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QuesTIOns wITh Answers &
rATIOnAles VersIOn 4 Q&A |
cOmPleTe nGn exAm PreP wITh
VerIfIed Answers
1. The nurse is assessing a 4-month-old infant during a well-child visit. Which developmental
milestone should the nurse expect?
A) Sitting without support
B) Rolling from back to abdomen
C) Pincer grasp
D) Walking with assistance
Answer: B
Rationale: At 4-6 months, infants typically roll from back to abdomen. Sitting without support
occurs at 6-8 months; pincer grasp at 9-10 months; and walking with assistance at 12-15
months .
High-Yield Tip: "2 months: lift head; 4 months: roll over; 6 months: sit with support; 9 months:
creep/crawl; 12 months: stand/walk" .
2. A nurse is providing anticipatory guidance to the parents of a 2-month-old infant. Which
statement by the parents indicates a need for further teaching?
1
, A) "I will place my baby on her back to sleep."
B) "I will introduce solid foods at 4 months of age."
C) "I will use a rear-facing car seat in the back seat."
D) "I will give my baby tummy time while awake and supervised."
Answer: B
Rationale: The American Academy of Pediatrics recommends exclusive breastfeeding or formula
feeding for the first 6 months. Solid foods should be introduced at 6 months (not 4 months) .
The other statements are correct safety practices.
3. Which developmental theorist described the "trust vs. mistrust" stage?
A) Piaget
B) Erikson
C) Freud
D) Kohlberg
Answer: B
Rationale: Erikson's psychosocial development theory describes "trust vs. mistrust" as the first
stage (birth to 1 year). Successful completion results in a sense of trust and security .
4. A nurse is assessing a 9-month-old infant. Which finding is a developmental delay requiring
further evaluation?
A) Inability to sit without support
B) Inability to wave "bye-bye"
C) Inability to crawl
D) Inability to speak words
Answer: A
Rationale: By 9 months, infants should be able to sit without support. Inability to do so is a
developmental delay requiring evaluation. Waving "bye-bye" typically develops at 9-12 months;
crawling at 7-10 months; and first words at 12-15 months .
5. A nurse is educating parents about the cognitive development of their 1-year-old child
according to Piaget. The nurse should explain that the child is in which stage?
2
, A) Sensorimotor
B) Preoperational
C) Concrete operational
D) Formal operational
Answer: A
Rationale: Piaget's sensorimotor stage spans birth to 2 years. Children learn through sensory
experiences and object permanence develops during this stage. The preoperational stage begins
at age 2 .
6. A nurse is performing a developmental screening on a 4-year-old child. Which milestone
should the nurse expect?
A) Tying shoelaces
B) Riding a tricycle
C) Printing their first name
D) Using a fork and knife
Answer: B
Rationale: At 4 years, children can ride a tricycle, hop on one foot, and draw a person with 3-4
body parts. Tying shoelaces and printing names occur at 5-6 years; using a fork and knife
develops at 5-6 years .
7. A nurse is providing anticipatory guidance to the parents of a toddler. Which statement
indicates the parents understand safety needs?
A) "We will place the crib near the window for fresh air."
B) "We will remove all small objects from the floor."
C) "We will allow our child to play with small toys."
D) "We will keep the hot water heater at 140°F."
Answer: B
Rationale: Toddlers explore their environment and are at risk for choking on small objects. Hot
water heater temperature should be set at 120°F (not 140°F) to prevent burns . Cribs should not
be near windows (fall risk).
8. A nurse is assessing an 18-month-old toddler. Which language milestone should the nurse
expect?
3
, A) Speaking in 2-3 word sentences
B) Speaking 10-15 words
C) Speaking 50 words
D) Speaking in complete sentences
Answer: B
Rationale: An 18-month-old typically has a vocabulary of 10-15 words. 2-3 word sentences
develop at 24 months. 50 words is expected at 24 months .
9. The nurse is assessing a 15-month-old toddler during a well-child visit. Which finding
should the nurse report?
A) Weight gain of 3 pounds since 12 months
B) Walking independently
C) Birth weight tripled
D) Inability to use a spoon
Answer: D
Rationale: By 15 months, a toddler should be able to use a spoon (with spillage). This is a fine
motor milestone. Weight gain of 3-5 pounds per year is expected; birth weight should triple by
12 months; independent walking begins at 12-15 months .
10. A nurse is educating a parent about injury prevention for a 6-year-old child. Which
statement by the parent indicates understanding?
A) "I will let my child cross the street alone."
B) "I will make sure my child wears a helmet when riding a bicycle."
C) "I will leave matches and lighters within reach."
D) "I will let my child swim without supervision."
Answer: B
Rationale: School-aged children are at risk for injury from bicycle accidents. Helmet use is
essential. Children should not cross streets alone at age 6; matches and lighters should be kept
out of reach; and children should never swim without supervision .
11. A nurse is assessing an adolescent for psychosocial development according to Erikson. The
nurse should expect the adolescent to be in which stage?
