HOCKENBERRY WONG'S ESSENTIALS
OF PEDIATRIC NURSING EXAM
QUESTIONS AND ANSWERS GRADED A+
2025/2026
Physical Examination Tips - ANS Examine heart/lungs/abd first if patient is quiet/asleep
Distractions for Young Patients - ANS ID badges, pen lights, pacifier, bottle
Neuro Exam Observation - ANS 60-75% of neuro exam can be done by close observation
Vital Signs in Children - ANS Smaller kids have higher HR and RR, lower BP
Fontanelle Closure - ANS Anterior: 12-18 months, Posterior: 2-3 months
Vision Development in Newborns - ANS Farsighted until 8 months, follow from midline at 3
months
Primitive Reflexes - ANS Moro Reflex: Birth-4m, ATNR: 2wks-6mo, Protective Equilibrium: 4-
6mo, Parachute Reflex: 8-9mo, Galant Reflex: N/A, Babinski Reflex: Birth-1yr, Palmar/Plantar
Grasp: N/A, Pain Assessment Tool: N/A
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Patterns of Growth and Development - ANS Infancy: Neonate (birth-28 days), Infant (1-12
months), Early Childhood: Toddler (1-3 years), Preschooler (3-6 years), Middle Childhood:
School age (6-12 years), Later Childhood: Prepubertal (10-13 years), Adolescent (13-18 years)
Developmental Stages in Infants 2 month Fine Motors - ANS 2 months: Some head control,
lift head, neck and upper chest with support on arms
Developmental Stages in Infants 6 months Fine motor - ANS 6 months: Poke with finger,
Shakes, bangs, throws and drops objects
Developmental Stages in Infants 4 months Gross Motor - ANS Reaches for and bats objects,
Roll over stomach to back
Developmental Stages in Infants 6 months Gross Motor - ANS No head lag when pull to sit,
Sits with support, Stands when placed
Developmental Stages in Infants 9m Gross motor - ANS Plays peek-a-boo or pat-a-cake
Developmental Stages in Infants 2m language - ANS Coos and vocalizes
Developmental Stages in Infants 4m language - ANS Babbles, smiles, laughs, squeals
Developmental Stages in Infants 6m language - ANS Says dada or baba
Developmental Stages in Infants 9m language - ANS Responds to own name, Understands
few words
Developmental Stages in Infants 2m soc/adaptive - ANS Smiles responsively, Recognizes
parents voice and touch
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
OF PEDIATRIC NURSING EXAM
QUESTIONS AND ANSWERS GRADED A+
2025/2026
Physical Examination Tips - ANS Examine heart/lungs/abd first if patient is quiet/asleep
Distractions for Young Patients - ANS ID badges, pen lights, pacifier, bottle
Neuro Exam Observation - ANS 60-75% of neuro exam can be done by close observation
Vital Signs in Children - ANS Smaller kids have higher HR and RR, lower BP
Fontanelle Closure - ANS Anterior: 12-18 months, Posterior: 2-3 months
Vision Development in Newborns - ANS Farsighted until 8 months, follow from midline at 3
months
Primitive Reflexes - ANS Moro Reflex: Birth-4m, ATNR: 2wks-6mo, Protective Equilibrium: 4-
6mo, Parachute Reflex: 8-9mo, Galant Reflex: N/A, Babinski Reflex: Birth-1yr, Palmar/Plantar
Grasp: N/A, Pain Assessment Tool: N/A
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Patterns of Growth and Development - ANS Infancy: Neonate (birth-28 days), Infant (1-12
months), Early Childhood: Toddler (1-3 years), Preschooler (3-6 years), Middle Childhood:
School age (6-12 years), Later Childhood: Prepubertal (10-13 years), Adolescent (13-18 years)
Developmental Stages in Infants 2 month Fine Motors - ANS 2 months: Some head control,
lift head, neck and upper chest with support on arms
Developmental Stages in Infants 6 months Fine motor - ANS 6 months: Poke with finger,
Shakes, bangs, throws and drops objects
Developmental Stages in Infants 4 months Gross Motor - ANS Reaches for and bats objects,
Roll over stomach to back
Developmental Stages in Infants 6 months Gross Motor - ANS No head lag when pull to sit,
Sits with support, Stands when placed
Developmental Stages in Infants 9m Gross motor - ANS Plays peek-a-boo or pat-a-cake
Developmental Stages in Infants 2m language - ANS Coos and vocalizes
Developmental Stages in Infants 4m language - ANS Babbles, smiles, laughs, squeals
Developmental Stages in Infants 6m language - ANS Says dada or baba
Developmental Stages in Infants 9m language - ANS Responds to own name, Understands
few words
Developmental Stages in Infants 2m soc/adaptive - ANS Smiles responsively, Recognizes
parents voice and touch
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
