Galen College NUR 230 Exam 3 (pdf) | 2026/2027 | NCLEX Maternal-
Child Q&A |
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect the infant to have
achieved?
A) Sitting without support
B) Rolling from back to front
C) Walking with assistance
D) Using a pincer grasp
Correct Answer: Rolling from back to front
Rationale: By 6 months of age, most infants can roll from back to front.
Sitting without support typically occurs around 8 months, walking with
assistance around 9-10 months, and using a pincer grasp around 9 months.
2. A nurse is assessing a 2-year-old child. According to Erikson's theory of
psychosocial development, the child is in which stage?
A) Trust vs. Mistrust
B) Autonomy vs. Shame and Doubt
C) Initiative vs. Guilt
D) Industry vs. Inferiority
Correct Answer: Autonomy vs. Shame and Doubt
Rationale: Erikson's stage of Autonomy vs. Shame and Doubt occurs from 1
to 3 years of age. This stage begins when the child is walking and ends when
they are toilet trained. The child's favorite word during this time is "No!" as
they are becoming independent [11†L12-L14].
,3. A nurse is educating the parents of a 4-month-old infant about infant
safety. Which of the following is the most important safety recommendation?
A) Place the infant on their stomach to sleep
B) Place the infant on their back to sleep
C) Use a soft pillow in the crib
D) Keep the crib near a window
Correct Answer: Place the infant on their back to sleep
Rationale: Placing infants on their back to sleep is recommended to reduce
the risk of sudden infant death syndrome (SIDS). The "Back to Sleep"
campaign has significantly reduced the incidence of SIDS.
4. A nurse is assessing a newborn's reflexes. The nurse strokes the side of
the newborn's cheek, and the newborn turns toward the stimulus and begins
to suck. This reflex is known as the:
A) Moro reflex
B) Rooting reflex
C) Grasp reflex
D) Babinski reflex
Correct Answer: Rooting reflex
Rationale: The rooting reflex is elicited by stroking the side of the newborn's
cheek. The newborn turns toward the stimulus and begins to suck. This reflex
helps the newborn find the nipple for feeding.
5. A nurse is assessing an 8-month-old infant for developmental milestones.
Which finding indicates a potential developmental delay?
,A) The infant sits without support
B) The infant transfers objects from one hand to the other
C) The infant has not yet started crawling
D) The infant does not respond to their name
Correct Answer: The infant does not respond to their name
Rationale: By 8 months, infants should respond to their name. Sitting without
support and transferring objects are expected. Crawling can vary, but not
responding to one's name may indicate a hearing or developmental issue.
6. A nurse is providing anticipatory guidance to the parents of a 1-year-old
child. Which of the following is an appropriate recommendation regarding
nutrition?
A) The child should be transitioned to whole milk
B) The child should be transitioned to skim milk
C) The child should be given honey to soothe a cough
D) The child should be given juice as a primary beverage
Correct Answer: The child should be transitioned to whole milk
Rationale: At 1 year of age, children can be transitioned from formula to
whole milk. Honey should not be given to children under 1 year due to the
risk of infant botulism. Juice should be limited, and skim milk is not
recommended for children under 2 years.
7. A nurse is assessing a 3-year-old child. According to Erikson's theory,
which behavior is most consistent with this developmental stage?
A) The child insists on choosing their own clothes
, B) The child is fearful of strangers
C) The child enjoys playing with peers
D) The child has a strong attachment to a security object
Correct Answer: The child insists on choosing their own clothes
Rationale: During the Autonomy vs. Shame and Doubt stage (1-3 years),
children assert their independence. Insisting on choosing their own clothes is
a typical behavior. Fear of strangers is common in infancy (Trust vs. Mistrust
stage).
8. A nurse is assessing a 4-year-old child's growth. Which of the following is a
normal finding?
A) The child weighs 15 kg
B) The child weighs 25 kg
C) The child's height is 80 cm
D) The child's height is 120 cm
Correct Answer: The child weighs 15 kg
Rationale: A 4-year-old child typically weighs around 15 kg. Height is usually
around 100 cm. The other values are outside normal ranges for this age.
9. A nurse is caring for a child who is hospitalized. The child is 2 years old
and is exhibiting signs of separation anxiety. Which of the following
interventions is most appropriate?
