GRADUATE NURSING · PEDIATRICS · FNP
2026/2027 NURS 629 PEDS EXAM 2
A+
MARYVILLE UNIVERSITY WITH EXAM PREP
QUESTIONS AND CORRECT ANSWERS
(100% CORRECT ANSWERS) MVU NURS 629
EXAM 2 LATEST 2026/2027 (NEW!!)
Official Exam-Style Practice · Advanced Graduate Pediatrics · A+ Verified
A+ QUESTIONS 5 SECTIONS 100%
VERIFIED COVERED RATIONALES
CATEGORIES
■ 1. Developmental Assessment & Milestones
■ 2. Immunizations & Preventive Care
■ 3. Common Acute Pediatric Conditions
■ 4. Chronic Conditions & Special Populations
■ 5. Pharmacotherapeutics, Assessment & Family-Centered Care
STUVIAACTUALEXAM
Passing Score 80% · Application/Analysis Level · Original Content
, SECTION 1: Developmental Assessment & Milestones
Q1. A 9-month-old infant is brought for a well-child visit. The mother reports the infant can sit without support,
transfer objects between hands, and babble with consonant sounds. When the examiner places a small toy under
a cloth while the infant is watching, the infant lifts the cloth to retrieve the toy. Which developmental milestone is
this infant demonstrating?
A. Cause-and-effect understanding that normally appears after 15 months
B. Object permanence, typically emerging between 8 and 12 months
C. Symbolic play that is expected only after the second birthday
D. Stranger anxiety that peaks between 18 and 24 months
Correct Answer: B
Rationale: Retrieval of a hidden object indicates object permanence, a key cognitive milestone of Piaget’s sensorimotor
stage that reliably appears between 8 and 12 months. The other options describe later developmental achievements and are
therefore incorrect for a 9-month-old.
Q2. During a 15-month well visit, a toddler walks independently, stacks two cubes, and uses a pincer grasp to
pick up small objects. The parent expresses concern that the child has not yet begun to run or jump. Which
response by the nurse practitioner is most appropriate?
A. Advise the parent that the absence of running indicates possible hip dysplasia requiring imaging
B. Order immediate developmental testing because delayed gross-motor skills suggest cerebral palsy
C. Recommend physical therapy evaluation within two weeks to prevent long-term delay
D. Reassure the parent that running and jumping are expected closer to 24 months and current milestones are
age-appropriate
Correct Answer: D
Rationale: Independent walking and fine-motor skills at 15 months are within normal limits; running and jumping typically
emerge nearer 24 months. Premature referral or imaging is unnecessary when other milestones are on track.
Q3. A 4-year-old preschooler is observed during a well-child examination. The child hops on one foot, draws a
person with three body parts, and engages in cooperative play with peers. Which additional finding would most
strongly support age-appropriate development?
A. Persistent parallel play without interest in peers
B. Consistent use of only two-word phrases during conversation
C. Inability to follow a three-step command
D. Ability to copy a circle and begin to copy a cross
Correct Answer: D
Rationale: By age 4, children typically copy a circle and begin to copy a cross, hop on one foot, and engage in cooperative
play. Limited language or persistent parallel play would raise concern for developmental delay.
, Q4. A parent of a 6-month-old infant asks when the anterior fontanelle should close. The infant’s head
circumference has tracked along the 50th percentile since birth. Which statement provides accurate anticipatory
guidance?
A. Persistence of the fontanelle beyond 9 months requires neurosurgical referral
B. Closure is expected by 2 months of age along with the posterior fontanelle
C. Most infants experience complete closure by 6 months if growth is normal
D. The anterior fontanelle usually closes between 12 and 18 months of age
Correct Answer: D
Rationale: The anterior fontanelle remains open until approximately 12–18 months to accommodate rapid brain growth. Early
closure or delayed closure beyond 18–24 months warrants evaluation, but the stated range is normal.
Q5. At an 18-month visit, a toddler uses approximately 10 single words, points to request objects, and follows
simple one-step commands. The parent is worried because a neighbor’s child of the same age speaks in short
sentences. Which action is most appropriate?
