, NSG 434 Exam 2 – Nursing Care of
Children – Actual Questions & Answers
(GCU) 100% Guarantee Pass
Question 1: The parent of a 9-month-old infant reports that the infant has developed a
fear of strangers. How should the nurse respond?
A. "This behavior indicates a lack of appropriate bonding with you."
B. "Stranger anxiety is a normal developmental milestone at this age."
C. "You should avoid leaving the infant with anyone else until this passes."
D. "This is a sign of an anxiety disorder requiring referral."
Answer: B
Rationale: Stranger anxiety typically emerges between 6 and 9 months of age and
reflects healthy attachment. It is not a sign of disorder or poor bonding. Parents should
be reassured and given guidance on gradual introductions .
Question 2: Which developmental milestone would the nurse expect a 12-month-old
infant to have achieved?
A. Walks backward and runs stiffly.
B. Picks up a small object with a neat pincer grasp.
C. Builds a tower of four cubes.
D. Kicks a ball without falling.
Answer: B
Rationale: The neat pincer grasp (using thumb and forefinger) develops by 9-12
months. Running, building towers, and kicking a ball are later milestones (15-24
months). This distinction helps identify potential fine motor delays .
Question 3: The nurse is assessing a 5-year-old child during a routine checkup. Which
finding would be considered developmentally appropriate for this age?
,A. The child draws a six-part stick figure.
B. The child uses a fork and knife independently.
C. The child ties shoelaces without assistance.
D. The child rides a two-wheeled bicycle.
Answer: A
Rationale: A 5-year-old typically draws a person with a head, body, arms, legs, and
facial features (6 parts). Using a fork and knife, tying shoelaces, and riding a two-
wheeled bicycle are skills of early school-age years (6-7 years) .
Question 4: A mother tells the nurse that her 2-year-old toddler refuses to share toys
with a playmate. Which response by the nurse is most accurate?
A. "This behavior is abnormal and you should immediately punish the child."
B. "Toddlers do not yet understand the concept of sharing; parallel play is normal."
C. "Your child may have a conduct disorder; you should seek a psychiatric evaluation."
D. "Force the child to share every time to teach generosity."
Answer: B
Rationale: Toddlers engage in parallel play and lack the cognitive maturity for true
sharing. This is a normal developmental stage, not a behavior disorder. Gentle guidance
and modeling are appropriate, but punishment is not effective .
Question 5: A parent asks why their 7-year-old child has started having "secret clubs"
with friends. This behavior is most consistent with which stage of development?
A. Initiative vs. guilt
B. Industry vs. inferiority
C. Identity vs. role confusion
D. Trust vs. mistrust
Answer: B
, Rationale: School-age children (6-12 years) in industry vs. inferiority seek peer
acceptance and rule-based play. Secret clubs provide a sense of competence and
belonging .
Question 6: According to Piaget, a 3-year-old child is in which cognitive stage?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
Answer: B
Rationale: Preoperational stage (2-7 years) features magical thinking, egocentrism, and
animism. Sensorimotor is birth-2 years; concrete operational is 7-11 years; formal
operational is 11+ years .
Question 7: The nurse is educating parents of a 12-month-old about injury prevention.
Which guidance is most important?
A. Keep syrup of ipecac in the home
B. Turn hot water heater to 140°F (60°C)
C. Use rear-facing car seat until at least age 2
D. Place crib bumper pads for safety
Answer: C
Rationale: Rear-facing car seat until age 2 or until height/weight limit is safest for spinal
protection. Hot water should be 120°F (49°C). Ipecac is no longer recommended.
Bumper pads increase SIDS/suffocation risk .
Question 8: A nurse is assessing a 12-month-old infant during a well-child visit. Which
finding is a deviation from expected growth and development?
A. Tripled birth weight
B. Doubled birth weight
Children – Actual Questions & Answers
(GCU) 100% Guarantee Pass
Question 1: The parent of a 9-month-old infant reports that the infant has developed a
fear of strangers. How should the nurse respond?
A. "This behavior indicates a lack of appropriate bonding with you."
B. "Stranger anxiety is a normal developmental milestone at this age."
C. "You should avoid leaving the infant with anyone else until this passes."
D. "This is a sign of an anxiety disorder requiring referral."
Answer: B
Rationale: Stranger anxiety typically emerges between 6 and 9 months of age and
reflects healthy attachment. It is not a sign of disorder or poor bonding. Parents should
be reassured and given guidance on gradual introductions .
Question 2: Which developmental milestone would the nurse expect a 12-month-old
infant to have achieved?
A. Walks backward and runs stiffly.
B. Picks up a small object with a neat pincer grasp.
C. Builds a tower of four cubes.
D. Kicks a ball without falling.
Answer: B
Rationale: The neat pincer grasp (using thumb and forefinger) develops by 9-12
months. Running, building towers, and kicking a ball are later milestones (15-24
months). This distinction helps identify potential fine motor delays .
Question 3: The nurse is assessing a 5-year-old child during a routine checkup. Which
finding would be considered developmentally appropriate for this age?
,A. The child draws a six-part stick figure.
B. The child uses a fork and knife independently.
C. The child ties shoelaces without assistance.
D. The child rides a two-wheeled bicycle.
Answer: A
Rationale: A 5-year-old typically draws a person with a head, body, arms, legs, and
facial features (6 parts). Using a fork and knife, tying shoelaces, and riding a two-
wheeled bicycle are skills of early school-age years (6-7 years) .
Question 4: A mother tells the nurse that her 2-year-old toddler refuses to share toys
with a playmate. Which response by the nurse is most accurate?
A. "This behavior is abnormal and you should immediately punish the child."
B. "Toddlers do not yet understand the concept of sharing; parallel play is normal."
C. "Your child may have a conduct disorder; you should seek a psychiatric evaluation."
D. "Force the child to share every time to teach generosity."
Answer: B
Rationale: Toddlers engage in parallel play and lack the cognitive maturity for true
sharing. This is a normal developmental stage, not a behavior disorder. Gentle guidance
and modeling are appropriate, but punishment is not effective .
Question 5: A parent asks why their 7-year-old child has started having "secret clubs"
with friends. This behavior is most consistent with which stage of development?
A. Initiative vs. guilt
B. Industry vs. inferiority
C. Identity vs. role confusion
D. Trust vs. mistrust
Answer: B
, Rationale: School-age children (6-12 years) in industry vs. inferiority seek peer
acceptance and rule-based play. Secret clubs provide a sense of competence and
belonging .
Question 6: According to Piaget, a 3-year-old child is in which cognitive stage?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
Answer: B
Rationale: Preoperational stage (2-7 years) features magical thinking, egocentrism, and
animism. Sensorimotor is birth-2 years; concrete operational is 7-11 years; formal
operational is 11+ years .
Question 7: The nurse is educating parents of a 12-month-old about injury prevention.
Which guidance is most important?
A. Keep syrup of ipecac in the home
B. Turn hot water heater to 140°F (60°C)
C. Use rear-facing car seat until at least age 2
D. Place crib bumper pads for safety
Answer: C
Rationale: Rear-facing car seat until age 2 or until height/weight limit is safest for spinal
protection. Hot water should be 120°F (49°C). Ipecac is no longer recommended.
Bumper pads increase SIDS/suffocation risk .
Question 8: A nurse is assessing a 12-month-old infant during a well-child visit. Which
finding is a deviation from expected growth and development?
A. Tripled birth weight
B. Doubled birth weight
