Hyperactivity Disorder (ADHD)
Pediatric Dosage Calculations ~ 10%
Fill in the blank questions regarding: o Fluid requirement calculation (table in text).
(Pediatric Dosage PowerPoint). o Urine output (Pediatric Dosage PowerPoint).
o Pediatric Dosage (Pediatric Dosage PowerPoint).
, lOMoAR cPSD| 6861666
o Rounding Rules (Pediatric Dosage PowerPoint).
*The information provided is a helpful tool to prepare for the exam but should not be considered exclusive*
Growth and Development of INFANT
Growth
* Gaining 5 to 7 oz weekly
* 6 months the weight should be doubled
* 6 months the length should increase by one inch per month
* 6- 8 weeks (2 months) the posterior fontanel closes
* 12 months (1 year) the birth weight should be tripled
* 12 months (1 year) length has increased by 50%
* 12 months head circumference has increases by 33%
* 12-18 months Anterior fontanel closes
Developmental Milestones
* 5-6 months the infant will be able to roll from abdomen to back
* Creeping is getting ready to stand crawling is on all 4’s
* 8 months is when the baby has the first tooth, and they are then to start brushing
* 15 months is the average walking age
* Erickson: (Psychosocial) Trust vs Mistrust
* Piaget: (Cognitive) Sensorimotor, Object Permanence (not seeing the object but still know that the
object exists), and Separation Anxiety.
Nutrition
* Breastmilk is the most complete diet of infants for the first 6 months
* Commercial Iron fortified formula is acceptable (If you are not breast milking)
* Vitamin D supplement of 400 units daily
, lOMoAR cPSD| 6861666
* Breastmilk is the most ideal (less risk for disease) (more less likely to be obese) (gets hungry
immediately)
* Microwaving kills the nutrients in breastmilk and formula
* Rice cereal box and can be mixed with breast milk (can be mixed with formula and breastmilk)
* 6-12 months will be able to introduce solid foods (one at a time)
* 1-2 years use whole milk
Nursing Assessment
* Being from the least invasive to the most invasive. (temp and blood pressure last)
* Count respirations, listen to heart and breath sounds, ending with temperature and blood pressure.
* Assessment can be completed on parent’s lap.
Education and Safety
* Preterm baby is less than 37 weeks
* 1-4 months (SIDS) is the most common
* Drug abuse parents can put the child as risk for SIDS
* Smoking can cause SIDS risk
* Smoke detectors in the care are important
* Car Seat (rear facing) (in back seat)
Mortality Risk
* Congenital Anomalies:
* Prematurity
* Sudden Infant Death Syndrome (SIDS)
* Accidents
* Vaccination
* Vaccine information statement (for patients to get the child vaccinated)