,NSG 3600 Exam 1 | Children's Health (2026/2027) PDF |
Nursing | Galen College
1. Which of the following best describes the primary purpose of the Denver II
Developmental Screening Test?
A) To diagnose specific developmental disorders
B) To identify children who may need further developmental evaluation
C) To measure intelligence quotient in preschool children
D) To assess academic readiness for kindergarten
Correct Answer: To identify children who may need further developmental
evaluation
Rationale: The Denver II is a screening tool, not a diagnostic test. It is used to
identify children whose development may be delayed and who require more
comprehensive evaluation. It does not measure IQ or academic readiness and is
not used to diagnose specific disorders.
2. What is the primary function of the Moro reflex in a newborn?
A) To facilitate feeding
B) To assess neurological integrity and response to sudden stimulation
C) To promote bonding with the caregiver
D) To regulate body temperature
,Correct Answer: To assess neurological integrity and response to sudden
stimulation
Rationale: The Moro (startle) reflex is elicited by a sudden jarring or loud noise,
causing the infant to extend the arms and legs and then draw them inward. It is
a key indicator of neurological function and should disappear by 4 to 6 months
of age. It does not facilitate feeding, promote bonding, or regulate temperature.
3. A nurse is assessing a 4-month-old infant. Which gross motor milestone
should the nurse expect?
A) Sitting without support
B) Rolling from back to abdomen
C) Pulling to a standing position
D) Walking with assistance
Correct Answer: Rolling from back to abdomen
Rationale: At 4 months, an infant should be able to hold the head steady when
upright and bring hands to mouth. Rolling from back to abdomen is typically
achieved by 6 months. Sitting without support occurs by 8 months, pulling to
stand by 9 to 10 months, and walking with assistance by 12 months.
4. According to Piaget's theory of cognitive development, which stage is
characterized by the development of object permanence?
A) Preoperational stage
, B) Concrete operational stage
C) Sensorimotor stage
D) Formal operational stage
Correct Answer: Sensorimotor stage
Rationale: Object permanence, the understanding that objects continue to exist
even when they cannot be seen, develops during the sensorimotor stage (birth
to 2 years). The preoperational stage is characterized by egocentrism, the
concrete operational stage by logical thinking, and the formal operational stage
by abstract reasoning.
5. Which of the following is the recommended site for administering an
intramuscular injection to an infant?
A) Deltoid
B) Dorsogluteal
C) Vastus lateralis
D) Ventrogluteal
Correct Answer: Vastus lateralis
Rationale: The vastus lateralis is the preferred site for intramuscular injections
in infants because it is well-developed at birth and has fewer major blood
vessels and nerves. The deltoid is used for older children, and the dorsogluteal
site is avoided in infants due to the risk of sciatic nerve injury.
Nursing | Galen College
1. Which of the following best describes the primary purpose of the Denver II
Developmental Screening Test?
A) To diagnose specific developmental disorders
B) To identify children who may need further developmental evaluation
C) To measure intelligence quotient in preschool children
D) To assess academic readiness for kindergarten
Correct Answer: To identify children who may need further developmental
evaluation
Rationale: The Denver II is a screening tool, not a diagnostic test. It is used to
identify children whose development may be delayed and who require more
comprehensive evaluation. It does not measure IQ or academic readiness and is
not used to diagnose specific disorders.
2. What is the primary function of the Moro reflex in a newborn?
A) To facilitate feeding
B) To assess neurological integrity and response to sudden stimulation
C) To promote bonding with the caregiver
D) To regulate body temperature
,Correct Answer: To assess neurological integrity and response to sudden
stimulation
Rationale: The Moro (startle) reflex is elicited by a sudden jarring or loud noise,
causing the infant to extend the arms and legs and then draw them inward. It is
a key indicator of neurological function and should disappear by 4 to 6 months
of age. It does not facilitate feeding, promote bonding, or regulate temperature.
3. A nurse is assessing a 4-month-old infant. Which gross motor milestone
should the nurse expect?
A) Sitting without support
B) Rolling from back to abdomen
C) Pulling to a standing position
D) Walking with assistance
Correct Answer: Rolling from back to abdomen
Rationale: At 4 months, an infant should be able to hold the head steady when
upright and bring hands to mouth. Rolling from back to abdomen is typically
achieved by 6 months. Sitting without support occurs by 8 months, pulling to
stand by 9 to 10 months, and walking with assistance by 12 months.
4. According to Piaget's theory of cognitive development, which stage is
characterized by the development of object permanence?
A) Preoperational stage
, B) Concrete operational stage
C) Sensorimotor stage
D) Formal operational stage
Correct Answer: Sensorimotor stage
Rationale: Object permanence, the understanding that objects continue to exist
even when they cannot be seen, develops during the sensorimotor stage (birth
to 2 years). The preoperational stage is characterized by egocentrism, the
concrete operational stage by logical thinking, and the formal operational stage
by abstract reasoning.
5. Which of the following is the recommended site for administering an
intramuscular injection to an infant?
A) Deltoid
B) Dorsogluteal
C) Vastus lateralis
D) Ventrogluteal
Correct Answer: Vastus lateralis
Rationale: The vastus lateralis is the preferred site for intramuscular injections
in infants because it is well-developed at birth and has fewer major blood
vessels and nerves. The deltoid is used for older children, and the dorsogluteal
site is avoided in infants due to the risk of sciatic nerve injury.
