NURS 5432 Family I Final Exam Modules 7-10 Actual Exam
2026/2027 – Complete Exam-Style Questions with Detailed
Rationales | 100% Verified | Pass Guaranteed – A+ Graded
Section A: Growth & Development Across the Lifespan (10 Questions)
Q1: A 2-week-old newborn is brought to the clinic for a well-child visit. The parents note
that the infant's hands and feet appear blue but the trunk is pink. The infant is afebrile
and feeding well. Which is the most appropriate nursing assessment?
A. Immediate referral to the emergency department for cyanotic heart disease
B. Reassurance that acrocyanosis is a normal heat loss response in the first days of life
[CORRECT]
C. Documentation of peripheral cyanosis requiring pulse oximetry on all four extremities
D. Initiation of warming measures and antibiotic therapy for sepsis
Correct Answer: B
Rationale: Acrocyanosis (blue hands and feet with pink trunk) is a normal physiologic
response to heat loss in the first days of life and resolves spontaneously. A is
unnecessary for a well-appearing infant. C overstates the concern. D is inappropriate
without signs of infection.
Q2: During a 6-month wellness visit, the parents report that their infant can roll from
prone to supine and back, laughs during peekaboo, and reaches for toys but is not yet
crawling. Which action is most appropriate?
A. Referral for developmental delay due to absence of crawling
B. Reassurance that these milestones are developmentally appropriate for 6 months
[CORRECT]
C. Immediate occupational therapy evaluation for fine motor delay
D. Scheduling a follow-up in 2 weeks to reassess gross motor skills
Correct Answer: B
Rationale: Rolling both ways, social laughing, and reaching are appropriate 6-month
milestones; crawling typically emerges around 7–9 months. A is premature. C is
unnecessary. D is overly aggressive for normal development.
,Q3: A 9-month-old infant is seen for a routine checkup. The nurse practitioner observes
the infant picking up small cereal pieces using the thumb and forefinger. Which
developmental milestone is being demonstrated?
A. Hand-to-hand transfer
B. Pincer grasp [CORRECT]
C. Palmer grasp
D. Scissor grasp
Correct Answer: B
Rationale: The pincer grasp (thumb and forefinger) typically emerges at 8–10 months.
Hand-to-hand transfer (A) occurs at 5–6 months. Palmer grasp (C) is an earlier primitive
grasp. Scissor grasp (D) is not a standard developmental milestone.
Q4: At an 18-month well-child visit, the parents report their toddler cannot feed
themselves with a spoon, shows no interest in interactive play, and avoids eye contact.
Which is the most appropriate next step?
A. Reassurance that these behaviors are normal at 18 months
B. Referral for developmental evaluation due to red flags [CORRECT]
C. Scheduling a follow-up in 6 months to reassess
D. Recommending increased screen time to improve social interaction
Correct Answer: B
Rationale: Lack of self-feeding, absence of eye contact, and lack of interactive play at 18
months are red flags requiring developmental evaluation. A is unsafe. C delays
necessary intervention. D is contraindicated.
Q5: A 3-year-old child is seen for a routine physical. Which finding is most consistent
with normal growth and development for this age?
A. Annual weight gain of 2–3 lbs
B. Annual weight gain of 4–6 lbs [CORRECT]
C. Annual weight gain of 8–10 lbs
D. Annual weight gain of 10–12 lbs
Correct Answer: B
Rationale: A 3-year-old typically gains 4–6 lbs per year. A is too low. C and D are
excessive and may indicate overnutrition or underlying pathology.
Q6: During a 12-month wellness visit, the parents ask about appropriate toys and
activities. Which activity is developmentally appropriate for a 12-month-old?
,A. Drawing a square
B. Using a pinch grasp to pick up small objects [CORRECT]
C. Riding a tricycle
D. Throwing a ball overhand
Correct Answer: B
Rationale: The pinch grasp emerges at 12 months. Drawing a square (A) is a
kindergarten skill. Riding a tricycle (C) is appropriate for 36 months. Throwing a ball (D)
is typical at 18 months.
Q7: A 15-month-old toddler is observed during a clinic visit. Which behavior is most
developmentally appropriate for this age?
A. Copying a square
B. Feeding self with a spoon [CORRECT]
C. Scooping with a spoon and throwing a ball
D. Riding a tricycle
Correct Answer: B
Rationale: Self-feeding with a spoon is a 15-month milestone. Copying a square (A) is a
kindergarten skill. Scooping and throwing (C) occurs at 18 months. Riding a tricycle (D)
is a 36-month skill.
