NSG 5442 Pediatric Primary Care Exam 1
(PDF) | 2026/2027 | South College Pediatrics
1. At what age does a typically developing infant first achieve a social smile?
A) 1 month
B) 2 months
C) 4 months
D) 6 months
Answer: B
Rationale: Social smile is a 2-month milestone; its absence warrants further
evaluation.
2. A 4-month-old infant should be able to:
A) Sit without support
B) Roll from prone to supine
C) Transfer objects hand to hand
D) Say “mama” specifically
Answer: B
Rationale: Rolling over is a 4-6 month milestone; sitting unsupported occurs at 6-
8 months.
,3. A 9-month-old infant is expected to:
A) Walk independently
B) Pull to stand
C) Use a pincer grasp to pick up a pellet
D) Speak 10 words
Answer: B
Rationale: Pulling to stand is a 9-month milestone; pincer grasp develops at 9-10
months.
4. A 15-month-old toddler should be able to:
A) Run well
B) Walk independently
C) Kick a ball
D) Build a tower of 6 blocks
Answer: B
Rationale: Walking alone is a 12-15 month milestone; running well occurs at 18-
24 months.
5. A 2-year-old child can typically:
A) Ride a tricycle
B) Kick a ball forward
C) Hop on one foot
D) Button clothing
,Answer: B
Rationale: Kicking a ball is a 2-year milestone; tricycle at 3 years, hopping at 4
years.
6. A 3-year-old child can:
A) Copy a square
B) Build a tower of 9-10 blocks
C) Draw a person with 6 parts
D) Skip
Answer: B
Rationale: 9-10 block tower is a 3-year milestone; copying a square at 4-5 years.
7. A 4-year-old child can:
A) Count to 20
B) Draw a person with 3 parts
C) Tie shoelaces
D) Write their name
Answer: B
Rationale: Drawing a 3-part person is a 4-year milestone; tying shoes at 5-6 years.
8. A 5-year-old child can:
A) Read simple sentences
, B) Count 10 objects
C) Do multiplication
D) Write a paragraph
Answer: B
Rationale: Counting 10 objects is a 5-year milestone; reading sentences at 6-7
years.
9. According to Erikson, the psychosocial task of infancy (0-1 year) is:
A) Autonomy vs shame
B) Trust vs mistrust
C) Initiative vs guilt
D) Industry vs inferiority
Answer: B
Rationale: Infants develop trust when caregivers consistently meet needs.
10. According to Erikson, the toddler (1-3 years) task is:
A) Trust vs mistrust
B) Autonomy vs shame and doubt
C) Initiative vs guilt
D) Identity vs role confusion
Answer: B
Rationale: Toddlers assert independence; supportive care fosters autonomy.
(PDF) | 2026/2027 | South College Pediatrics
1. At what age does a typically developing infant first achieve a social smile?
A) 1 month
B) 2 months
C) 4 months
D) 6 months
Answer: B
Rationale: Social smile is a 2-month milestone; its absence warrants further
evaluation.
2. A 4-month-old infant should be able to:
A) Sit without support
B) Roll from prone to supine
C) Transfer objects hand to hand
D) Say “mama” specifically
Answer: B
Rationale: Rolling over is a 4-6 month milestone; sitting unsupported occurs at 6-
8 months.
,3. A 9-month-old infant is expected to:
A) Walk independently
B) Pull to stand
C) Use a pincer grasp to pick up a pellet
D) Speak 10 words
Answer: B
Rationale: Pulling to stand is a 9-month milestone; pincer grasp develops at 9-10
months.
4. A 15-month-old toddler should be able to:
A) Run well
B) Walk independently
C) Kick a ball
D) Build a tower of 6 blocks
Answer: B
Rationale: Walking alone is a 12-15 month milestone; running well occurs at 18-
24 months.
5. A 2-year-old child can typically:
A) Ride a tricycle
B) Kick a ball forward
C) Hop on one foot
D) Button clothing
,Answer: B
Rationale: Kicking a ball is a 2-year milestone; tricycle at 3 years, hopping at 4
years.
6. A 3-year-old child can:
A) Copy a square
B) Build a tower of 9-10 blocks
C) Draw a person with 6 parts
D) Skip
Answer: B
Rationale: 9-10 block tower is a 3-year milestone; copying a square at 4-5 years.
7. A 4-year-old child can:
A) Count to 20
B) Draw a person with 3 parts
C) Tie shoelaces
D) Write their name
Answer: B
Rationale: Drawing a 3-part person is a 4-year milestone; tying shoes at 5-6 years.
8. A 5-year-old child can:
A) Read simple sentences
, B) Count 10 objects
C) Do multiplication
D) Write a paragraph
Answer: B
Rationale: Counting 10 objects is a 5-year milestone; reading sentences at 6-7
years.
9. According to Erikson, the psychosocial task of infancy (0-1 year) is:
A) Autonomy vs shame
B) Trust vs mistrust
C) Initiative vs guilt
D) Industry vs inferiority
Answer: B
Rationale: Infants develop trust when caregivers consistently meet needs.
10. According to Erikson, the toddler (1-3 years) task is:
A) Trust vs mistrust
B) Autonomy vs shame and doubt
C) Initiative vs guilt
D) Identity vs role confusion
Answer: B
Rationale: Toddlers assert independence; supportive care fosters autonomy.
