,NSG3600/NSG 3600 Exam 1 | Pediatric Nursing
| Galen College | Q & A | 2026/2027 Edition
(PDF)
1. At what age does an infant typically double their birth weight?
A) 2 months
B) 4 months
C) 6 months
D) 12 months
Correct Answer: C) 6 months
Rationale: Infants typically double their birth weight by 6 months of age. They triple their birth weight by
12 months. This is a key growth milestone used to assess adequate nutrition and development during
infancy. A 4-month-old should have gained weight significantly but not yet doubled it.
2. According to Piaget's theory of cognitive development, which stage is characterized by the
development of abstract thinking and moral reasoning?
A) Sensorimotor
B) Preoperational
C) Concrete Operational
D) Formal Operational
Correct Answer: D) Formal Operational
Rationale: The formal operational stage, beginning around age 11, is characterized by abstract thinking,
hypothetical reasoning, and moral reasoning. The sensorimotor stage involves learning through senses,
preoperational is egocentric, and concrete operational involves logical thinking about concrete events.
,3. A nurse is assessing a 4-month-old infant during a well-child visit. Which developmental milestone
should the nurse expect to observe?
A) Sitting without support
B) Rolling from back to front
C) Holding the head steady when upright
D) Crawling
Correct Answer: C) Holding the head steady when upright
Rationale: By 4 months, infants can hold their head steady when upright. Sitting without support occurs
around 8 months, rolling over around 6 months, and crawling around 8–10 months. Head control is a
critical early milestone that precedes other gross motor skills.
4. Which of Erikson's psychosocial stages is associated with a 7-year-old child?
A) Autonomy vs. Shame and Doubt
B) Initiative vs. Guilt
C) Industry vs. Inferiority
D) Identity vs. Role Confusion
Correct Answer: C) Industry vs. Inferiority
Rationale: The industry vs. inferiority stage occurs during the school-age years (approximately 6–12
years). Children develop a sense of competence and achievement through school and social
interactions. Autonomy vs. shame is toddlerhood, initiative vs. guilt is preschool, and identity vs. role
confusion is adolescence.
5. A mother asks the nurse when her infant will begin to crawl. What is the best response?
A) 4–5 months
B) 6–7 months
C) 8–10 months
D) 11–13 months
, Correct Answer: C) 8–10 months
Rationale: Most infants begin to crawl between 8 and 10 months of age. Crawling is a gross motor
milestone that typically follows rolling over and sitting without support. Some infants may skip crawling
and proceed directly to walking, but 8–10 months is the expected timeframe for this skill.
6. Which vaccine is specifically recommended for college-bound adolescents living in a dormitory
setting?
A) HPV vaccine
B) Meningococcal vaccine
C) Tdap
D) Hepatitis A
Correct Answer: B) Meningococcal vaccine
Rationale: The meningococcal vaccine is specifically recommended for adolescents and young adults,
particularly those living in close quarters such as college dormitories, due to the increased risk of
meningococcal disease. HPV, Tdap, and Hepatitis A vaccines are also recommended but not specifically
for dormitory living.
7. A nurse notes a positive Babinski reflex in a 6-month-old infant. What is the appropriate action?
A) Notify the healthcare provider immediately
B) Document the finding as normal
C) Repeat the test on the opposite foot
D) Refer for neurological evaluation
Correct Answer: B) Document the finding as normal
Rationale: A positive Babinski reflex (toes fan upward) is normal in infants up to approximately 12
months of age due to incomplete myelination of the corticospinal tract. It should be documented as a
normal finding and does not require further evaluation in this age group.
| Galen College | Q & A | 2026/2027 Edition
(PDF)
1. At what age does an infant typically double their birth weight?
A) 2 months
B) 4 months
C) 6 months
D) 12 months
Correct Answer: C) 6 months
Rationale: Infants typically double their birth weight by 6 months of age. They triple their birth weight by
12 months. This is a key growth milestone used to assess adequate nutrition and development during
infancy. A 4-month-old should have gained weight significantly but not yet doubled it.
2. According to Piaget's theory of cognitive development, which stage is characterized by the
development of abstract thinking and moral reasoning?
A) Sensorimotor
B) Preoperational
C) Concrete Operational
D) Formal Operational
Correct Answer: D) Formal Operational
Rationale: The formal operational stage, beginning around age 11, is characterized by abstract thinking,
hypothetical reasoning, and moral reasoning. The sensorimotor stage involves learning through senses,
preoperational is egocentric, and concrete operational involves logical thinking about concrete events.
,3. A nurse is assessing a 4-month-old infant during a well-child visit. Which developmental milestone
should the nurse expect to observe?
A) Sitting without support
B) Rolling from back to front
C) Holding the head steady when upright
D) Crawling
Correct Answer: C) Holding the head steady when upright
Rationale: By 4 months, infants can hold their head steady when upright. Sitting without support occurs
around 8 months, rolling over around 6 months, and crawling around 8–10 months. Head control is a
critical early milestone that precedes other gross motor skills.
4. Which of Erikson's psychosocial stages is associated with a 7-year-old child?
A) Autonomy vs. Shame and Doubt
B) Initiative vs. Guilt
C) Industry vs. Inferiority
D) Identity vs. Role Confusion
Correct Answer: C) Industry vs. Inferiority
Rationale: The industry vs. inferiority stage occurs during the school-age years (approximately 6–12
years). Children develop a sense of competence and achievement through school and social
interactions. Autonomy vs. shame is toddlerhood, initiative vs. guilt is preschool, and identity vs. role
confusion is adolescence.
5. A mother asks the nurse when her infant will begin to crawl. What is the best response?
A) 4–5 months
B) 6–7 months
C) 8–10 months
D) 11–13 months
, Correct Answer: C) 8–10 months
Rationale: Most infants begin to crawl between 8 and 10 months of age. Crawling is a gross motor
milestone that typically follows rolling over and sitting without support. Some infants may skip crawling
and proceed directly to walking, but 8–10 months is the expected timeframe for this skill.
6. Which vaccine is specifically recommended for college-bound adolescents living in a dormitory
setting?
A) HPV vaccine
B) Meningococcal vaccine
C) Tdap
D) Hepatitis A
Correct Answer: B) Meningococcal vaccine
Rationale: The meningococcal vaccine is specifically recommended for adolescents and young adults,
particularly those living in close quarters such as college dormitories, due to the increased risk of
meningococcal disease. HPV, Tdap, and Hepatitis A vaccines are also recommended but not specifically
for dormitory living.
7. A nurse notes a positive Babinski reflex in a 6-month-old infant. What is the appropriate action?
A) Notify the healthcare provider immediately
B) Document the finding as normal
C) Repeat the test on the opposite foot
D) Refer for neurological evaluation
Correct Answer: B) Document the finding as normal
Rationale: A positive Babinski reflex (toes fan upward) is normal in infants up to approximately 12
months of age due to incomplete myelination of the corticospinal tract. It should be documented as a
normal finding and does not require further evaluation in this age group.
