2026\2027 A+ Grade
A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having temper
tantrums. The nurse most appropriately tells the mother to:
A) Punish the child every time the child says "no", to change the behavior
B) Allow the behavior because this is normal at this age period
C) Set limits on the child's behavior
D) Ignore the child when this behavior occurs
- correct answer ANS: C) Set limits on the child's behavior-According to Erikson, the child focuses on
independence between ages 1 and 3 years. Gaining independence often means that the child has to
rebel against the parents' wishes. Saying things like "no" or "mine" and having temper tantrums are
common during this period of development. Being consistent and setting limits on the child's behavior
are the necessary elements.
A clinic nurse assesses the communication patterns of a 5-month-old infant. The nurse determines that
the infant is demonstrating the highest level of developmental achievement expected if the infant:
A) Uses simple words such as "mama"
B) Uses monosyllabic babbling
C) Links syllables together
D) Coos when comforted
- correct answer ANS: B. Using monosyllabic babbling occurs between 3 and 6 months of age. Using
simple words such as "mama" occurs between 9 and 12 months. Linking syllables together when
communicating occurs between 6 and 9 months. Cooing begins at birth and continues until 2 months.
The nurse knows that an infant's birth weight should be tripled by:
,a. 9 months.
b. 1 year.
c. 18 months.
d. 2 years.
- correct answer ANS: B
The infant usually triples his or her birth weight by about 12 months of age.
The nurse would expect a 4-month-old to be able to:
a. hold a cup.
b. stand with assistance.
c. lift head and shoulders.
d. sit with back straight.
- correct answer ANS: C
Because development is cephalocaudal, of these choices, lifting the head and shoulders is the one that
the infant learns to do first. The infant can usually sit with support at about 5 months of age and can sit
alone at about 8 months
The abnormal finding in an evaluation of growth and development for a 6-month-old infant would be:
a. weight gain of 4 to 7 ounces per week.
b. length increase of 1 inch in 2 months.
c. head lag present.
d. can sit alone for a few seconds.
- correct answer ANS: C
The infant should be holding the head up well by 5 months of age. If head lag is present at 6 months, the
child should undergo further evaluation.
A parent brings a 6-month-old infant to the pediatric clinic for her well-baby examination. Her birth
weight was 8 pounds, 2 ounces. The nurse weighing the infant today would expect her weight to be at
least _____ pounds.
, a. 12
b. 16
c. 20
d. 24
- correct answer ANS: B
Birth weight is usually doubled by 6 months of age.
The statement made by a parent that indicates correct understanding of infant feeding is:
a. "I've been mixing rice cereal and formula in the baby's bottle."
b. "I switched the baby to low-fat milk at 9 months."
c. "The baby really likes little pieces of chocolate."
d. "I give the baby any new foods before he takes his bottle."
- correct answer ANS: D
New solid foods should be introduced before formula or breast milk to encourage the infant to try new
foods.
he nurse discusses child-proofing the home for safety with the mother of a 9-month-old. The statement
made by the mother that indicates an unsafe behavior is:
a. "I put covers on all of the electrical outlets."
b. "In the car, she rides in a front-facing car seat."
c. "There are locks on all of the cabinets in the house."
d. "I have a gate at the top and bottom of the stairs."
- correct answer ANS: B
A rear-facing infant car seat should be used for infants younger than 1 year of age.
The 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.