,NUR 254 Exam 3 | Maternal & Pediatric
Nursing (2026) PDF | Galen College
1. The nurse is assessing a 4-month-old infant. Which developmental milestone
should the infant demonstrate?
A) Sit without support
B) Roll from back to side
C) Use a pincer grasp
D) Speak two-word sentences
Correct Answer: Roll from back to side
Rationale: At 4 months, infants typically roll from back to side. Sitting without
support occurs around 6–8 months, pincer grasp at 9–10 months, and two-word
sentences around 2 years.
2. A toddler can drink from a cup and builds a tower of four blocks. The nurse
estimates the child's age as:
A) 12 months
B) 24 months
C) 18 months
D) 3 years
Correct Answer: 18 months
,Rationale: At 18 months, toddlers drink from a cup, build a tower of 3–4 blocks,
and walk independently. 12 months may not use a cup well, 2 years builds 6–7
blocks, 3 years builds 9–10 blocks.
3. According to Erikson, the developmental task of a toddler (1–3 years) is:
A) Autonomy versus shame and doubt
B) Trust versus mistrust
C) Initiative versus guilt
D) Industry versus inferiority
Correct Answer: Autonomy versus shame and doubt
Rationale: Toddlers strive for independence; saying "no" and wanting to do
things themselves are hallmarks of autonomy. Trust versus mistrust is infancy,
initiative versus guilt is preschool, industry versus inferiority is school-age.
4. A preschooler is observed playing alongside other children but not interacting
directly. The nurse documents this as:
A) Solitary play
B) Parallel play
C) Associative play
D) Cooperative play
Correct Answer: Parallel play
, Rationale: Parallel play is typical for toddlers; preschoolers may engage in
associative play (interacting without organization). However, the description of
playing alongside without interaction fits parallel play, which can still occur in
early preschool.
5. The nurse teaches parents that infants should double their birth weight by:
A) 3 months
B) 6 months
C) 9 months
D) 12 months
Correct Answer: 6 months
Rationale: Infants double their birth weight by about 6 months and triple it by
12 months. This is a key indicator of adequate nutrition and growth.
6. A newborn's APGAR score at 1 minute is 6. The priority nursing action is to:
A) Provide supplemental oxygen and stimulation
B) Document the score and continue routine care
C) Initiate chest compressions
D) Transfer to NICU immediately
Correct Answer: Provide supplemental oxygen and stimulation
Nursing (2026) PDF | Galen College
1. The nurse is assessing a 4-month-old infant. Which developmental milestone
should the infant demonstrate?
A) Sit without support
B) Roll from back to side
C) Use a pincer grasp
D) Speak two-word sentences
Correct Answer: Roll from back to side
Rationale: At 4 months, infants typically roll from back to side. Sitting without
support occurs around 6–8 months, pincer grasp at 9–10 months, and two-word
sentences around 2 years.
2. A toddler can drink from a cup and builds a tower of four blocks. The nurse
estimates the child's age as:
A) 12 months
B) 24 months
C) 18 months
D) 3 years
Correct Answer: 18 months
,Rationale: At 18 months, toddlers drink from a cup, build a tower of 3–4 blocks,
and walk independently. 12 months may not use a cup well, 2 years builds 6–7
blocks, 3 years builds 9–10 blocks.
3. According to Erikson, the developmental task of a toddler (1–3 years) is:
A) Autonomy versus shame and doubt
B) Trust versus mistrust
C) Initiative versus guilt
D) Industry versus inferiority
Correct Answer: Autonomy versus shame and doubt
Rationale: Toddlers strive for independence; saying "no" and wanting to do
things themselves are hallmarks of autonomy. Trust versus mistrust is infancy,
initiative versus guilt is preschool, industry versus inferiority is school-age.
4. A preschooler is observed playing alongside other children but not interacting
directly. The nurse documents this as:
A) Solitary play
B) Parallel play
C) Associative play
D) Cooperative play
Correct Answer: Parallel play
, Rationale: Parallel play is typical for toddlers; preschoolers may engage in
associative play (interacting without organization). However, the description of
playing alongside without interaction fits parallel play, which can still occur in
early preschool.
5. The nurse teaches parents that infants should double their birth weight by:
A) 3 months
B) 6 months
C) 9 months
D) 12 months
Correct Answer: 6 months
Rationale: Infants double their birth weight by about 6 months and triple it by
12 months. This is a key indicator of adequate nutrition and growth.
6. A newborn's APGAR score at 1 minute is 6. The priority nursing action is to:
A) Provide supplemental oxygen and stimulation
B) Document the score and continue routine care
C) Initiate chest compressions
D) Transfer to NICU immediately
Correct Answer: Provide supplemental oxygen and stimulation
