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Exam (elaborations)

TCP - EXAM 2 QUESTIONS WITH CORRECT ANSWERS 2025/2026

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TCP - EXAM 2 QUESTIONS WITH CORRECT ANSWERS 2025/2026

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TCP
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Uploaded on
September 5, 2025
Number of pages
57
Written in
2025/2026
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TCP - EXAM 2 QUESTIONS WITH CORRECT
ANSWERS 2025/2026

Physical Growth Pattern - Infant, 0-6 Months

Physical Growth Pattern - Infant, 6-12 Months

Growth Charts - CORRECT ANSWER -Growth and Development usually occurs Cephalocaudal
and Proximodistal directions



Physical Growth Pattern - Infant, 0-6 Months

Posterior Fontanel closes at 2 months

Should double birth weight by 6 months of age



Physical Growth Pattern - Infant, 6-12 Months

Teething begins 6-8 months

Triple birth weight by 12 months of age

Height increased from birth height by 50% by 12 months of age



Growth Charts

Percentile arches based on Length/Height and Weight, by Age (Months/Years)

Not a problem which percentile arch they are in, as long as they stick to the arch



Physical/Developmental Milestones: Neonate

Physical/Developmental Milestones: 2 Months

Physical/Developmental Milestones: 3-4 Months - CORRECT ANSWER -Physical/Developmental
Milestones: Neonate

Reflexes - Primitive reflexes apparent at birth, almost all fade by 6 months (Babinski until 18)

,Grasp, Rooting, Sucking, Tonic Neck (fencing), Dance/Step, Babinski, Extrusion (sticks tongue out
if given food too early), Spinal Incurvation

Visual Preference for human face. Flexed posture.



Physical/Developmental Milestones: 2 Months

Closure of posterior fontanel

Social smile apparent. Vocalizes by 6 weeks. Lifts head when prone.

Sleeps 15-16 hours a day.



Physical/Developmental Milestones: 3-4 Months

Landau reflex - postural reflex to prep for sitting. Held prone, head and legs lift to superman.

Head even with chest (no lag) by 4 months

Hands held open, hand regard. Holds object.

Babbles, coos, gurgles, laughs



Physical/Developmental Milestones: 5-6 Months

Physical/Developmental Milestones: 7-8 Months

Physical/Developmental Milestones: 9-12 Months - CORRECT ANSWER -Physical/Developmental
Milestones: 5-6 Months

Primitive reflexes gone, except for Babinski

Head leads when pulled. Rolls over front to back.

Voluntary grasp. Bears weight on legs.



Physical/Developmental Milestones: 7-8 Months

Sits without support by 8 months

Parachute reflex - when tipped forward, places hands out to catch self (never goes away)

Crude pincer grasp. Object permanence. Transfers hand-hand by 7 months.

,Stranger anxiety.



Physical/Developmental Milestones: 9-12 Months

Pulls to stand at 9 months. Cruises at 11 months. Walks with 1 hand held at 12 months.

Fine pincer grasp by 11 months. Plays peek-a-book, claps at 9 months.



Red Flags - Signs of Developmental Delays in Infancy

Anticipatory Guidance for Safety in Infancy - CORRECT ANSWER -Red Flags - Signs of
Developmental Delays in Infancy

Lack of eye muscle control after 4-6 months. Lack of social smile by 8-12 months.

Rolling before 3 months (spasticity/hypertonia)

Persistence of primitive reflexes. Poor head control at 4 months.

Absent babbling by 5-6 months. Not sitting at 7 months.

Failure to develop protective reactions

Lack of imitation at 16 months. Lack of protodeclarative pointing (sign of ASD)



Anticipatory Guidance for Safety in Infancy

Cover outlets, keep meds locked, know number for poison control. Avoid high surfaces, do not
leave unsecured in high seat. Avoid small toys/latex balloons. Only thing in the crib should be
the infant - no blankets, pillows, stuffed animals, etc.

All children should ride rear-facing in car seat until minimum age 2, but preferably as long as
possible until they outgrow the car seat. Not in front until they reach the age of 13.



Nutrition Info in Infancy

Anticipatory Guidance for Newborns (Colic, Spitting up, Thumb sucking)

Oral Care in Infancy - CORRECT ANSWER -Nutrition Info in Infancy

, Recommends to breastfeed, exclusively BM/formula for 4-6 months. Some form of
breastmilk/formula for at least 12 months (with other food offered.)

Water is not recommended until eating solid food, breastmilk is very hydrating.

No whole milk until 12 months (anemia, bleeding, problems with nutrient absorption)

Introduce solid foods at 4-6 months, table foods by 12-15 months.

Avoid honey in the first 12 months (botulism)

Ready for solid foods it: can sit, BW has doubled & weighs minimum 13lbs, can reach for objects
and maintain balance, extrusion reflex disappears, swallows during feeding



Anticipatory Guidance for Newborns

Colic - usually goes away by 12 weeks of age

Spitting up - often caused by overfeeding the infant

Thumb sucking, pacifiers, and security items - no problem with these



Oral Care in Infancy

First teeth erupt at 6 months. Parents should wipe gums with wet gauze 1-2 times/day.

Avoid bottles before sleep/bed. No milk/etc after brushing teeth - only water.

First dental visit 12 months - 30 months.

Dental caries most prevalent chronic infectious disease of children



Growth and Development: 1-4 years

Physical/Developmental Milestones: 13-18 Months

Physical/Developmental Milestones: 3 Years Old

Physical/Developmental Milestones: 4 Years Old - CORRECT ANSWER -Growth and
Development: 1-4 years

Anterior fontanel non-palpable by 12 months. Closed completely at 18 months.

Toddler slightly bowlegged 2-3 years, knock-kneed 3-4 years, then straightens out

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