MODULE 1 DEVELOPMENTAL STAGES AND
TRANSITIONS ACTUAL EXAM PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ A nurse is weighing a breastfed 6-month-old infant who has been
brought to the pediatrician's office for a scheduled visit. The infant's
weight at birth was 6 lb 8 oz. The nurse notes that the infant now weighs
13 lb. The nurse should
ell the mother that the infant's weight is increasing as expected
Tell the mother that semisolid foods should not be introduced until the
infant's weight stabilizes
Tell the mother that the infant should be switched from breast milk to
formula because the weight gain is inadequate
Tell the mother to decrease the daily number of feedings because the
weight gain is excessive. Answer: Tell the mother that the infant's weight
is increasing as expected
◉ A nurse performing a physical assessment of a 12-month-old infant
notes that the infant's head circumference is the same as the chest
circumference. On the basis of this finding, the nurse should:
Suspect the presence of hydrocephalus
,Tell the mother that the infant is growing faster than expected
Suggest to the pediatrician that a skull x-ray be performed
Document these measurements in the infant's health-care record.
Answer: Document these measurements in the infant's health-care record
◉ A new mother asks the nurse, "I was told that my infant received my
antibodies during pregnancy. Does that mean that my infant is protected
against infections?" Which statement should the nurse make in response
to the mother?
"The immune system of an infant is immature, and the infant is at risk
for infection."
"Yes, your infant is protected from all infections."
"If you breastfeed, your infant is protected from infection."
"The transfer of your antibodies protects your infant until the infant is
12 months old.". Answer: The immune system of an infant is immature,
and the infant is at risk for infection."
◉ A nurse is assessing the language development of a 9-month-old
infant. Which developmental milestone does the nurse expect to note in
an infant of this age? Select all that apply.
The infant smiles and coos.
The infant says "Mama."
,The infant babbles.
Words begin to have meaning for the infant.
The infant babbles single consonants.
The infant strings vowels and consonants together. Answer: The infant
says "Mama."
Words begin to have meaning for the infant.
The infant strings vowels and consonants together.
◉ The mother of a 9-month-old infant calls the nurse at the
pediatrician's office, tells the nurse that her infant is teething, and asks
what can be done to relieve the infant's discomfort. The nurse instructs
the mother to:
Obtain an over-the-counter (OTC) topical medication for gum-pain relief
Rub the infant's gums with baby aspirin that has been dissolved in water
Give the infant cool liquids or a Popsicle and hard foods such as dry
toast
Schedule an appointment with a dentist for a dental evaluation. Answer:
Give the infant cool liquids or a Popsicle and hard foods such as dry
toast
◉ A nurse is teaching the mother of an 11-month-old infant how to clean
the infant's teeth. The nurse tells the mother to
, Dip the infant's pacifier in maple syrup so that the infant will suck
Use diluted fluoride and rub the teeth with a soft washcloth
Use a small amount of toothpaste and a soft-bristle toothbrush
Use water and a cotton swab and rub the teeth. Answer: Use water and a
cotton swab and rub the teeth
◉ A nurse provides information about feeding to the mother of a 6-
month-old infant. Which statement by the mother indicates an
understanding of the information?
"Meats are really important for iron, and I should start feeding meats to
my infant right away."
"I can mix the food in my infant's bottle if he won't eat the food."
"Egg white should not be given to my infant because of the risk for an
allergy."
"Fluoride supplementation is not necessary until permanent teeth come
in.". Answer: "Egg white should not be given to my infant because of the
risk for an allergy."
◉ A nurse provides instructions to a mother of a newborn infant who
weighs 7 lb 2 oz about car safety. The nurse tells the mother:
That because of the infant's weight it is acceptable to hold the infant as
long as the mother and infant are sitting in the middle of the back seat of
the car
TRANSITIONS ACTUAL EXAM PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ A nurse is weighing a breastfed 6-month-old infant who has been
brought to the pediatrician's office for a scheduled visit. The infant's
weight at birth was 6 lb 8 oz. The nurse notes that the infant now weighs
13 lb. The nurse should
ell the mother that the infant's weight is increasing as expected
Tell the mother that semisolid foods should not be introduced until the
infant's weight stabilizes
Tell the mother that the infant should be switched from breast milk to
formula because the weight gain is inadequate
Tell the mother to decrease the daily number of feedings because the
weight gain is excessive. Answer: Tell the mother that the infant's weight
is increasing as expected
◉ A nurse performing a physical assessment of a 12-month-old infant
notes that the infant's head circumference is the same as the chest
circumference. On the basis of this finding, the nurse should:
Suspect the presence of hydrocephalus
,Tell the mother that the infant is growing faster than expected
Suggest to the pediatrician that a skull x-ray be performed
Document these measurements in the infant's health-care record.
Answer: Document these measurements in the infant's health-care record
◉ A new mother asks the nurse, "I was told that my infant received my
antibodies during pregnancy. Does that mean that my infant is protected
against infections?" Which statement should the nurse make in response
to the mother?
"The immune system of an infant is immature, and the infant is at risk
for infection."
"Yes, your infant is protected from all infections."
"If you breastfeed, your infant is protected from infection."
"The transfer of your antibodies protects your infant until the infant is
12 months old.". Answer: The immune system of an infant is immature,
and the infant is at risk for infection."
◉ A nurse is assessing the language development of a 9-month-old
infant. Which developmental milestone does the nurse expect to note in
an infant of this age? Select all that apply.
The infant smiles and coos.
The infant says "Mama."
,The infant babbles.
Words begin to have meaning for the infant.
The infant babbles single consonants.
The infant strings vowels and consonants together. Answer: The infant
says "Mama."
Words begin to have meaning for the infant.
The infant strings vowels and consonants together.
◉ The mother of a 9-month-old infant calls the nurse at the
pediatrician's office, tells the nurse that her infant is teething, and asks
what can be done to relieve the infant's discomfort. The nurse instructs
the mother to:
Obtain an over-the-counter (OTC) topical medication for gum-pain relief
Rub the infant's gums with baby aspirin that has been dissolved in water
Give the infant cool liquids or a Popsicle and hard foods such as dry
toast
Schedule an appointment with a dentist for a dental evaluation. Answer:
Give the infant cool liquids or a Popsicle and hard foods such as dry
toast
◉ A nurse is teaching the mother of an 11-month-old infant how to clean
the infant's teeth. The nurse tells the mother to
, Dip the infant's pacifier in maple syrup so that the infant will suck
Use diluted fluoride and rub the teeth with a soft washcloth
Use a small amount of toothpaste and a soft-bristle toothbrush
Use water and a cotton swab and rub the teeth. Answer: Use water and a
cotton swab and rub the teeth
◉ A nurse provides information about feeding to the mother of a 6-
month-old infant. Which statement by the mother indicates an
understanding of the information?
"Meats are really important for iron, and I should start feeding meats to
my infant right away."
"I can mix the food in my infant's bottle if he won't eat the food."
"Egg white should not be given to my infant because of the risk for an
allergy."
"Fluoride supplementation is not necessary until permanent teeth come
in.". Answer: "Egg white should not be given to my infant because of the
risk for an allergy."
◉ A nurse provides instructions to a mother of a newborn infant who
weighs 7 lb 2 oz about car safety. The nurse tells the mother:
That because of the infant's weight it is acceptable to hold the infant as
long as the mother and infant are sitting in the middle of the back seat of
the car