A. Counsel that expressive vocabulary of 10–20 words is expected at 18 months and schedule the next well
visit
B. Refer immediately for comprehensive speech-language evaluation and hearing testing
C. Prescribe speech therapy sessions twice weekly pending further assessment
D. Order a chromosomal microarray because language delay often signals genetic disorder
Correct Answer: A
Rationale: An expressive vocabulary of roughly 10–20 words and the ability to follow simple commands are within normal
limits at 18 months. Close surveillance is appropriate; formal referral is indicated if vocabulary remains limited at 24 months or
if other red flags appear.
Q6. A 2-month-old infant is noted to have a strong Moro reflex, positive Babinski sign, and asymmetric tonic neck
reflex during the neurologic examination. The parent asks whether these findings are abnormal. Which
explanation is correct?
A. Persistence of the Moro and Babinski reflexes beyond 1 month indicates upper-motor-neuron pathology
B. These primitive reflexes are expected at 2 months and should integrate by 4–6 months of age
C. Asymmetric tonic neck reflex is pathologic at any age and requires MRI evaluation
D. All three reflexes should have disappeared by the end of the neonatal period
Correct Answer: B
Rationale: Primitive reflexes such as Moro, Babinski, and asymmetric tonic neck are normal in early infancy and typically
integrate between 4 and 6 months. Their presence at 2 months is expected and reassuring.
Q7. During a school-entry physical for a 5-year-old, the nurse practitioner assesses fine-motor readiness for
kindergarten. Which skill most accurately reflects expected development at this age?
A. Capacity to tie shoelaces independently and to cut complex shapes with scissors
B. Consistent use of a mature tripod pencil grasp with continuous writing of full sentences
C. Ability to print some letters and numbers and to draw a person with at least six body parts
D. Fluent reading of simple paragraphs and writing of complete short stories
Correct Answer: C
Rationale: By age 5 most children print some letters and numbers and draw a person with six or more parts. Mature
continuous writing, shoe-tying, and fluent reading are later skills.
2026/2027 NURS 629 PEDS EXAM 2
A+
MARYVILLE UNIVERSITY WITH EXAM PREP
QUESTIONS AND CORRECT ANSWERS
(100% CORRECT ANSWERS) MVU NURS 629
EXAM 2 LATEST 2026/2027 (NEW!!)
Official Exam-Style Practice · Advanced Graduate Pediatrics · A+ Verified
A+ QUESTIONS 5 SECTIONS 100%
VERIFIED COVERED RATIONALES
CATEGORIES
■ 1. Developmental Assessment & Milestones
■ 2. Immunizations & Preventive Care
■ 3. Common Acute Pediatric Conditions
■ 4. Chronic Conditions & Special Populations
■ 5. Pharmacotherapeutics, Assessment & Family-Centered Care
STUVIAACTUALEXAM
Passing Score 80% · Application/Analysis Level · Original Content
, SECTION 1: Developmental Assessment & Milestones
Q1. A 9-month-old infant is brought for a well-child visit. The mother reports the infant can sit without support,
transfer objects between hands, and babble with consonant sounds. When the examiner places a small toy under
a cloth while the infant is watching, the infant lifts the cloth to retrieve the toy. Which developmental milestone is
this infant demonstrating?
A. Cause-and-effect understanding that normally appears after 15 months
B. Object permanence, typically emerging between 8 and 12 months
C. Symbolic play that is expected only after the second birthday
D. Stranger anxiety that peaks between 18 and 24 months
Correct Answer: B
Rationale: Retrieval of a hidden object indicates object permanence, a key cognitive milestone of Piaget’s sensorimotor
stage that reliably appears between 8 and 12 months. The other options describe later developmental achievements and are
therefore incorrect for a 9-month-old.
Q2. During a 15-month well visit, a toddler walks independently, stacks two cubes, and uses a pincer grasp to
pick up small objects. The parent expresses concern that the child has not yet begun to run or jump. Which
response by the nurse practitioner is most appropriate?
