NSG 548 Exam 1 V1 | NSG 548 FNP Role:
Children & Families | Actual Q&A with
Rationale (NSG548 Exam 1) | Wilkes
University
1. According to Erikson’s Psychosocial Theory, which developmental crisis is an infant (birth
to 1 year) navigating?
A. Autonomy vs. Shame and Doubt
B. Trust vs. Mistrust
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Answer: B
Rationale: In the first year of life, infants learn whether or not they can rely on their
caregivers to meet basic needs. Successful completion results in the virtue of hope. Failure
to develop this trust can result in fear and a belief that the world is inconsistent or
unpredictable.
2. A 4-month-old infant is brought to the clinic for a well-child checkup. Which developmental
milestone should the FNP expect to observe?
A. Sitting without support
B. Walking while holding onto furniture
,C. Using a pincer grasp
D. Rolling from front to back
Answer: D
Rationale: By 4 months of age, infants typically develop the gross motor skill of rolling
from their stomach to their back. Sitting without support usually occurs around 6 months,
while the pincer grasp is a later fine motor development. Anticipatory guidance should
focus on safety during tummy time as the infant gains mobility.
3. Which theory focuses on the family as a unit where the behavior of one member influences
the entire group?
A. Family Systems Theory
B. Health Belief Model
C. Social Learning Theory
D. Transtheoretical Model
Answer: A
Rationale: Family Systems Theory views the family as an emotional unit where members
are intensely connected. Changes in one family member’s health or behavior necessitate
adaptations by the others to maintain homeostasis. This perspective is crucial for FNPs
when managing chronic pediatric illnesses that impact the whole household.
, 4. At what age should the FNP first screen an infant for developmental delays using a
standardized tool like the ASQ or Denver II?
A. 1 month
B. 24 months
C. 15 months
D. 9 months
Answer: D
Rationale: The American Academy of Pediatrics (AAP) recommends formal developmental
screening at 9, 18, and 30 months. Surveillance should occur at every well-visit, but
standardized tools are mandated at these specific intervals. Early identification of delays
allows for timely intervention and better long-term outcomes for the child.
5. A mother asks when her infant’s posterior fontanel will close. What is the correct response
by the FNP?
A. 2 to 3 months
B. 6 to 9 months
C. 12 to 18 months
D. 24 months
Answer: A
Children & Families | Actual Q&A with
Rationale (NSG548 Exam 1) | Wilkes
University
1. According to Erikson’s Psychosocial Theory, which developmental crisis is an infant (birth
to 1 year) navigating?
A. Autonomy vs. Shame and Doubt
B. Trust vs. Mistrust
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Answer: B
Rationale: In the first year of life, infants learn whether or not they can rely on their
caregivers to meet basic needs. Successful completion results in the virtue of hope. Failure
to develop this trust can result in fear and a belief that the world is inconsistent or
unpredictable.
2. A 4-month-old infant is brought to the clinic for a well-child checkup. Which developmental
milestone should the FNP expect to observe?
A. Sitting without support
B. Walking while holding onto furniture
,C. Using a pincer grasp
D. Rolling from front to back
Answer: D
Rationale: By 4 months of age, infants typically develop the gross motor skill of rolling
from their stomach to their back. Sitting without support usually occurs around 6 months,
while the pincer grasp is a later fine motor development. Anticipatory guidance should
focus on safety during tummy time as the infant gains mobility.
3. Which theory focuses on the family as a unit where the behavior of one member influences
the entire group?
A. Family Systems Theory
B. Health Belief Model
C. Social Learning Theory
D. Transtheoretical Model
Answer: A
Rationale: Family Systems Theory views the family as an emotional unit where members
are intensely connected. Changes in one family member’s health or behavior necessitate
adaptations by the others to maintain homeostasis. This perspective is crucial for FNPs
when managing chronic pediatric illnesses that impact the whole household.
, 4. At what age should the FNP first screen an infant for developmental delays using a
standardized tool like the ASQ or Denver II?
A. 1 month
B. 24 months
C. 15 months
D. 9 months
Answer: D
Rationale: The American Academy of Pediatrics (AAP) recommends formal developmental
screening at 9, 18, and 30 months. Surveillance should occur at every well-visit, but
standardized tools are mandated at these specific intervals. Early identification of delays
allows for timely intervention and better long-term outcomes for the child.
5. A mother asks when her infant’s posterior fontanel will close. What is the correct response
by the FNP?
A. 2 to 3 months
B. 6 to 9 months
C. 12 to 18 months
D. 24 months
Answer: A
