Pediatric Growth and Development
NCLEX Review study Questions and
Answers
The nurse is aware that the age at which the posterior fontanelle closes is _____ months.
a. 2 to 3
b. 3 to 6
c. 6 to 9
d. 9 to 12 - correct answer: ANS: A
The posterior fontanelle closes between 2 and 3 months of age.
Which stage of development is most unstable and challenging regarding development of
personal identity?
A) Adolescence
B) Toddler hood
C) Childhood
D) Infancy - correct answer: A) Adolescence
A maternity nurse is providing instruction to a new mother regarding the psychosocial
development of the newborn infant. Using Erikson's psychosocial development theory, the
nurse would instruct the mother to
A) Allow the newborn infant to signal a need
B) Anticipate all of the needs of the newborn infant
C) Avoid the newborn infant during the first 10 minutes of crying
,D) Attend to the newborn infant immediately when crying - correct answer: A) Allow the
newborn infant to signal a need. Trust vs Mistrust stage-This will allow the infant opportunity to
gain trust.
A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having
temper tantrums. The nurse most appropriately tells the mother to:
A) Punish the child every time the child says "no", to change the behavior
B) Allow the behavior because this is normal at this age period
C) Set limits on the child's behavior
D) Ignore the child when this behavior occurs - correct answer: C) Set limits on the child's
behavior-According to Erikson, the child focuses on independence between ages 1 and 3 years.
Gaining independence often means that the child has to rebel against the parents' wishes.
Saying things like "no" or "mine" and having temper tantrums are common during this period of
development. Being consistent and setting limits on the child's behavior are the necessary
elements.
A nurse is evaluating the developmental level of a 2-year-old. Which of the following does the
nurse expect to observe in this child?
A) Uses a fork to eat
B) Uses a cup to drink
C) Uses a knife for cutting food
D) Pours own milk into a cup - correct answer: B. By age 2 years, the child can use a cup and can
use a spoon correctly but with some spilling. By ages 3 to 4, the child begins to use a fork. By
the end of the preschool period, the child should be able to pour milk into a cup and begin to
use a knife for cutting.
A clinic nurse assesses the communication patterns of a 5-month-old infant. The nurse
determines that the infant is demonstrating the highest level of developmental achievement
expected if the infant:
, A) Uses simple words such as "mama"
B) Uses monosyllabic babbling
C) Links syllables together
D) Coos when comforted - correct answer: B. Using monosyllabic babbling occurs between 3
and 6 months of age. Using simple words such as "mama" occurs between 9 and 12 months.
Linking syllables together when communicating occurs between 6 and 9 months. Cooing begins
at birth and continues until 2 months.
A nurse is preparing to care for a 5-year-old who has been placed in traction following a fracture
of the femur. The nurse plans care, knowing that which of the following is the most appropriate
activity for this child?
A) Large picture books
B) A radio
C) Crayons and coloring book
D) A sports video - correct answer: C. In the preschooler, play is simple and imaginative and
includes activities such as crayons and coloring books, puppets, felt and magnetic boards, and
Play-Doh. Large picture books are most appropriate for the infant. A radio and a sports video are
most appropriate for the adolescent.
A 16-year-old is admitted to the hospital for acute appendicitis, and an appendectomy is
performed. Which of the following nursing interventions is most appropriate to facilitate normal
growth and development?
A) Allow the family to bring in the child's favorite computer games
B) Encourage the parents to room-in with the child
C) Encourage the child to rest and read
D) Allow the child to participate in activities with other individuals in the same age group when
the condition permits - correct answer: D. Adolescents often are not sure whether they want
NCLEX Review study Questions and
Answers
The nurse is aware that the age at which the posterior fontanelle closes is _____ months.
a. 2 to 3
b. 3 to 6
c. 6 to 9
d. 9 to 12 - correct answer: ANS: A
The posterior fontanelle closes between 2 and 3 months of age.
Which stage of development is most unstable and challenging regarding development of
personal identity?
A) Adolescence
B) Toddler hood
C) Childhood
D) Infancy - correct answer: A) Adolescence
A maternity nurse is providing instruction to a new mother regarding the psychosocial
development of the newborn infant. Using Erikson's psychosocial development theory, the
nurse would instruct the mother to
A) Allow the newborn infant to signal a need
B) Anticipate all of the needs of the newborn infant
C) Avoid the newborn infant during the first 10 minutes of crying
,D) Attend to the newborn infant immediately when crying - correct answer: A) Allow the
newborn infant to signal a need. Trust vs Mistrust stage-This will allow the infant opportunity to
gain trust.
A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having
temper tantrums. The nurse most appropriately tells the mother to:
A) Punish the child every time the child says "no", to change the behavior
B) Allow the behavior because this is normal at this age period
C) Set limits on the child's behavior
D) Ignore the child when this behavior occurs - correct answer: C) Set limits on the child's
behavior-According to Erikson, the child focuses on independence between ages 1 and 3 years.
Gaining independence often means that the child has to rebel against the parents' wishes.
Saying things like "no" or "mine" and having temper tantrums are common during this period of
development. Being consistent and setting limits on the child's behavior are the necessary
elements.
A nurse is evaluating the developmental level of a 2-year-old. Which of the following does the
nurse expect to observe in this child?
A) Uses a fork to eat
B) Uses a cup to drink
C) Uses a knife for cutting food
D) Pours own milk into a cup - correct answer: B. By age 2 years, the child can use a cup and can
use a spoon correctly but with some spilling. By ages 3 to 4, the child begins to use a fork. By
the end of the preschool period, the child should be able to pour milk into a cup and begin to
use a knife for cutting.
A clinic nurse assesses the communication patterns of a 5-month-old infant. The nurse
determines that the infant is demonstrating the highest level of developmental achievement
expected if the infant:
, A) Uses simple words such as "mama"
B) Uses monosyllabic babbling
C) Links syllables together
D) Coos when comforted - correct answer: B. Using monosyllabic babbling occurs between 3
and 6 months of age. Using simple words such as "mama" occurs between 9 and 12 months.
Linking syllables together when communicating occurs between 6 and 9 months. Cooing begins
at birth and continues until 2 months.
A nurse is preparing to care for a 5-year-old who has been placed in traction following a fracture
of the femur. The nurse plans care, knowing that which of the following is the most appropriate
activity for this child?
A) Large picture books
B) A radio
C) Crayons and coloring book
D) A sports video - correct answer: C. In the preschooler, play is simple and imaginative and
includes activities such as crayons and coloring books, puppets, felt and magnetic boards, and
Play-Doh. Large picture books are most appropriate for the infant. A radio and a sports video are
most appropriate for the adolescent.
A 16-year-old is admitted to the hospital for acute appendicitis, and an appendectomy is
performed. Which of the following nursing interventions is most appropriate to facilitate normal
growth and development?
A) Allow the family to bring in the child's favorite computer games
B) Encourage the parents to room-in with the child
C) Encourage the child to rest and read
D) Allow the child to participate in activities with other individuals in the same age group when
the condition permits - correct answer: D. Adolescents often are not sure whether they want
