GALEN COLLEGE NURS230 Exam 3: Complete Maternal
Child 230 PEDS Study Guide | 500+ Growth & Develop
ment Milestones Questions with Rationale
WEIGHT & GROWTH MILESTONES (Questions 1-8)
Question 1
A 6-month-old infant weighed 3.5 kg at birth. During a well-child visit, the
nurse weighs the infant. Which weight would cause the nurse the MOST
concern?
A. 6.8 kg
B. 7.0 kg
C. 7.5 kg
D. 8.0 kg
Question 2
The nurse is assessing a 12-month-old infant during a well-child visit. The
infant's birth weight was 3.4 kg. The current weight is 9.0 kg. What is the
nurse's best action?
,A. Refer to a nutritionist for failure to thrive
B. Document normal growth and continue routine care
C. Schedule a follow-up in 2 weeks for reweighing
D. Ask about feeding difficulties
Question 3
A newborn weighs 3.6 kg at birth. On day 3 of life, the infant weighs 3.3 kg.
What is the nurse's priority action?
A. Notify the healthcare provider immediately
B. Assess feeding and document as normal
C. Supplement with formula
D. Reweigh in 24 hours
Question 4
An infant weighed 2.8 kg at birth. At 12 months, what is the MINIMUM
expected weight?
A. 5.6 kg
B. 7.4 kg
C. 8.4 kg
D. 9.2 kg
Question 5
,The nurse is teaching a parenting class about infant growth. Which statement
by a parent indicates a need for further teaching?
A. "My baby should double birth weight by 6 months"
B. "My baby should triple birth weight by 1 year"
C. "My baby should gain about 2 pounds per month during the first 6 months"
D. "My baby should quadruple birth weight by 18 months"
Question 6
An 8-month-old infant weighs 6.8 kg. Birth weight was 3.2 kg. What is the
nurse's priority assessment?
A. Assess feeding patterns and intake
B. Reassure parents this is normal
C. Plot on growth chart and monitor trend
D. Refer to occupational therapy
Question 7
A 4-month-old infant has gained 1.5 kg since birth. Birth weight was 3.0 kg.
Current weight is 4.5 kg. What should the nurse do FIRST?
A. Assess for signs of dehydration
B. Document expected growth
C. Notify the healthcare provider
D. Recommend high-calorie supplementation
, Question 8
The nurse is calculating daily weight gain for a 2-month-old breastfed infant.
What is the expected daily weight gain?
A. 10-15 grams/day
B. 15-20 grams/day
C. 20-30 grams/day
D. 30-40 grams/day
MOTOR MILESTONES (Questions 9-15)
Question 9
A mother reports that her 5-month-old infant can roll from front to back but
not back to front. What is the nurse's best response?
A. "This indicates a developmental delay"
B. "This is normal; back-to-front rolling usually comes later"
C. "You should practice with your baby daily"
D. "Let me show you some physical therapy exercises"
Question 10
During a 9-month well-child visit, the infant cannot sit unsupported. What is
the nurse's priority action?
A. Reassure the parent that every child develops differently
B. Document and reassess at 12 months
Child 230 PEDS Study Guide | 500+ Growth & Develop
ment Milestones Questions with Rationale
WEIGHT & GROWTH MILESTONES (Questions 1-8)
Question 1
A 6-month-old infant weighed 3.5 kg at birth. During a well-child visit, the
nurse weighs the infant. Which weight would cause the nurse the MOST
concern?
A. 6.8 kg
B. 7.0 kg
C. 7.5 kg
D. 8.0 kg
Question 2
The nurse is assessing a 12-month-old infant during a well-child visit. The
infant's birth weight was 3.4 kg. The current weight is 9.0 kg. What is the
nurse's best action?
,A. Refer to a nutritionist for failure to thrive
B. Document normal growth and continue routine care
C. Schedule a follow-up in 2 weeks for reweighing
D. Ask about feeding difficulties
Question 3
A newborn weighs 3.6 kg at birth. On day 3 of life, the infant weighs 3.3 kg.
What is the nurse's priority action?
A. Notify the healthcare provider immediately
B. Assess feeding and document as normal
C. Supplement with formula
D. Reweigh in 24 hours
Question 4
An infant weighed 2.8 kg at birth. At 12 months, what is the MINIMUM
expected weight?
A. 5.6 kg
B. 7.4 kg
C. 8.4 kg
D. 9.2 kg
Question 5
,The nurse is teaching a parenting class about infant growth. Which statement
by a parent indicates a need for further teaching?
A. "My baby should double birth weight by 6 months"
B. "My baby should triple birth weight by 1 year"
C. "My baby should gain about 2 pounds per month during the first 6 months"
D. "My baby should quadruple birth weight by 18 months"
Question 6
An 8-month-old infant weighs 6.8 kg. Birth weight was 3.2 kg. What is the
nurse's priority assessment?
A. Assess feeding patterns and intake
B. Reassure parents this is normal
C. Plot on growth chart and monitor trend
D. Refer to occupational therapy
Question 7
A 4-month-old infant has gained 1.5 kg since birth. Birth weight was 3.0 kg.
Current weight is 4.5 kg. What should the nurse do FIRST?
A. Assess for signs of dehydration
B. Document expected growth
C. Notify the healthcare provider
D. Recommend high-calorie supplementation
, Question 8
The nurse is calculating daily weight gain for a 2-month-old breastfed infant.
What is the expected daily weight gain?
A. 10-15 grams/day
B. 15-20 grams/day
C. 20-30 grams/day
D. 30-40 grams/day
MOTOR MILESTONES (Questions 9-15)
Question 9
A mother reports that her 5-month-old infant can roll from front to back but
not back to front. What is the nurse's best response?
A. "This indicates a developmental delay"
B. "This is normal; back-to-front rolling usually comes later"
C. "You should practice with your baby daily"
D. "Let me show you some physical therapy exercises"
Question 10
During a 9-month well-child visit, the infant cannot sit unsupported. What is
the nurse's priority action?
A. Reassure the parent that every child develops differently
B. Document and reassess at 12 months
