Burns' Pediatric Primary Care (7th ed) ch 11: Developmental Management of
Early Childhood Exam questions and ans 2025
1. The primary care pediatric nurse practitioner is eval- A. Ask the child's parents
uating a 2-year old with a documented speech delay. whether they read to the
Screenings to assess motor skills and cognition are child
normal, and the child passed a recent hearing test.
What will the pediatric nurse practitioner do next?
a. Ask the child's parents whether they read to the
child
b. Give parents educational materials to encourage
speech
c. Refer the child to an early intervention program
d. Suggest that they purchase age appropriate music
videos
2. The primary care pediatric nurse practitioner performs C. Reassure the parent that
a developmental assessment on a 32-month old child. this is normal
The child's parent reports that about 70% of the child's
speech is intelligible. the pediatric nurse practitioner
observes that the child has difficulty pronouncing "t,"
"d,""k," and "g" sounds. Which action is correct?
a. Evaluate the child's cognitive abilities
b. Obtain a hearing evaluation
c. Reassure the parent that this is normal
d. Refer the child to a speech therapist
3. During a well child assessment of an 18-month old D. Telegraphic speech
child, the primary care pediatric nurse practitioner ob-
serves the child point to a picture of a dog and say,
"Want puppy!" The nurse practitioner recognizes this
as an example of:
a. Holophrastic speech
b. Receptive speech
1/5
, Burns' Pediatric Primary Care (7th ed) ch 11: Developmental Management of
Early Childhood Exam questions and ans 2025
c. Semantic speech
d. Telegraphic speech
4. The primary care pediatric nurse practitioner is offer- D. Most bilingual children
ing anticipatory guidance to the parents of a 12-month are able to shift from one
old child. The parents are bilingual in Spanish and Eng- language to another when
lish and have many Spanish speaking relative nearby. appropriate
They are resisting exposing the child to Spanish out of
concern that the child will not learn English well. What
will the pediatric nurse practitioner tell the parents?
a. Children who learn two languages simultaneously
often confuse them in conversation
b. Children with multi-language proficiency do not un-
derstand that others cannot do this
c. Learning two languages at an early age prevents
children from developing a dominant language
d. Most bilingual children are able to shift from one
language to another when appropriate
5. The primary care pediatric nurse practitioner is coun- A. Allow the child to
seling the parents of a toddler about appropriate dis- explore and experiment
ciple. The parents report that the child is very active while providing appropri-
and curious, and they are worried about the potential ate limits
for injury. What will the pediatric nurse practitioner
recommend?
a. Allow the child to explore and experiment while
providing appropriate limits
b. Be present while the child plays to continually teach
the child what is appropriate
c. Let the child experiment at will and to make mistakes
in order to learn
2/5
Early Childhood Exam questions and ans 2025
1. The primary care pediatric nurse practitioner is eval- A. Ask the child's parents
uating a 2-year old with a documented speech delay. whether they read to the
Screenings to assess motor skills and cognition are child
normal, and the child passed a recent hearing test.
What will the pediatric nurse practitioner do next?
a. Ask the child's parents whether they read to the
child
b. Give parents educational materials to encourage
speech
c. Refer the child to an early intervention program
d. Suggest that they purchase age appropriate music
videos
2. The primary care pediatric nurse practitioner performs C. Reassure the parent that
a developmental assessment on a 32-month old child. this is normal
The child's parent reports that about 70% of the child's
speech is intelligible. the pediatric nurse practitioner
observes that the child has difficulty pronouncing "t,"
"d,""k," and "g" sounds. Which action is correct?
a. Evaluate the child's cognitive abilities
b. Obtain a hearing evaluation
c. Reassure the parent that this is normal
d. Refer the child to a speech therapist
3. During a well child assessment of an 18-month old D. Telegraphic speech
child, the primary care pediatric nurse practitioner ob-
serves the child point to a picture of a dog and say,
"Want puppy!" The nurse practitioner recognizes this
as an example of:
a. Holophrastic speech
b. Receptive speech
1/5
, Burns' Pediatric Primary Care (7th ed) ch 11: Developmental Management of
Early Childhood Exam questions and ans 2025
c. Semantic speech
d. Telegraphic speech
4. The primary care pediatric nurse practitioner is offer- D. Most bilingual children
ing anticipatory guidance to the parents of a 12-month are able to shift from one
old child. The parents are bilingual in Spanish and Eng- language to another when
lish and have many Spanish speaking relative nearby. appropriate
They are resisting exposing the child to Spanish out of
concern that the child will not learn English well. What
will the pediatric nurse practitioner tell the parents?
a. Children who learn two languages simultaneously
often confuse them in conversation
b. Children with multi-language proficiency do not un-
derstand that others cannot do this
c. Learning two languages at an early age prevents
children from developing a dominant language
d. Most bilingual children are able to shift from one
language to another when appropriate
5. The primary care pediatric nurse practitioner is coun- A. Allow the child to
seling the parents of a toddler about appropriate dis- explore and experiment
ciple. The parents report that the child is very active while providing appropri-
and curious, and they are worried about the potential ate limits
for injury. What will the pediatric nurse practitioner
recommend?
a. Allow the child to explore and experiment while
providing appropriate limits
b. Be present while the child plays to continually teach
the child what is appropriate
c. Let the child experiment at will and to make mistakes
in order to learn
2/5
