Test Bank for Growth and Development
Across the Lifespan, 3rd Edition by Eve Leifer
1. A nurse is teaching a pregnant client about fetal development. Which
structure develops first after conception?
A. Placenta
B. Neural tube
C. Blastocyst
D. Umbilical cord
Answer: C. Blastocyst
Rationale:
After fertilization, rapid cell division forms the morula and then the blastocyst, which implants
into the uterine wall.
2. According to Erikson, the developmental task of infancy is:
,A. Initiative vs. guilt
B. Trust vs. mistrust
C. Identity vs. role confusion
D. Industry vs. inferiority
Answer: B. Trust vs. mistrust
Rationale:
Infants develop trust when caregivers consistently meet their needs.
3. A nurse assesses a 6-month-old infant. Which finding is expected?
A. Walking independently
B. Birth weight tripled
C. Rolling from back to abdomen
D. Speaking two-word phrases
Answer: C. Rolling from back to abdomen
Rationale:
Most infants can roll over by 6 months. Birth weight usually doubles by 6 months and triples by
1 year.
4. The nurse teaches parents about sudden infant death syndrome (SIDS).
Which statement indicates understanding?
A. “My baby should sleep on the stomach.”
B. “Soft blankets help prevent chilling.”
C. “I will place my baby on the back to sleep.”
D. “Co-sleeping reduces the risk.”
Answer: C. “I will place my baby on the back to sleep.”
Rationale:
Back sleeping is the safest sleep position and significantly reduces SIDS risk.
5. Piaget describes the toddler as being in which cognitive stage?
A. Sensorimotor
B. Formal operational
,C. Concrete operational
D. Preoperational
Answer: D. Preoperational
Rationale:
Toddlers transition into the preoperational stage, characterized by symbolic thought and
egocentrism.
6. A parent reports that a toddler says “no” frequently. The nurse should
explain this behavior is related to:
A. Initiative
B. Egocentrism
C. Autonomy development
D. Moral reasoning
Answer: C. Autonomy development
Rationale:
Toddlers seek independence and control during Erikson’s autonomy vs. shame and doubt stage.
7. Which toy is most appropriate for a hospitalized preschooler?
A. Crossword puzzles
B. Push-pull toys
C. Coloring books and crayons
D. Complex board games
Answer: C. Coloring books and crayons
Rationale:
Preschoolers benefit from imaginative and creative play activities.
8. A school-age child enjoys collecting objects and competing in sports.
According to Erikson, this reflects:
A. Identity vs. role confusion
B. Industry vs. inferiority
, C. Initiative vs. guilt
D. Intimacy vs. isolation
Answer: B. Industry vs. inferiority
Rationale:
School-age children focus on achievement, competence, and productivity.
9. Which behavior is expected during adolescence?
A. Fear of strangers
B. Parallel play
C. Strong peer influence
D. Lack of abstract thinking
Answer: C. Strong peer influence
Rationale:
Peer relationships become highly influential during adolescence.
10. The nurse recognizes that the leading cause of death among
adolescents is:
A. Cancer
B. Congenital disorders
C. Motor vehicle accidents
D. Respiratory infections
Answer: C. Motor vehicle accidents
Rationale:
Unintentional injuries, especially motor vehicle accidents, are a leading cause of adolescent
death.
11. A young adult successfully achieving Erikson’s developmental task
demonstrates:
A. Generativity
B. Intimacy
Across the Lifespan, 3rd Edition by Eve Leifer
1. A nurse is teaching a pregnant client about fetal development. Which
structure develops first after conception?
A. Placenta
B. Neural tube
C. Blastocyst
D. Umbilical cord
Answer: C. Blastocyst
Rationale:
After fertilization, rapid cell division forms the morula and then the blastocyst, which implants
into the uterine wall.
2. According to Erikson, the developmental task of infancy is:
,A. Initiative vs. guilt
B. Trust vs. mistrust
C. Identity vs. role confusion
D. Industry vs. inferiority
Answer: B. Trust vs. mistrust
Rationale:
Infants develop trust when caregivers consistently meet their needs.
3. A nurse assesses a 6-month-old infant. Which finding is expected?
A. Walking independently
B. Birth weight tripled
C. Rolling from back to abdomen
D. Speaking two-word phrases
Answer: C. Rolling from back to abdomen
Rationale:
Most infants can roll over by 6 months. Birth weight usually doubles by 6 months and triples by
1 year.
4. The nurse teaches parents about sudden infant death syndrome (SIDS).
Which statement indicates understanding?
A. “My baby should sleep on the stomach.”
B. “Soft blankets help prevent chilling.”
C. “I will place my baby on the back to sleep.”
D. “Co-sleeping reduces the risk.”
Answer: C. “I will place my baby on the back to sleep.”
Rationale:
Back sleeping is the safest sleep position and significantly reduces SIDS risk.
5. Piaget describes the toddler as being in which cognitive stage?
A. Sensorimotor
B. Formal operational
,C. Concrete operational
D. Preoperational
Answer: D. Preoperational
Rationale:
Toddlers transition into the preoperational stage, characterized by symbolic thought and
egocentrism.
6. A parent reports that a toddler says “no” frequently. The nurse should
explain this behavior is related to:
A. Initiative
B. Egocentrism
C. Autonomy development
D. Moral reasoning
Answer: C. Autonomy development
Rationale:
Toddlers seek independence and control during Erikson’s autonomy vs. shame and doubt stage.
7. Which toy is most appropriate for a hospitalized preschooler?
A. Crossword puzzles
B. Push-pull toys
C. Coloring books and crayons
D. Complex board games
Answer: C. Coloring books and crayons
Rationale:
Preschoolers benefit from imaginative and creative play activities.
8. A school-age child enjoys collecting objects and competing in sports.
According to Erikson, this reflects:
A. Identity vs. role confusion
B. Industry vs. inferiority
, C. Initiative vs. guilt
D. Intimacy vs. isolation
Answer: B. Industry vs. inferiority
Rationale:
School-age children focus on achievement, competence, and productivity.
9. Which behavior is expected during adolescence?
A. Fear of strangers
B. Parallel play
C. Strong peer influence
D. Lack of abstract thinking
Answer: C. Strong peer influence
Rationale:
Peer relationships become highly influential during adolescence.
10. The nurse recognizes that the leading cause of death among
adolescents is:
A. Cancer
B. Congenital disorders
C. Motor vehicle accidents
D. Respiratory infections
Answer: C. Motor vehicle accidents
Rationale:
Unintentional injuries, especially motor vehicle accidents, are a leading cause of adolescent
death.
11. A young adult successfully achieving Erikson’s developmental task
demonstrates:
A. Generativity
B. Intimacy
