Chapter 13 The Developing Child
Maternal-Child Nursing care 3rd Edition
| Complete 2025–2026 Nursing Skills
Exam Prep Questions and Answers PDF
A nurse learning about pediatric development knows which of the following is correct? Select all
that apply.
A. Development occurs in an orderly sequence.
B. It is cephalocaudal.
C. A child's torso develops before the arms and legs.
D. Gross motor skills precede fine motor skills.
E. It is individualized. - ANS: A, B, C, D, E
A. Development occurs in an orderly sequence.
Rationale: Development occurs in an orderly sequence, and each child should progress through
predictable stages within a certain time frame
B. It is cephalocaudal.
Rationale: Development proceeds in a cephalocaudal, from head to toe, direction.
C. A child's torso develops before the arms and legs.
Rationale Development proceeds proximodistally. This means children develop from near to far
and midline to periphery
D. Gross motor skills precede fine motor skills.
Rationale: Development proceeds from gross motor skills to fine motor skills
,E. It is individualized.
Rationale: Growth and development is an individualized and unique process for each child, and
variability in ages of achievement of milestones may exist from child to child.
A nursing instructor teaching pediatric nursing students about Freud's developmental stages
should include which of the following? Select all that apply.
A. Development is most influenced by biological instincts.
B. The ego is the emotional part of the personality
C. 4-year-old child picking up their toys is an example of the superego.
D. A 16-year-old who refuses to drink alcohol with friends has a balanced ego.
E. The id relies solely on instinct. - ANS: A, C, D, E
A. Development is most influenced by biological instincts.
Rationale: Freud believed that development is most influenced by biological instincts, and these
instincts are psychosexual in nature.
C. 4-year-old child picking up their toys is an example of the superego.
Rationale: The superego functions as not only a center for conscience but as a sense of what
and how the child perceives self. The child knows that a "good" person obeys their parents.
D. A 16-year-old who refuses to drink alcohol with friends has a balanced ego.
Rationale: During adolescence, the ego again provides a balance, this time between the id and
the superego. When the adolescent refuses to drink alcohol with friends because it is against
their conscience and the law. the ego has prevailed.
E. The id relies solely on instinct.
Rationale: The id is present at birth and is predominantly unregulated. It is the part of the
personality that relies solely on instinct.
The nurse is assessing a 4 -year-old at their well-child checkup. Which of the following findings is
consistent with expected growth and development at this age? Select all that apply.
, A. This child can ride a tricycle on their own.
B. The child has a vocabulary of about 100 words
C. The child has developed object permanence.
D. The child grew 2½ inches since their well-child visit last year.
E. The mother states the child is right-handed. - ANS: A, D, E
A. This child can ride a tricycle on their own.
Rationale: This is a normal finding as a toddler this age acquires more gross motor skills with
ease and can typically pedal with both feet.
D. The child grew 2½ inches since their well-child visit last year. Rationale: Average growth for
this age is 2½-3 inches per year.
E. The mother states the child is right-handed.
Rationale: Hand dominance begins to develop around the age of 3 when the preschooler may
show a preference in using one hand over the other and is typically established by age 4.
A nurse at an outpatient clinic is providing anticipatory guidance to a caregiver of an 8-year-old
at a well-child checkup. Which should the nurse include? Select all that apply.
A. Rules for being home alone
B. 12 hours of sleep is necessary in this age group
C. Implementation of chore chart
D. Immunization schedule
E. Car seat usage - ANS: A, C
A. Rules for being home alone
Rationale: Since anticipatory guidance should be given in advance of the occurrence, rules for
being home alone should be discussed
C. Implementation of chore chart Rationale: School-age children need and seek praise and also
seek to achieve industry. Performing the prescribed tasks at school home also shows industry.
Maternal-Child Nursing care 3rd Edition
| Complete 2025–2026 Nursing Skills
Exam Prep Questions and Answers PDF
A nurse learning about pediatric development knows which of the following is correct? Select all
that apply.
A. Development occurs in an orderly sequence.
B. It is cephalocaudal.
C. A child's torso develops before the arms and legs.
D. Gross motor skills precede fine motor skills.
E. It is individualized. - ANS: A, B, C, D, E
A. Development occurs in an orderly sequence.
Rationale: Development occurs in an orderly sequence, and each child should progress through
predictable stages within a certain time frame
B. It is cephalocaudal.
Rationale: Development proceeds in a cephalocaudal, from head to toe, direction.
C. A child's torso develops before the arms and legs.
Rationale Development proceeds proximodistally. This means children develop from near to far
and midline to periphery
D. Gross motor skills precede fine motor skills.
Rationale: Development proceeds from gross motor skills to fine motor skills
,E. It is individualized.
Rationale: Growth and development is an individualized and unique process for each child, and
variability in ages of achievement of milestones may exist from child to child.
A nursing instructor teaching pediatric nursing students about Freud's developmental stages
should include which of the following? Select all that apply.
A. Development is most influenced by biological instincts.
B. The ego is the emotional part of the personality
C. 4-year-old child picking up their toys is an example of the superego.
D. A 16-year-old who refuses to drink alcohol with friends has a balanced ego.
E. The id relies solely on instinct. - ANS: A, C, D, E
A. Development is most influenced by biological instincts.
Rationale: Freud believed that development is most influenced by biological instincts, and these
instincts are psychosexual in nature.
C. 4-year-old child picking up their toys is an example of the superego.
Rationale: The superego functions as not only a center for conscience but as a sense of what
and how the child perceives self. The child knows that a "good" person obeys their parents.
D. A 16-year-old who refuses to drink alcohol with friends has a balanced ego.
Rationale: During adolescence, the ego again provides a balance, this time between the id and
the superego. When the adolescent refuses to drink alcohol with friends because it is against
their conscience and the law. the ego has prevailed.
E. The id relies solely on instinct.
Rationale: The id is present at birth and is predominantly unregulated. It is the part of the
personality that relies solely on instinct.
The nurse is assessing a 4 -year-old at their well-child checkup. Which of the following findings is
consistent with expected growth and development at this age? Select all that apply.
, A. This child can ride a tricycle on their own.
B. The child has a vocabulary of about 100 words
C. The child has developed object permanence.
D. The child grew 2½ inches since their well-child visit last year.
E. The mother states the child is right-handed. - ANS: A, D, E
A. This child can ride a tricycle on their own.
Rationale: This is a normal finding as a toddler this age acquires more gross motor skills with
ease and can typically pedal with both feet.
D. The child grew 2½ inches since their well-child visit last year. Rationale: Average growth for
this age is 2½-3 inches per year.
E. The mother states the child is right-handed.
Rationale: Hand dominance begins to develop around the age of 3 when the preschooler may
show a preference in using one hand over the other and is typically established by age 4.
A nurse at an outpatient clinic is providing anticipatory guidance to a caregiver of an 8-year-old
at a well-child checkup. Which should the nurse include? Select all that apply.
A. Rules for being home alone
B. 12 hours of sleep is necessary in this age group
C. Implementation of chore chart
D. Immunization schedule
E. Car seat usage - ANS: A, C
A. Rules for being home alone
Rationale: Since anticipatory guidance should be given in advance of the occurrence, rules for
being home alone should be discussed
C. Implementation of chore chart Rationale: School-age children need and seek praise and also
seek to achieve industry. Performing the prescribed tasks at school home also shows industry.
