,NUR 636 Final Exam Pediatric Primary Care 2026/2027 Questions
And Answers SNHU
Q1. What best distinguishes developmental surveillance from
standardized developmental screening?
A) Surveillance occurs only when developmental delay is suspected
B) Surveillance is an ongoing process using history, observation, concerns,
and risk assessment, whereas screening uses a validated standardized
instrument
C) Screening establishes a definitive developmental diagnosis
D) Surveillance ends after infancy
Correct Answer: B) Surveillance is an ongoing process using history,
observation, concerns, and risk assessment, whereas screening uses a
validated standardized instrument
Rationale: Developmental surveillance occurs longitudinally throughout
health supervision and incorporates caregiver concerns, developmental
history, observation, and risk factors. Standardized screening supplements
surveillance by systematically identifying children who may require
additional developmental evaluation.
Q2. A 20-month-old previously used several meaningful words but
has gradually stopped using them. What is the most appropriate
response?
A) Reassure the caregiver because temporary language loss is typical
B) Wait until the routine 24-month autism screening
C) Evaluate only if motor development also declines
D) Initiate prompt developmental assessment because loss of previously
acquired skills is concerning
Correct Answer: D) Initiate prompt developmental assessment because
loss of previously acquired skills is concerning
Rationale: Developmental regression differs from simple variation in the
timing of milestone acquisition. Loss of previously established language,
motor, or social skills warrants timely evaluation rather than waiting for the
next scheduled developmental screening visit.
, Q3. A child's height remains near the 20th percentile for several
years with an appropriate growth velocity and no concerning
symptoms. What is the most appropriate interpretation?
A) A stable longitudinal growth pattern is generally more informative than
the percentile number alone
B) Height below the 50th percentile indicates growth failure
C) Endocrine testing is always required
D) Normal growth requires crossing upward toward the 50th percentile
Correct Answer: A) A stable longitudinal growth pattern is generally more
informative than the percentile number alone
Rationale: Growth percentiles describe population distributions rather than
ideal targets. A child who follows a consistent trajectory with appropriate
growth velocity may be growing normally even at a relatively low percentile.
Q4. Which behavior in a 2-year-old provides reassuring evidence of
developing expressive language?
A) Reading several printed words
B) Providing a detailed story about the previous day
C) Combining words into simple phrases to communicate needs
D) Writing the child's first name
Correct Answer: C) Combining words into simple phrases to communicate
needs
Rationale: Early phrase formation represents expected progression beyond
single-word communication around the second year of life. Development
should still be assessed across receptive language, social communication,
motor, cognitive, and adaptive domains.
Q5. At which routine visits should autism-specific standardized
screening generally occur?
A) 9 and 30 months
B) 18 and 24 months
C) 12 and 36 months
D) 4 and 5 years
And Answers SNHU
Q1. What best distinguishes developmental surveillance from
standardized developmental screening?
A) Surveillance occurs only when developmental delay is suspected
B) Surveillance is an ongoing process using history, observation, concerns,
and risk assessment, whereas screening uses a validated standardized
instrument
C) Screening establishes a definitive developmental diagnosis
D) Surveillance ends after infancy
Correct Answer: B) Surveillance is an ongoing process using history,
observation, concerns, and risk assessment, whereas screening uses a
validated standardized instrument
Rationale: Developmental surveillance occurs longitudinally throughout
health supervision and incorporates caregiver concerns, developmental
history, observation, and risk factors. Standardized screening supplements
surveillance by systematically identifying children who may require
additional developmental evaluation.
Q2. A 20-month-old previously used several meaningful words but
has gradually stopped using them. What is the most appropriate
response?
A) Reassure the caregiver because temporary language loss is typical
B) Wait until the routine 24-month autism screening
C) Evaluate only if motor development also declines
D) Initiate prompt developmental assessment because loss of previously
acquired skills is concerning
Correct Answer: D) Initiate prompt developmental assessment because
loss of previously acquired skills is concerning
Rationale: Developmental regression differs from simple variation in the
timing of milestone acquisition. Loss of previously established language,
motor, or social skills warrants timely evaluation rather than waiting for the
next scheduled developmental screening visit.
, Q3. A child's height remains near the 20th percentile for several
years with an appropriate growth velocity and no concerning
symptoms. What is the most appropriate interpretation?
A) A stable longitudinal growth pattern is generally more informative than
the percentile number alone
B) Height below the 50th percentile indicates growth failure
C) Endocrine testing is always required
D) Normal growth requires crossing upward toward the 50th percentile
Correct Answer: A) A stable longitudinal growth pattern is generally more
informative than the percentile number alone
Rationale: Growth percentiles describe population distributions rather than
ideal targets. A child who follows a consistent trajectory with appropriate
growth velocity may be growing normally even at a relatively low percentile.
Q4. Which behavior in a 2-year-old provides reassuring evidence of
developing expressive language?
A) Reading several printed words
B) Providing a detailed story about the previous day
C) Combining words into simple phrases to communicate needs
D) Writing the child's first name
Correct Answer: C) Combining words into simple phrases to communicate
needs
Rationale: Early phrase formation represents expected progression beyond
single-word communication around the second year of life. Development
should still be assessed across receptive language, social communication,
motor, cognitive, and adaptive domains.
Q5. At which routine visits should autism-specific standardized
screening generally occur?
A) 9 and 30 months
B) 18 and 24 months
C) 12 and 36 months
D) 4 and 5 years
