NU 170 Exam 1-4 Questions & Answers with Rationales –
Maternal-Child Nursing | Galen College of Nursing
Verified Solutions | A+ Graded | 200 Practice Questions
Question 1
A nurse is teaching about play stages. Which type of play is most common in a 2-year-old?
A) Cooperative play
B) Parallel play
C) Associative play
D) Solitary play
Answer: B) Parallel play
Explanation: At 2 years of age, toddlers engage mainly in parallel play, where they play alongside other
children but do not directly interact. This reflects their developmental stage where social interaction is
emerging but not yet fully established. Cooperative and associative play develop later during preschool
years .
Question 2
A nurse assesses the weight of a 1-year-old born at 7 pounds, 8 ounces. What is the expected weight?
A) 14 pounds
B) 21 pounds
C) 28 pounds
D) 35 pounds
,Answer: B) 21 pounds
Explanation: By 1 year of age, most infants triple their birth weight. A baby born at 7 pounds 8 ounces
(approximately 7.5 lbs) is expected to weigh about 21-22.5 pounds at 1 year. This represents normal
growth and development milestones .
Question 3
According to Piaget, what is the cognitive stage of an 8-year-old child?
A) Sensorimotor
B) Preoperational
C) Concrete operational
D) Formal operational
Answer: C) Concrete operational
Explanation: The concrete operational stage (approximately 7-11 years) is characterized by the
development of logical thought about concrete events. Children begin understanding conservation,
classification, and multiple perspectives during this stage. The sensorimotor stage is birth-2 years,
preoperational is 2-7 years, and formal operational is 11+ years .
Question 4
What is a priority goal for the care of a hospitalized toddler?
A) Teaching new skills
B) Maintaining trust through consistent care
,C) Promoting independence through choices
D) Encouraging complex social interactions
Answer: B) Maintaining trust through consistent care
Explanation: Toddlers thrive on routine and consistency. Consistent caregivers help maintain trust, reduce
separation anxiety, and provide emotional security during hospitalization. While choices can be offered
appropriately, maintaining trust and routine is the priority for this age group .
Question 5
A 5-year-old hospitalized child begins bed wetting. How should the nurse respond?
A) "You should stop this behavior immediately."
B) "This is a sign of regression and common during hospitalization."
C) "Let's punish if this happens again."
D) "We should notify child protective services."
Answer: B) "This is a sign of regression and common during hospitalization."
Explanation: Regression is a normal response to stress or illness in children. Bedwetting may reoccur
during hospitalization, reflecting the child's temporary inability to cope with the stress of being in an
unfamiliar environment. Punishment or shaming will increase anxiety and worsen the behavior .
, Question 6
Which age group is appropriate for using the FACES pain rating scale?
A) Infants under 1 year
B) Toddlers aged 1-3 years
C) Children 4 years and older
D) Adolescents only
Answer: C) Children 4 years and older
Explanation: The FACES pain scale uses visual facial expressions and is validated for children 4 years and
older who can cognitively associate faces with feelings of pain. For infants and young toddlers, behavioral
pain scales (FLACC, NIPS) are more appropriate .
Question 7
A child is brought to the emergency department with stridor, drooling, and sitting in a tripod position.
What is the priority action?
A) Perform a throat culture
B) Prepare for immediate intubation
C) Keep the child calm and do not examine the throat
D) Administer oral antibiotics
Answer: C) Keep the child calm and do not examine the throat
Maternal-Child Nursing | Galen College of Nursing
Verified Solutions | A+ Graded | 200 Practice Questions
Question 1
A nurse is teaching about play stages. Which type of play is most common in a 2-year-old?
A) Cooperative play
B) Parallel play
C) Associative play
D) Solitary play
Answer: B) Parallel play
Explanation: At 2 years of age, toddlers engage mainly in parallel play, where they play alongside other
children but do not directly interact. This reflects their developmental stage where social interaction is
emerging but not yet fully established. Cooperative and associative play develop later during preschool
years .
Question 2
A nurse assesses the weight of a 1-year-old born at 7 pounds, 8 ounces. What is the expected weight?
A) 14 pounds
B) 21 pounds
C) 28 pounds
D) 35 pounds
,Answer: B) 21 pounds
Explanation: By 1 year of age, most infants triple their birth weight. A baby born at 7 pounds 8 ounces
(approximately 7.5 lbs) is expected to weigh about 21-22.5 pounds at 1 year. This represents normal
growth and development milestones .
Question 3
According to Piaget, what is the cognitive stage of an 8-year-old child?
A) Sensorimotor
B) Preoperational
C) Concrete operational
D) Formal operational
Answer: C) Concrete operational
Explanation: The concrete operational stage (approximately 7-11 years) is characterized by the
development of logical thought about concrete events. Children begin understanding conservation,
classification, and multiple perspectives during this stage. The sensorimotor stage is birth-2 years,
preoperational is 2-7 years, and formal operational is 11+ years .
Question 4
What is a priority goal for the care of a hospitalized toddler?
A) Teaching new skills
B) Maintaining trust through consistent care
,C) Promoting independence through choices
D) Encouraging complex social interactions
Answer: B) Maintaining trust through consistent care
Explanation: Toddlers thrive on routine and consistency. Consistent caregivers help maintain trust, reduce
separation anxiety, and provide emotional security during hospitalization. While choices can be offered
appropriately, maintaining trust and routine is the priority for this age group .
Question 5
A 5-year-old hospitalized child begins bed wetting. How should the nurse respond?
A) "You should stop this behavior immediately."
B) "This is a sign of regression and common during hospitalization."
C) "Let's punish if this happens again."
D) "We should notify child protective services."
Answer: B) "This is a sign of regression and common during hospitalization."
Explanation: Regression is a normal response to stress or illness in children. Bedwetting may reoccur
during hospitalization, reflecting the child's temporary inability to cope with the stress of being in an
unfamiliar environment. Punishment or shaming will increase anxiety and worsen the behavior .
, Question 6
Which age group is appropriate for using the FACES pain rating scale?
A) Infants under 1 year
B) Toddlers aged 1-3 years
C) Children 4 years and older
D) Adolescents only
Answer: C) Children 4 years and older
Explanation: The FACES pain scale uses visual facial expressions and is validated for children 4 years and
older who can cognitively associate faces with feelings of pain. For infants and young toddlers, behavioral
pain scales (FLACC, NIPS) are more appropriate .
Question 7
A child is brought to the emergency department with stridor, drooling, and sitting in a tripod position.
What is the priority action?
A) Perform a throat culture
B) Prepare for immediate intubation
C) Keep the child calm and do not examine the throat
D) Administer oral antibiotics
Answer: C) Keep the child calm and do not examine the throat