A) Encourage the parents to stay with the child
B) Limit visits from the parents to reduce anxiety
C) Place the child in a room with other children
Child Q&A |
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect the infant to have
achieved?
A) Sitting without support
B) Rolling from back to front
C) Walking with assistance
D) Using a pincer grasp
Correct Answer: Rolling from back to front
Rationale: By 6 months of age, most infants can roll from back to front.
Sitting without support typically occurs around 8 months, walking with
assistance around 9-10 months, and using a pincer grasp around 9 months.
2. A nurse is assessing a 2-year-old child. According to Erikson's theory of
psychosocial development, the child is in which stage?
A) Trust vs. Mistrust
B) Autonomy vs. Shame and Doubt
C) Initiative vs. Guilt
D) Industry vs. Inferiority
Correct Answer: Autonomy vs. Shame and Doubt
Rationale: Erikson's stage of Autonomy vs. Shame and Doubt occurs from 1
to 3 years of age. This stage begins when the child is walking and ends when
they are toilet trained. The child's favorite word during this time is "No!" as
they are becoming independent [11†L12-L14].
,3. A nurse is educating the parents of a 4-month-old infant about infant
safety. Which of the following is the most important safety recommendation?
A) Place the infant on their stomach to sleep
B) Place the infant on their back to sleep
C) Use a soft pillow in the crib
D) Keep the crib near a window
Correct Answer: Place the infant on their back to sleep
Rationale: Placing infants on their back to sleep is recommended to reduce
the risk of sudden infant death syndrome (SIDS). The "Back to Sleep"
campaign has significantly reduced the incidence of SIDS.
4. A nurse is assessing a newborn's reflexes. The nurse strokes the side of
the newborn's cheek, and the newborn turns toward the stimulus and begins
to suck. This reflex is known as the:
A) Moro reflex
B) Rooting reflex
C) Grasp reflex
D) Babinski reflex
Correct Answer: Rooting reflex
Rationale: The rooting reflex is elicited by stroking the side of the newborn's
cheek. The newborn turns toward the stimulus and begins to suck. This reflex
helps the newborn find the nipple for feeding.
5. A nurse is assessing an 8-month-old infant for developmental milestones.
Which finding indicates a potential developmental delay?
,A) The infant sits without support
B) The infant transfers objects from one hand to the other
C) The infant has not yet started crawling
D) The infant does not respond to their name
Correct Answer: The infant does not respond to their name
Rationale: By 8 months, infants should respond to their name. Sitting without
support and transferring objects are expected. Crawling can vary, but not
responding to one's name may indicate a hearing or developmental issue.
6. A nurse is providing anticipatory guidance to the parents of a 1-year-old
child. Which of the following is an appropriate recommendation regarding
nutrition?
A) The child should be transitioned to whole milk
B) The child should be transitioned to skim milk
C) The child should be given honey to soothe a cough
D) The child should be given juice as a primary beverage
Correct Answer: The child should be transitioned to whole milk
Rationale: At 1 year of age, children can be transitioned from formula to
whole milk. Honey should not be given to children under 1 year due to the
risk of infant botulism. Juice should be limited, and skim milk is not
recommended for children under 2 years.
7. A nurse is assessing a 3-year-old child. According to Erikson's theory,
which behavior is most consistent with this developmental stage?
A) The child insists on choosing their own clothes
, B) The child is fearful of strangers
C) The child enjoys playing with peers
D) The child has a strong attachment to a security object
Correct Answer: The child insists on choosing their own clothes
Rationale: During the Autonomy vs. Shame and Doubt stage (1-3 years),
children assert their independence. Insisting on choosing their own clothes is
a typical behavior. Fear of strangers is common in infancy (Trust vs. Mistrust
stage).
8. A nurse is assessing a 4-year-old child's growth. Which of the following is a
normal finding?
A) The child weighs 15 kg
B) The child weighs 25 kg
C) The child's height is 80 cm
D) The child's height is 120 cm
Correct Answer: The child weighs 15 kg
Rationale: A 4-year-old child typically weighs around 15 kg. Height is usually
around 100 cm. The other values are outside normal ranges for this age.
9. A nurse is caring for a child who is hospitalized. The child is 2 years old
and is exhibiting signs of separation anxiety. Which of the following
interventions is most appropriate?
A) Encourage the parents to stay with the child
B) Limit visits from the parents to reduce anxiety
C) Place the child in a room with other children
