NSG 3600 Exam 1: Pediatric Growth &
Development (Infancy through Adolescence)
Questions And Correct Answers (Verified
Answers) Plus Rationales 2026 Q&A | Instant
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Question 1 The pediatric nurse assesses the toddler's fine motor skills by observing
which task?
A) Buttoning a shirt
B) Writing with a pencil
C) Holding a spoon to eat
D) Using the pincer grasp
*Explanation: At toddler age (1-3 years), fine motor skills include using a spoon to eat.
Buttoning a shirt and writing with a pencil are fine motor tasks for older children. The
pincer grasp develops in infancy (9-12 months). C is correct.*
Question 2 According to Piaget, an infant uses senses to learn and explore the
environment. Which action is most appropriate for the nurse to implement to determine
object permanence?
A) Playing the game of peek-a-boo
B) Encouraging the infant to shake a rattle
C) Pushing a button on an overhead mobile
D) Placing the child in a stroller and going for a walk
*Explanation: Peek-a-boo tests object permanence - the understanding that objects
continue to exist even when not visible. This develops around 6-8 months of age. A is
correct.*
,Question 3 The pediatric nurse is promoting anticipatory guidance about safety to the
mother of a 10-month-old infant. Which statement is NOT appropriate for the nurse to
include?
A) "Do not leave small objects on the floor because your baby will be crawling soon"
B) "Keep the side rails up to prevent your baby from falling out of the crib"
C) "Put safety locks on all cabinets to prevent accidents"
D) "Allow your baby to stay alone for short periods of time to promote independence"
Explanation: An infant should NEVER be left alone. Safety includes constant supervision. D
is the inappropriate statement that should NOT be included.
Question 4 The mother of a 26-month-old toddler tells the pediatric nurse she is having
trouble disciplining her daughter. Which response by the nurse is most therapeutic?
A) "The terrible twos are a difficult time. You have to show her that you are boss!"
B) "When she does something wrong, tell her she is a bad girl and has to be punished"
C) "A 2-minute time-out combined with praise for good behavior is very effective for
this age group"
D) "Take away her favorite doll and tell her she cannot have it back until she changes
her behavior"
*Explanation: Time-out of 1 minute per year of age (2 minutes for a 2-year-old)
combined with praise for positive behavior is the recommended discipline approach for
toddlers. C is correct.*
Question 5 The parents of a toddler ask the nurse how to best prepare the toddler for a
planned medical procedure. What should the nurse recognize?
A) The toddler is too young to understand and does not need an explanation
B) The use of short explanations can best help the toddler understand the planned
procedure
C) Allowing the toddler to explore the procedure room may be helpful
D) It is beneficial for the nurse to demonstrate the upcoming procedure to the toddler
, Explanation: Toddlers understand short, simple explanations using basic words and
phrases. They benefit from brief, concrete descriptions just before the procedure. B is
correct.
Question 6 The father of a 4-year-old is concerned about his son's reaction to his
friend's injury. The child stayed in his room and cried himself to sleep. The child
described an argument he and his friend had before the injury. What is this preschool
child exhibiting?
A) Magical thinking
B) Inferiority
C) Guilt complex
D) A morality issue
Explanation: Preschoolers engage in magical thinking - believing their thoughts or actions
can cause events to happen. The child believes his argument caused his friend's injury. A is
correct.
Question 7 What is NOT a key aspect in a teen's environment that helps when making
good decisions?
A) Ability to think abstractly
B) Ability to use deductive reasoning
C) Ability to make long-term plans
D) Ability to use logical thinking
Explanation: Logical thinking develops earlier in school-age years. Adolescents develop
abstract thinking, deductive reasoning, and long-term planning abilities. D is correct as
NOT being a key aspect for teens.
Question 8 A nurse is planning an educational class based on Duvall's family
development theory. How are family stages determined?
A) Number of children in the family
B) The oldest child in the family
Development (Infancy through Adolescence)
Questions And Correct Answers (Verified
Answers) Plus Rationales 2026 Q&A | Instant
Download Pdf.
Question 1 The pediatric nurse assesses the toddler's fine motor skills by observing
which task?
A) Buttoning a shirt
B) Writing with a pencil
C) Holding a spoon to eat
D) Using the pincer grasp
*Explanation: At toddler age (1-3 years), fine motor skills include using a spoon to eat.
Buttoning a shirt and writing with a pencil are fine motor tasks for older children. The
pincer grasp develops in infancy (9-12 months). C is correct.*
Question 2 According to Piaget, an infant uses senses to learn and explore the
environment. Which action is most appropriate for the nurse to implement to determine
object permanence?
A) Playing the game of peek-a-boo
B) Encouraging the infant to shake a rattle
C) Pushing a button on an overhead mobile
D) Placing the child in a stroller and going for a walk
*Explanation: Peek-a-boo tests object permanence - the understanding that objects
continue to exist even when not visible. This develops around 6-8 months of age. A is
correct.*
,Question 3 The pediatric nurse is promoting anticipatory guidance about safety to the
mother of a 10-month-old infant. Which statement is NOT appropriate for the nurse to
include?
A) "Do not leave small objects on the floor because your baby will be crawling soon"
B) "Keep the side rails up to prevent your baby from falling out of the crib"
C) "Put safety locks on all cabinets to prevent accidents"
D) "Allow your baby to stay alone for short periods of time to promote independence"
Explanation: An infant should NEVER be left alone. Safety includes constant supervision. D
is the inappropriate statement that should NOT be included.
Question 4 The mother of a 26-month-old toddler tells the pediatric nurse she is having
trouble disciplining her daughter. Which response by the nurse is most therapeutic?
A) "The terrible twos are a difficult time. You have to show her that you are boss!"
B) "When she does something wrong, tell her she is a bad girl and has to be punished"
C) "A 2-minute time-out combined with praise for good behavior is very effective for
this age group"
D) "Take away her favorite doll and tell her she cannot have it back until she changes
her behavior"
*Explanation: Time-out of 1 minute per year of age (2 minutes for a 2-year-old)
combined with praise for positive behavior is the recommended discipline approach for
toddlers. C is correct.*
Question 5 The parents of a toddler ask the nurse how to best prepare the toddler for a
planned medical procedure. What should the nurse recognize?
A) The toddler is too young to understand and does not need an explanation
B) The use of short explanations can best help the toddler understand the planned
procedure
C) Allowing the toddler to explore the procedure room may be helpful
D) It is beneficial for the nurse to demonstrate the upcoming procedure to the toddler
, Explanation: Toddlers understand short, simple explanations using basic words and
phrases. They benefit from brief, concrete descriptions just before the procedure. B is
correct.
Question 6 The father of a 4-year-old is concerned about his son's reaction to his
friend's injury. The child stayed in his room and cried himself to sleep. The child
described an argument he and his friend had before the injury. What is this preschool
child exhibiting?
A) Magical thinking
B) Inferiority
C) Guilt complex
D) A morality issue
Explanation: Preschoolers engage in magical thinking - believing their thoughts or actions
can cause events to happen. The child believes his argument caused his friend's injury. A is
correct.
Question 7 What is NOT a key aspect in a teen's environment that helps when making
good decisions?
A) Ability to think abstractly
B) Ability to use deductive reasoning
C) Ability to make long-term plans
D) Ability to use logical thinking
Explanation: Logical thinking develops earlier in school-age years. Adolescents develop
abstract thinking, deductive reasoning, and long-term planning abilities. D is correct as
NOT being a key aspect for teens.
Question 8 A nurse is planning an educational class based on Duvall's family
development theory. How are family stages determined?
A) Number of children in the family
B) The oldest child in the family
