PEDS EXAM 1 | FROM QUESTION TO PERFECTION| STUDY
WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,The nurse is aware that the age at which the posterior fontanelle closes is _____ months.
a. 2 to 3
b. 3 to 6
c. 6 to 9
d. 9 to 12 Answer: ANS: A
The posterior fontanelle closes between 2 and 3 months of age.
Which stage of development is most unstable and challenging regarding development of
personal identity?
A) Adolescence
B) Toddler hood
C) Childhood
D) Infancy Answer: A) Adolescence
A maternity nurse is providing instruction to a new mother regarding the psychosocial
development of the newborn infant. Using Erikson's psychosocial development theory, the nurse
would instruct the mother to:
A) Allow the newborn infant to signal a need
B) Anticipate all of the needs of the newborn infant
C) Avoid the newborn infant during the first 10 minutes of crying
D) Attend to the newborn infant immediately when crying Answer: A) Allow the newborn
infant to signal a need. Trust vs Mistrust stage-This will allow the infant opportunity to gain
trust.
A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having
temper tantrums. The nurse most appropriately tells the mother to:
A) Punish the child every time the child says "no", to change the behavior
B) Allow the behavior because this is normal at this age period
C) Set limits on the child's behavior
D) Ignore the child when this behavior occurs Answer: C) Set limits on the child's behavior-
According to Erikson, the child focuses on independence between ages 1 and 3 years. Gaining
independence often means that the child has to rebel against the parents' wishes. Saying things
like "no" or "mine" and having temper tantrums are common during this period of development.
Being consistent and setting limits on the child's behavior are the necessary elements.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, A nurse is evaluating the developmental level of a 2-year-old. Which of the following does the
nurse expect to observe in this child?
A) Uses a fork to eat
B) Uses a cup to drink
C) Uses a knife for cutting food
D) Pours own milk into a cup Answer: B. By age 2 years, the child can use a cup and can use a
spoon correctly but with some spilling. By ages 3 to 4, the child begins to use a fork. By the end
of the preschool period, the child should be able to pour milk into a cup and begin to use a knife
for cutting.
A clinic nurse assesses the communication patterns of a 5-month-old infant. The nurse
determines that the infant is demonstrating the highest level of developmental achievement
expected if the infant:
A) Uses simple words such as "mama"
B) Uses monosyllabic babbling
C) Links syllables together
D) Coos when comforted Answer: B. Using monosyllabic babbling occurs between 3 and 6
months of age. Using simple words such as "mama" occurs between 9 and 12 months. Linking
syllables together when communicating occurs between 6 and 9 months. Cooing begins at birth
and continues until 2 months.
A nurse is preparing to care for a 5-year-old who has been placed in traction following a fracture
of the femur. The nurse plans care, knowing that which of the following is the most appropriate
activity for this child?
A) Large picture books
B) A radio
C) Crayons and coloring book
D) A sports video Answer: C. In the preschooler, play is simple and imaginative and includes
activities such as crayons and coloring books, puppets, felt and magnetic boards, and Play-Doh.
Large picture books are most appropriate for the infant. A radio and a sports video are most
appropriate for the adolescent.
A 16-year-old is admitted to the hospital for acute appendicitis, and an appendectomy is
performed. Which of the following nursing interventions is most appropriate to facilitate normal
growth and development?
A) Allow the family to bring in the child's favorite computer games
B) Encourage the parents to room-in with the child
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,The nurse is aware that the age at which the posterior fontanelle closes is _____ months.
a. 2 to 3
b. 3 to 6
c. 6 to 9
d. 9 to 12 Answer: ANS: A
The posterior fontanelle closes between 2 and 3 months of age.
Which stage of development is most unstable and challenging regarding development of
personal identity?
A) Adolescence
B) Toddler hood
C) Childhood
D) Infancy Answer: A) Adolescence
A maternity nurse is providing instruction to a new mother regarding the psychosocial
development of the newborn infant. Using Erikson's psychosocial development theory, the nurse
would instruct the mother to:
A) Allow the newborn infant to signal a need
B) Anticipate all of the needs of the newborn infant
C) Avoid the newborn infant during the first 10 minutes of crying
D) Attend to the newborn infant immediately when crying Answer: A) Allow the newborn
infant to signal a need. Trust vs Mistrust stage-This will allow the infant opportunity to gain
trust.
A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having
temper tantrums. The nurse most appropriately tells the mother to:
A) Punish the child every time the child says "no", to change the behavior
B) Allow the behavior because this is normal at this age period
C) Set limits on the child's behavior
D) Ignore the child when this behavior occurs Answer: C) Set limits on the child's behavior-
According to Erikson, the child focuses on independence between ages 1 and 3 years. Gaining
independence often means that the child has to rebel against the parents' wishes. Saying things
like "no" or "mine" and having temper tantrums are common during this period of development.
Being consistent and setting limits on the child's behavior are the necessary elements.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, A nurse is evaluating the developmental level of a 2-year-old. Which of the following does the
nurse expect to observe in this child?
A) Uses a fork to eat
B) Uses a cup to drink
C) Uses a knife for cutting food
D) Pours own milk into a cup Answer: B. By age 2 years, the child can use a cup and can use a
spoon correctly but with some spilling. By ages 3 to 4, the child begins to use a fork. By the end
of the preschool period, the child should be able to pour milk into a cup and begin to use a knife
for cutting.
A clinic nurse assesses the communication patterns of a 5-month-old infant. The nurse
determines that the infant is demonstrating the highest level of developmental achievement
expected if the infant:
A) Uses simple words such as "mama"
B) Uses monosyllabic babbling
C) Links syllables together
D) Coos when comforted Answer: B. Using monosyllabic babbling occurs between 3 and 6
months of age. Using simple words such as "mama" occurs between 9 and 12 months. Linking
syllables together when communicating occurs between 6 and 9 months. Cooing begins at birth
and continues until 2 months.
A nurse is preparing to care for a 5-year-old who has been placed in traction following a fracture
of the femur. The nurse plans care, knowing that which of the following is the most appropriate
activity for this child?
A) Large picture books
B) A radio
C) Crayons and coloring book
D) A sports video Answer: C. In the preschooler, play is simple and imaginative and includes
activities such as crayons and coloring books, puppets, felt and magnetic boards, and Play-Doh.
Large picture books are most appropriate for the infant. A radio and a sports video are most
appropriate for the adolescent.
A 16-year-old is admitted to the hospital for acute appendicitis, and an appendectomy is
performed. Which of the following nursing interventions is most appropriate to facilitate normal
growth and development?
A) Allow the family to bring in the child's favorite computer games
B) Encourage the parents to room-in with the child
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