4
QuesTIOns wITh Answers &
rATIOnAles VersIOn 4 Q&A |
cOmPleTe nGn exAm PreP wITh
VerIfIed Answers
1. The nurse is assessing a 4-month-old infant during a well-child visit. Which developmental
milestone should the nurse expect?
A) Sitting without support
B) Rolling from back to abdomen
C) Pincer grasp
D) Walking with assistance
Answer: B
Rationale: At 4-6 months, infants typically roll from back to abdomen. Sitting without support
occurs at 6-8 months; pincer grasp at 9-10 months; and walking with assistance at 12-15
months .
High-Yield Tip: "2 months: lift head; 4 months: roll over; 6 months: sit with support; 9 months:
creep/crawl; 12 months: stand/walk" .
2. A nurse is providing anticipatory guidance to the parents of a 2-month-old infant. Which
statement by the parents indicates a need for further teaching?
1
, A) "I will place my baby on her back to sleep."
B) "I will introduce solid foods at 4 months of age."
C) "I will use a rear-facing car seat in the back seat."
D) "I will give my baby tummy time while awake and supervised."
Answer: B
Rationale: The American Academy of Pediatrics recommends exclusive breastfeeding or formula
feeding for the first 6 months. Solid foods should be introduced at 6 months (not 4 months) .
The other statements are correct safety practices.
3. Which developmental theorist described the "trust vs. mistrust" stage?
A) Piaget
B) Erikson
C) Freud
D) Kohlberg
Answer: B
Rationale: Erikson's psychosocial development theory describes "trust vs. mistrust" as the first
stage (birth to 1 year). Successful completion results in a sense of trust and security .
4. A nurse is assessing a 9-month-old infant. Which finding is a developmental delay requiring
further evaluation?
A) Inability to sit without support
B) Inability to wave "bye-bye"
C) Inability to crawl
D) Inability to speak words
Answer: A
Rationale: By 9 months, infants should be able to sit without support. Inability to do so is a
developmental delay requiring evaluation. Waving "bye-bye" typically develops at 9-12 months;
crawling at 7-10 months; and first words at 12-15 months .
5. A nurse is educating parents about the cognitive development of their 1-year-old child
according to Piaget. The nurse should explain that the child is in which stage?
2
, A) Sensorimotor
B) Preoperational
C) Concrete operational
D) Formal operational
Answer: A
Rationale: Piaget's sensorimotor stage spans birth to 2 years. Children learn through sensory
experiences and object permanence develops during this stage. The preoperational stage begins
at age 2 .
6. A nurse is performing a developmental screening on a 4-year-old child. Which milestone
should the nurse expect?
A) Tying shoelaces
B) Riding a tricycle
C) Printing their first name
D) Using a fork and knife
Answer: B
Rationale: At 4 years, children can ride a tricycle, hop on one foot, and draw a person with 3-4
body parts. Tying shoelaces and printing names occur at 5-6 years; using a fork and knife
develops at 5-6 years .
7. A nurse is providing anticipatory guidance to the parents of a toddler. Which statement
indicates the parents understand safety needs?
A) "We will place the crib near the window for fresh air."
B) "We will remove all small objects from the floor."
C) "We will allow our child to play with small toys."
D) "We will keep the hot water heater at 140°F."
Answer: B
Rationale: Toddlers explore their environment and are at risk for choking on small objects. Hot
water heater temperature should be set at 120°F (not 140°F) to prevent burns . Cribs should not
be near windows (fall risk).
8. A nurse is assessing an 18-month-old toddler. Which language milestone should the nurse
expect?
3
, A) Speaking in 2-3 word sentences
B) Speaking 10-15 words
C) Speaking 50 words
D) Speaking in complete sentences
Answer: B
Rationale: An 18-month-old typically has a vocabulary of 10-15 words. 2-3 word sentences
develop at 24 months. 50 words is expected at 24 months .
9. The nurse is assessing a 15-month-old toddler during a well-child visit. Which finding
should the nurse report?
A) Weight gain of 3 pounds since 12 months
B) Walking independently
C) Birth weight tripled
D) Inability to use a spoon
Answer: D
Rationale: By 15 months, a toddler should be able to use a spoon (with spillage). This is a fine
motor milestone. Weight gain of 3-5 pounds per year is expected; birth weight should triple by
12 months; independent walking begins at 12-15 months .
10. A nurse is educating a parent about injury prevention for a 6-year-old child. Which
statement by the parent indicates understanding?
A) "I will let my child cross the street alone."
B) "I will make sure my child wears a helmet when riding a bicycle."
C) "I will leave matches and lighters within reach."
D) "I will let my child swim without supervision."
Answer: B
Rationale: School-aged children are at risk for injury from bicycle accidents. Helmet use is
essential. Children should not cross streets alone at age 6; matches and lighters should be kept
out of reach; and children should never swim without supervision .
11. A nurse is assessing an adolescent for psychosocial development according to Erikson. The
nurse should expect the adolescent to be in which stage?
4