Q8: A 4-year-old child is being discharged after a well-child visit. Which car seat
recommendation is most appropriate?
A. Rear-facing infant seat
B. Forward-facing harness car seat [CORRECT]
C. Booster seat with vehicle seat belt
D. Front seat with adult seat belt
Correct Answer: B
Rationale: A 4-year-old should use a forward-facing harness car seat. Rear-facing (A) is
for infants. Booster seats (C) are typically for children 5+ years or >40 lbs. Front seat (D)
is unsafe for young children.
Q9: An adolescent patient is assessed during a routine physical. The nurse practitioner
notes Tanner Stage 3 pubic hair that is coarse, dark, and spreading across the pubic
area. Which age is most consistent with this finding?
A. 9 years
B. 10 years
, C. 12 years [CORRECT]
D. 15 years
Correct Answer: C
Rationale: Tanner Stage 3 pubic hair (coarse, dark, spreading) typically appears around
age 12 in females. A and B are too early. D would likely show Tanner Stage 4 or 5.
Q10: A newborn is examined in the nursery. The nurse practitioner performs the Ortolani
maneuver and notes a palpable "clunk" as the femoral head relocates into the
acetabulum. Which condition is most likely?
A. Clubfoot
B. Developmental hip dysplasia [CORRECT]
C. Femoral fracture
D. Normal hip joint laxity
Correct Answer: B
Rationale: A positive Ortolani maneuver (palpable clunk with abduction) indicates
developmental hip dysplasia. The Barlow maneuver tests for dislocatability. Clubfoot
(A) is a foot deformity. C would present with pain and deformity. D does not produce a
clunk.
Section B: Immunizations & Preventive Care (10 Questions)
Q11: A 2-month-old infant is brought in for a well-child visit. Which vaccines should be
administered at this visit according to the current CDC schedule?
A. MMR and varicella only
B. DTaP, IPV, Hib, PCV, and rotavirus [CORRECT]
C. HPV and meningococcal vaccines
D. Hepatitis A and hepatitis B only
Correct Answer: B
Rationale: The 2-month primary immunization series includes DTaP, IPV, Hib, PCV, and
rotavirus. MMR and varicella (A) are given at 12 months. HPV (C) is given in
adolescence. Hepatitis A (D) is given at 12 months.
Q12: An infant receives the first dose of Rotarix at 2 months of age. By what age must
the Rotarix series be completed?
2026/2027 – Complete Exam-Style Questions with Detailed
Rationales | 100% Verified | Pass Guaranteed – A+ Graded
Section A: Growth & Development Across the Lifespan (10 Questions)
Q1: A 2-week-old newborn is brought to the clinic for a well-child visit. The parents note
that the infant's hands and feet appear blue but the trunk is pink. The infant is afebrile
and feeding well. Which is the most appropriate nursing assessment?
A. Immediate referral to the emergency department for cyanotic heart disease
B. Reassurance that acrocyanosis is a normal heat loss response in the first days of life
[CORRECT]
C. Documentation of peripheral cyanosis requiring pulse oximetry on all four extremities
D. Initiation of warming measures and antibiotic therapy for sepsis
Correct Answer: B
Rationale: Acrocyanosis (blue hands and feet with pink trunk) is a normal physiologic
response to heat loss in the first days of life and resolves spontaneously. A is
unnecessary for a well-appearing infant. C overstates the concern. D is inappropriate
without signs of infection.
Q2: During a 6-month wellness visit, the parents report that their infant can roll from
prone to supine and back, laughs during peekaboo, and reaches for toys but is not yet
crawling. Which action is most appropriate?
A. Referral for developmental delay due to absence of crawling
B. Reassurance that these milestones are developmentally appropriate for 6 months
[CORRECT]
C. Immediate occupational therapy evaluation for fine motor delay
D. Scheduling a follow-up in 2 weeks to reassess gross motor skills
Correct Answer: B
Rationale: Rolling both ways, social laughing, and reaching are appropriate 6-month
milestones; crawling typically emerges around 7–9 months. A is premature. C is
unnecessary. D is overly aggressive for normal development.
,Q3: A 9-month-old infant is seen for a routine checkup. The nurse practitioner observes
the infant picking up small cereal pieces using the thumb and forefinger. Which
developmental milestone is being demonstrated?
A. Hand-to-hand transfer
B. Pincer grasp [CORRECT]
C. Palmer grasp
D. Scissor grasp
Correct Answer: B
Rationale: The pincer grasp (thumb and forefinger) typically emerges at 8–10 months.
Hand-to-hand transfer (A) occurs at 5–6 months. Palmer grasp (C) is an earlier primitive
grasp. Scissor grasp (D) is not a standard developmental milestone.
