LEIFERS INTRODUCTION TO MATERNITY AND
PEDIATRIC NURSING 2026 STUDY GUIDE
REVISION SHEET CORE CONCEPT
BREAKDOWN
◉ 18 Months.
Answer: Motor: Runs stiffly; sits on small chair; walks upstairs with
one hand held; explores drawers and wastebaskets
Adaptive: Makes tower of four cubes; imitates vertical stroke;
imitates scribbling; dumps pellet from bottle
Language: Says 10 words (average); names pictures; identifies one
or more parts of body
Social: Feeds self; seeks help when in trouble; may complain when
wet or soiled; kisses caregivers with pucker
◉ 15 Months.
Answer: Motor: Walks alone; crawls up stairs
Adaptive: Makes tower of three cubes; makes a line with crayons;
inserts pellet in bottle
Language: Says jargon; follows simple commands; may name a
familiar object (ball)
Social: Indicates some desires or needs by pointing; hugs caregivers
, ◉ 2 Years.
Answer: Motor: Runs well; walks up and down stairs, one step at a
time; opens doors; climbs on furniture; jumps
Adaptive: Makes tower of seven cubes (six at 21 months); circular
scribbling; imitates horizontal stroke; folds paper once imitatively
Language: Puts three words together (subject, verb, object)
Social: Handles spoon well; often tells immediate experiences; helps
to undress; listens to stories with pictures; plays in parallel with
other children
◉ 2½ Years.
Answer: Motor: Goes up stairs alternating feet
Adaptive: Makes tower of nine cubes; makes vertical and horizontal
strokes but generally will not join them to make a cross; imitates
circular stroke, forming a closed figure
Language: Refers to self by pronoun "I"; knows full name
Social: Helps put things away; pretends in play
◉ 4 Years.
Answer: Motor: Hops on one foot; throws ball overhand; uses
scissors to cut out pictures; climbs well
Adaptive: Copies bridge from model; imitates construction of "gate"
of five cubes; copies cross and square; draws a man with two to four
parts besides head; identifies longer of two lines
PEDIATRIC NURSING 2026 STUDY GUIDE
REVISION SHEET CORE CONCEPT
BREAKDOWN
◉ 18 Months.
Answer: Motor: Runs stiffly; sits on small chair; walks upstairs with
one hand held; explores drawers and wastebaskets
Adaptive: Makes tower of four cubes; imitates vertical stroke;
imitates scribbling; dumps pellet from bottle
Language: Says 10 words (average); names pictures; identifies one
or more parts of body
Social: Feeds self; seeks help when in trouble; may complain when
wet or soiled; kisses caregivers with pucker
◉ 15 Months.
Answer: Motor: Walks alone; crawls up stairs
Adaptive: Makes tower of three cubes; makes a line with crayons;
inserts pellet in bottle
Language: Says jargon; follows simple commands; may name a
familiar object (ball)
Social: Indicates some desires or needs by pointing; hugs caregivers
, ◉ 2 Years.
Answer: Motor: Runs well; walks up and down stairs, one step at a
time; opens doors; climbs on furniture; jumps
Adaptive: Makes tower of seven cubes (six at 21 months); circular
scribbling; imitates horizontal stroke; folds paper once imitatively
Language: Puts three words together (subject, verb, object)
Social: Handles spoon well; often tells immediate experiences; helps
to undress; listens to stories with pictures; plays in parallel with
other children
◉ 2½ Years.
Answer: Motor: Goes up stairs alternating feet
Adaptive: Makes tower of nine cubes; makes vertical and horizontal
strokes but generally will not join them to make a cross; imitates
circular stroke, forming a closed figure
Language: Refers to self by pronoun "I"; knows full name
Social: Helps put things away; pretends in play
◉ 4 Years.
Answer: Motor: Hops on one foot; throws ball overhand; uses
scissors to cut out pictures; climbs well
Adaptive: Copies bridge from model; imitates construction of "gate"
of five cubes; copies cross and square; draws a man with two to four
parts besides head; identifies longer of two lines