A. Advise the parent that the absence of running indicates possible hip dysplasia requiring imaging
B. Order immediate developmental testing because delayed gross-motor skills suggest cerebral palsy
C. Recommend physical therapy evaluation within two weeks to prevent long-term delay
D. Reassure the parent that running and jumping are expected closer to 24 months and current milestones are
age-appropriate
Correct Answer: D
Rationale: Independent walking and fine-motor skills at 15 months are within normal limits; running and jumping typically
emerge nearer 24 months. Premature referral or imaging is unnecessary when other milestones are on track.
Q3. A 4-year-old preschooler is observed during a well-child examination. The child hops on one foot, draws a
person with three body parts, and engages in cooperative play with peers. Which additional finding would most
strongly support age-appropriate development?
A. Persistent parallel play without interest in peers
B. Consistent use of only two-word phrases during conversation
C. Inability to follow a three-step command
D. Ability to copy a circle and begin to copy a cross
Correct Answer: D
Rationale: By age 4, children typically copy a circle and begin to copy a cross, hop on one foot, and engage in cooperative
play. Limited language or persistent parallel play would raise concern for developmental delay.
, Q4. A parent of a 6-month-old infant asks when the anterior fontanelle should close. The infant’s head
circumference has tracked along the 50th percentile since birth. Which statement provides accurate anticipatory
guidance?
A. Persistence of the fontanelle beyond 9 months requires neurosurgical referral
B. Closure is expected by 2 months of age along with the posterior fontanelle
C. Most infants experience complete closure by 6 months if growth is normal
D. The anterior fontanelle usually closes between 12 and 18 months of age
Correct Answer: D
Rationale: The anterior fontanelle remains open until approximately 12–18 months to accommodate rapid brain growth. Early
closure or delayed closure beyond 18–24 months warrants evaluation, but the stated range is normal.
Q5. At an 18-month visit, a toddler uses approximately 10 single words, points to request objects, and follows
simple one-step commands. The parent is worried because a neighbor’s child of the same age speaks in short
sentences. Which action is most appropriate?
A. Counsel that expressive vocabulary of 10–20 words is expected at 18 months and schedule the next well
visit
B. Refer immediately for comprehensive speech-language evaluation and hearing testing
C. Prescribe speech therapy sessions twice weekly pending further assessment
D. Order a chromosomal microarray because language delay often signals genetic disorder
Correct Answer: A
Rationale: An expressive vocabulary of roughly 10–20 words and the ability to follow simple commands are within normal
limits at 18 months. Close surveillance is appropriate; formal referral is indicated if vocabulary remains limited at 24 months or
if other red flags appear.
Q6. A 2-month-old infant is noted to have a strong Moro reflex, positive Babinski sign, and asymmetric tonic neck
reflex during the neurologic examination. The parent asks whether these findings are abnormal. Which
explanation is correct?
A. Persistence of the Moro and Babinski reflexes beyond 1 month indicates upper-motor-neuron pathology
B. These primitive reflexes are expected at 2 months and should integrate by 4–6 months of age
C. Asymmetric tonic neck reflex is pathologic at any age and requires MRI evaluation
D. All three reflexes should have disappeared by the end of the neonatal period
Correct Answer: B
Rationale: Primitive reflexes such as Moro, Babinski, and asymmetric tonic neck are normal in early infancy and typically
integrate between 4 and 6 months. Their presence at 2 months is expected and reassuring.
Q7. During a school-entry physical for a 5-year-old, the nurse practitioner assesses fine-motor readiness for
kindergarten. Which skill most accurately reflects expected development at this age?
A. Capacity to tie shoelaces independently and to cut complex shapes with scissors
B. Consistent use of a mature tripod pencil grasp with continuous writing of full sentences
C. Ability to print some letters and numbers and to draw a person with at least six body parts
D. Fluent reading of simple paragraphs and writing of complete short stories
Correct Answer: C
Rationale: By age 5 most children print some letters and numbers and draw a person with six or more parts. Mature
continuous writing, shoe-tying, and fluent reading are later skills.
