NURS 5130 Pediatric Assessment Lab Questions
and Answers Latest
Exam Content
Growth & Development
Pediatric History & Interview
Case Studies
SOAP Notes
Anticipatory Guidance
Developmental Red Flags
Pediatric Pathophysiology
Pediatric Screening
Pediatric Exam Integration
1. At what age does a child typically sit unsupported?
Answer: 6 months
Rationale: By 6 months, infants develop trunk control and balance. Sitting unsupported
earlier may indicate hypertonia; later than 9 months suggests motor delay.
2. Which Tanner stage corresponds to breast bud development in girls?
Answer: Tanner stage 2
Rationale: Stage 2 marks thelarche (breast budding) and sparse pubic hair. It’s the first
visible sign of puberty in girls.
3. At what age should a child be able to say at least 2-word sentences?
Answer: 24 months
Rationale: By 2 years, toddlers combine words (“want juice”). Absence of 2-word
phrases by this age is a red flag for language delay.
4. Which developmental milestone is expected at 9 months?
Answer: Crawling/standing with support
Rationale: Gross motor skills progress to crawling and pulling to stand around 9 months.
Lack of these skills may indicate delay.
5. At what age does stranger anxiety peak?
Answer: 9 months
Rationale: Stranger anxiety develops as infants form secure attachments and recognize
, unfamiliar faces, peaking around 9 months.
6. What is the most important component of a pediatric history?
Answer: History from caregiver
Rationale: Infants and young children cannot provide reliable histories; caregivers are
the primary source of developmental, medical, and social information.
7. Which interviewing technique builds rapport with adolescents?
Answer: Confidentiality & open-ended questions
Rationale: Adolescents value privacy. Open-ended questions encourage honest
disclosure about sensitive topics.
8. What is anticipatory guidance?
Answer: Preventive counseling for parents
Rationale: Anticipatory guidance prepares families for upcoming developmental stages,
focusing on safety, nutrition, and behavior.
9. Which question is appropriate when assessing nutrition in toddlers?
Answer: “How many servings of milk/juice per day?”
Rationale: Specific, measurable questions help identify dietary patterns and risks like
anemia or obesity.
10. What is the best way to obtain a history from a 4-year-old?
Answer: Through caregiver, supplemented by child’s input
Rationale: Preschoolers can provide limited information, but caregivers remain the main
source.
11. What is the correct order of pediatric vital signs assessment?
Answer: Respirations → Pulse → Temperature → BP
Rationale: Respirations are counted first because infants may cry or alter breathing
once disturbed. Pulse follows, then temperature, and BP last.
12. Which site is preferred for temperature measurement in infants?
Answer: Rectal (most accurate)
Rationale: Rectal measurement is most reliable for core temperature in infants, though
axillary is safer in some settings.
13. How should you examine the ear of a child under 3 years old?
Answer: Pull pinna down & back
Rationale: The ear canal in infants is angled differently than in older children; pulling
down and back straightens the canal for visualization.
14. What is the normal respiratory rate for a newborn?
Answer: 30–60 breaths/min
Rationale: Newborns have higher metabolic demands, resulting in faster breathing
compared to older children.
and Answers Latest
Exam Content
Growth & Development
Pediatric History & Interview
Case Studies
SOAP Notes
Anticipatory Guidance
Developmental Red Flags
Pediatric Pathophysiology
Pediatric Screening
Pediatric Exam Integration
1. At what age does a child typically sit unsupported?
Answer: 6 months
Rationale: By 6 months, infants develop trunk control and balance. Sitting unsupported
earlier may indicate hypertonia; later than 9 months suggests motor delay.
2. Which Tanner stage corresponds to breast bud development in girls?
Answer: Tanner stage 2
Rationale: Stage 2 marks thelarche (breast budding) and sparse pubic hair. It’s the first
visible sign of puberty in girls.
3. At what age should a child be able to say at least 2-word sentences?
Answer: 24 months
Rationale: By 2 years, toddlers combine words (“want juice”). Absence of 2-word
phrases by this age is a red flag for language delay.
4. Which developmental milestone is expected at 9 months?
Answer: Crawling/standing with support
Rationale: Gross motor skills progress to crawling and pulling to stand around 9 months.
Lack of these skills may indicate delay.
5. At what age does stranger anxiety peak?
Answer: 9 months
Rationale: Stranger anxiety develops as infants form secure attachments and recognize
, unfamiliar faces, peaking around 9 months.
6. What is the most important component of a pediatric history?
Answer: History from caregiver
Rationale: Infants and young children cannot provide reliable histories; caregivers are
the primary source of developmental, medical, and social information.
7. Which interviewing technique builds rapport with adolescents?
Answer: Confidentiality & open-ended questions
Rationale: Adolescents value privacy. Open-ended questions encourage honest
disclosure about sensitive topics.
8. What is anticipatory guidance?
Answer: Preventive counseling for parents
Rationale: Anticipatory guidance prepares families for upcoming developmental stages,
focusing on safety, nutrition, and behavior.
9. Which question is appropriate when assessing nutrition in toddlers?
Answer: “How many servings of milk/juice per day?”
Rationale: Specific, measurable questions help identify dietary patterns and risks like
anemia or obesity.
10. What is the best way to obtain a history from a 4-year-old?
Answer: Through caregiver, supplemented by child’s input
Rationale: Preschoolers can provide limited information, but caregivers remain the main
source.
11. What is the correct order of pediatric vital signs assessment?
Answer: Respirations → Pulse → Temperature → BP
Rationale: Respirations are counted first because infants may cry or alter breathing
once disturbed. Pulse follows, then temperature, and BP last.
12. Which site is preferred for temperature measurement in infants?
Answer: Rectal (most accurate)
Rationale: Rectal measurement is most reliable for core temperature in infants, though
axillary is safer in some settings.
13. How should you examine the ear of a child under 3 years old?
Answer: Pull pinna down & back
Rationale: The ear canal in infants is angled differently than in older children; pulling
down and back straightens the canal for visualization.
14. What is the normal respiratory rate for a newborn?
Answer: 30–60 breaths/min
Rationale: Newborns have higher metabolic demands, resulting in faster breathing
compared to older children.
