NSG 548 Exam 2 V2 | NSG 548 FNP Role:
Children & Families | Actual Q&A with
Rationale (NSG548 Exam 2) | Wilkes
University
1. A 4-month-old infant is brought to the clinic for a routine wellness check. According to
developmental milestones, which motor skill should the nurse practitioner expect the infant
to demonstrate?
A. Sits independently without support
B. Rolls from front to back
C. Transfers objects from one hand to another
D. Uses a pincer grasp
Answer: B
Rationale: By 4 months of age, infants typically begin rolling from their stomach to their
back. This gross motor development is a significant milestone monitored during the second
wellness visit. Most infants will not sit independently until 6 months or develop a pincer
grasp until approximately 9 months.
2. Which vaccine is typically administered for the first time at the 12-month wellness visit
according to the CDC immunization schedule?
A. MMR
,B. DTaP
C. Rotavirus
D. Hepatitis B
Answer: A
Rationale: The Measles, Mumps, and Rubella (MMR) vaccine is first administered between
12 and 15 months of age. Live vaccines like MMR and Varicella are delayed until the first
birthday to ensure maternal antibodies do not interfere with the immune response.
Following the CDC schedule strictly is vital for community herd immunity.
3. According to Erikson’s stages of psychosocial development, a 4-year-old child is in which
stage?
A. Initiative vs. Guilt
B. Autonomy vs. Shame and Doubt
C. Trust vs. Mistrust
D. Industry vs. Inferiority
Answer: A
Rationale: Preschool-aged children, typically 3 to 5 years old, are in the stage of Initiative
vs. Guilt. During this period, children begin to assert power and control over their world
through directing play and other social interactions. If they are stifled or overly criticized,
they may develop a sense of guilt regarding their desires.
, 4. A 10-year-old child presents with a low-grade fever, ‘slapped-cheek’ appearance, and a
lacy, reticular rash on the extremities. What is the most likely diagnosis?
A. Roseola Infantum
B. Scarlet Fever
C. Erythema Infectiosum
D. Hand-Foot-and-Mouth Disease
Answer: C
Rationale: Erythema Infectiosum, also known as Fifth Disease, is caused by human
parvovirus B19. It classically presents with a bright red rash on the cheeks and a
subsequent lacy rash on the body. This condition is usually self-limiting but poses a risk to
pregnant women due to potential fetal complications.
5. In Bowen’s Family Systems Theory, the term ‘triangulation’ refers to:
A. A healthy three-person relationship
B. The birth of a third child in the family
C. The process of a two-person system drawing in a third person to relieve anxiety
D. The hierarchy of three generations living in one home
Answer: C
Rationale: Triangulation occurs when tension between two people leads them to involve a
third person to stabilize the emotional atmosphere. This often happens in families under
Children & Families | Actual Q&A with
Rationale (NSG548 Exam 2) | Wilkes
University
1. A 4-month-old infant is brought to the clinic for a routine wellness check. According to
developmental milestones, which motor skill should the nurse practitioner expect the infant
to demonstrate?
A. Sits independently without support
B. Rolls from front to back
C. Transfers objects from one hand to another
D. Uses a pincer grasp
Answer: B
Rationale: By 4 months of age, infants typically begin rolling from their stomach to their
back. This gross motor development is a significant milestone monitored during the second
wellness visit. Most infants will not sit independently until 6 months or develop a pincer
grasp until approximately 9 months.
2. Which vaccine is typically administered for the first time at the 12-month wellness visit
according to the CDC immunization schedule?
A. MMR
,B. DTaP
C. Rotavirus
D. Hepatitis B
Answer: A
Rationale: The Measles, Mumps, and Rubella (MMR) vaccine is first administered between
12 and 15 months of age. Live vaccines like MMR and Varicella are delayed until the first
birthday to ensure maternal antibodies do not interfere with the immune response.
Following the CDC schedule strictly is vital for community herd immunity.
3. According to Erikson’s stages of psychosocial development, a 4-year-old child is in which
stage?
A. Initiative vs. Guilt
B. Autonomy vs. Shame and Doubt
C. Trust vs. Mistrust
D. Industry vs. Inferiority
Answer: A
Rationale: Preschool-aged children, typically 3 to 5 years old, are in the stage of Initiative
vs. Guilt. During this period, children begin to assert power and control over their world
through directing play and other social interactions. If they are stifled or overly criticized,
they may develop a sense of guilt regarding their desires.
, 4. A 10-year-old child presents with a low-grade fever, ‘slapped-cheek’ appearance, and a
lacy, reticular rash on the extremities. What is the most likely diagnosis?
A. Roseola Infantum
B. Scarlet Fever
C. Erythema Infectiosum
D. Hand-Foot-and-Mouth Disease
Answer: C
Rationale: Erythema Infectiosum, also known as Fifth Disease, is caused by human
parvovirus B19. It classically presents with a bright red rash on the cheeks and a
subsequent lacy rash on the body. This condition is usually self-limiting but poses a risk to
pregnant women due to potential fetal complications.
5. In Bowen’s Family Systems Theory, the term ‘triangulation’ refers to:
A. A healthy three-person relationship
B. The birth of a third child in the family
C. The process of a two-person system drawing in a third person to relieve anxiety
D. The hierarchy of three generations living in one home
Answer: C
Rationale: Triangulation occurs when tension between two people leads them to involve a
third person to stabilize the emotional atmosphere. This often happens in families under