Q4: At an 18-month well-child visit, the parents report their toddler cannot feed
themselves with a spoon, shows no interest in interactive play, and avoids eye contact.
Which is the most appropriate next step?
A. Reassurance that these behaviors are normal at 18 months
B. Referral for developmental evaluation due to red flags [CORRECT]
C. Scheduling a follow-up in 6 months to reassess
D. Recommending increased screen time to improve social interaction
Correct Answer: B
Rationale: Lack of self-feeding, absence of eye contact, and lack of interactive play at 18
months are red flags requiring developmental evaluation. A is unsafe. C delays
necessary intervention. D is contraindicated.
Q5: A 3-year-old child is seen for a routine physical. Which finding is most consistent
with normal growth and development for this age?
A. Annual weight gain of 2–3 lbs
B. Annual weight gain of 4–6 lbs [CORRECT]
C. Annual weight gain of 8–10 lbs
D. Annual weight gain of 10–12 lbs
Correct Answer: B
Rationale: A 3-year-old typically gains 4–6 lbs per year. A is too low. C and D are
excessive and may indicate overnutrition or underlying pathology.
Q6: During a 12-month wellness visit, the parents ask about appropriate toys and
activities. Which activity is developmentally appropriate for a 12-month-old?
,A. Drawing a square
B. Using a pinch grasp to pick up small objects [CORRECT]
C. Riding a tricycle
D. Throwing a ball overhand
Correct Answer: B
Rationale: The pinch grasp emerges at 12 months. Drawing a square (A) is a
kindergarten skill. Riding a tricycle (C) is appropriate for 36 months. Throwing a ball (D)
is typical at 18 months.
Q7: A 15-month-old toddler is observed during a clinic visit. Which behavior is most
developmentally appropriate for this age?
A. Copying a square
B. Feeding self with a spoon [CORRECT]
C. Scooping with a spoon and throwing a ball
D. Riding a tricycle
Correct Answer: B
Rationale: Self-feeding with a spoon is a 15-month milestone. Copying a square (A) is a
kindergarten skill. Scooping and throwing (C) occurs at 18 months. Riding a tricycle (D)
is a 36-month skill.
Q8: A 4-year-old child is being discharged after a well-child visit. Which car seat
recommendation is most appropriate?
A. Rear-facing infant seat
B. Forward-facing harness car seat [CORRECT]
C. Booster seat with vehicle seat belt
D. Front seat with adult seat belt
Correct Answer: B
Rationale: A 4-year-old should use a forward-facing harness car seat. Rear-facing (A) is
for infants. Booster seats (C) are typically for children 5+ years or >40 lbs. Front seat (D)
is unsafe for young children.
Q9: An adolescent patient is assessed during a routine physical. The nurse practitioner
notes Tanner Stage 3 pubic hair that is coarse, dark, and spreading across the pubic
area. Which age is most consistent with this finding?
A. 9 years
B. 10 years
, C. 12 years [CORRECT]
D. 15 years
Correct Answer: C
Rationale: Tanner Stage 3 pubic hair (coarse, dark, spreading) typically appears around
age 12 in females. A and B are too early. D would likely show Tanner Stage 4 or 5.
Q10: A newborn is examined in the nursery. The nurse practitioner performs the Ortolani
maneuver and notes a palpable "clunk" as the femoral head relocates into the
acetabulum. Which condition is most likely?
A. Clubfoot
B. Developmental hip dysplasia [CORRECT]
C. Femoral fracture
D. Normal hip joint laxity
Correct Answer: B
Rationale: A positive Ortolani maneuver (palpable clunk with abduction) indicates
developmental hip dysplasia. The Barlow maneuver tests for dislocatability. Clubfoot
(A) is a foot deformity. C would present with pain and deformity. D does not produce a
clunk.
Section B: Immunizations & Preventive Care (10 Questions)
Q11: A 2-month-old infant is brought in for a well-child visit. Which vaccines should be
administered at this visit according to the current CDC schedule?
A. MMR and varicella only
B. DTaP, IPV, Hib, PCV, and rotavirus [CORRECT]
C. HPV and meningococcal vaccines
D. Hepatitis A and hepatitis B only
Correct Answer: B
Rationale: The 2-month primary immunization series includes DTaP, IPV, Hib, PCV, and
rotavirus. MMR and varicella (A) are given at 12 months. HPV (C) is given in
adolescence. Hepatitis A (D) is given at 12 months.
Q12: An infant receives the first dose of Rotarix at 2 months of age. By what age must
the Rotarix series be completed?
