3CA : All Answers Explained By Instructor (New,
2025): Maryville University Of St. Louis
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Maryville University of St. Louis
All Answers Explained by Instructor (New, 2020)
1. What activity can the nurse expect of a healthy 3-year-old child?
o a. The child is able to jump rope.
o b. The child can ride a two-wheeled bicycle.
o c. The child can skip on alternate feet.
o d. The child can balance on one foot for a few seconds.
o ANS: D
▪ Explanation: Three-year-olds can accomplish the gross motor skill of
balancing on one foot for a few seconds. Jumping rope, riding a two-
wheeled bike, and skipping on alternate feet are gross motor skills
typically achieved by 5-year-old children.
2. In terms of fine motor development, what is a 3-year-old child expected to do?
o a. Tie shoelaces.
o b. Use scissors or a pencil very well.
o c. Draw a person with seven to nine parts.
o d. Copy (draw) a circle.
o ANS: D
▪ Explanation: Three-year-olds can accomplish the fine motor skill of
drawing a circle. Tying shoelaces, using scissors or a pencil proficiently,
and drawing a person with multiple parts are fine motor skills typically
achieved by 5-year-old children.
3. In terms of cognitive development, what is expected of a 5-year-old child?
o a. The child can use magical thinking.
o b. The child is able to think abstractly.
o c. The child can understand the conservation of matter.
o d. The child may be unable to comprehend another person’s perspective.
o ANS: A
▪ Explanation: Magical thinking, the belief that thoughts can cause events,
is characteristic of 5-year-olds. Abstract thought develops later, during
school-age years. Conservation of matter is understood by children aged 5
, to 7 years. Five-year-olds typically cannot understand another’s
perspective.
4. Which phrase is most descriptive of a preschooler’s understanding of time?
o a. A preschooler has no understanding of time.
o b. A preschooler associates time with events.
o c. A preschooler can tell time on a clock.
o d. A preschooler uses terms like “yesterday” appropriately.
o ANS: B
▪ Explanation: Preschoolers associate time with events (e.g., “after lunch”).
They do not fully understand clock time or use terms like “yesterday”
accurately.
5. The nurse is caring for a hospitalized 4-year-old boy, Ryan. His parents tell the
nurse that they will be back to visit at 6 p.m. When Ryan asks the nurse when his
parents are coming, what is the nurse’s best response?
o a. “They will be here soon.”
o b. “They will come after dinner.”
o c. “Let me show you on the clock when 6 p.m. is.”
o d. “I will tell you every time I see you how much longer it will be.”
o ANS: B
▪ Explanation: For a preschooler, associating time with events like “after
dinner” is more meaningful than clock time, as they do not yet fully
understand clocks.
6. A 4-year-old boy is hospitalized with a serious bacterial infection. He tells the nurse
that he is sick because he was “bad.” What is the best way for the nurse to interpret
this comment?
o a. It is a sign of stress.
o b. It is a common belief at this age.
o c. It is suggestive of maladaptation.
o d. It is suggestive of excessive discipline at home.
o ANS: B
▪ Explanation: Preschoolers often use magical thinking, believing their
thoughts or actions can cause events like illness. This is a normal
developmental trait, not necessarily indicative of stress, maladaptation, or
excessive discipline.
7. In terms of language and cognitive development, which one of the following can be
expected from a 5-year-old child?
o a. Think in abstract terms.
o b. Follow three commands in succession.
o c. Understand conservation of matter.
o d. Comprehend another person’s perspective.
o ANS: B
▪ Explanation: A 5-year-old can typically follow three commands in
succession. Abstract thinking, conservation of matter, and understanding
another’s perspective are more advanced cognitive skills that develop
later.
8. Which type of play is most typical of the preschool period?