NURS 629 Exam 1 V1 | NURS 629 Peds |
Actual Q&A with Rationale (NURS629
Exam 1) | Maryville University
1. A mother brings her 6-month-old infant to the clinic for a well-child visit. When assessing
the infant’s growth, which finding would the nurse practitioner consider expected based on
birth weight?
A. The infant’s weight has doubled.
B. The infant’s weight has tripled.
C. The infant’s weight has increased by 10 pounds.
D. The infant’s weight is equal to the 95th percentile.
Correct Answer: A
By 6 months of age, most healthy infants should have doubled their birth weight. Triple
the birth weight is typically expected by the one-year mark. Monitoring weight velocity is a
critical part of pediatric health promotion to ensure adequate nutrition and rule out failure
to thrive.
2. A 2-year-old child is scheduled for a well-child exam. Which of the following developmental
milestones should the practitioner expect this child to have achieved?
A. Draws a person with three parts.
B. Rides a tricycle independently.
,C. Goes up and down stairs one step at a time.
D. Skips and hops on one foot.
Correct Answer: C
At 24 months, a toddler is expected to walk up and down stairs one step at a time and kick
a ball. Drawing a person with three parts and riding a tricycle are milestones usually
associated with a 3-year-old. Hops and skips are 4-year-old motor skills.
3. A nurse practitioner is screening an 18-month-old for Autism Spectrum Disorder (ASD).
According to the M-CHAT-R/F guidelines, which of the following are considered ‘red flags’ for
social-communication delay? (Select All That Apply)
A. No babbling or gesturing by 12 months.
B. No single words by 16 months.
C. No spontaneous two-word phrases by 24 months.
D. Any loss of language or social skills at any age.
E. Using ‘no’ frequently when asked a question.
F. Lack of eye contact or response to name.
Correct Answer: A, B, C, D, F
Early detection of ASD is critical for providing interventions that improve long-term
outcomes. The M-CHAT-R/F screens for these specific red flags which include delays in
, babbling, gesturing, and word formation. Any regression in milestones is a significant
indicator for immediate diagnostic referral.
4. Which of the following describes the correct order of pubertal development in a female
according to Tanner Staging?
A. Thelarche, Pubarche, Menarche.
B. Menarche, Pubarche, Thelarche.
C. Pubarche, Thelarche, Menarche.
D. Thelarche, Menarche, Pubarche.
Correct Answer: A
Female pubertal development typically begins with thelarche (breast budding), followed
by pubarche (pubic hair growth), and finally menarche (first menstruation). This sequence
usually begins between ages 8 and 13. Deviations from this sequence may warrant further
endocrine investigation.
5. During a newborn assessment, the nurse practitioner notes a startle response where the
infant extends their arms and then pulls them back in. This reflex is known as:
A. Rooting reflex.
B. Babinski reflex.
C. Tonic neck reflex.
D. Moro reflex.
Actual Q&A with Rationale (NURS629
Exam 1) | Maryville University
1. A mother brings her 6-month-old infant to the clinic for a well-child visit. When assessing
the infant’s growth, which finding would the nurse practitioner consider expected based on
birth weight?
A. The infant’s weight has doubled.
B. The infant’s weight has tripled.
C. The infant’s weight has increased by 10 pounds.
D. The infant’s weight is equal to the 95th percentile.
Correct Answer: A
By 6 months of age, most healthy infants should have doubled their birth weight. Triple
the birth weight is typically expected by the one-year mark. Monitoring weight velocity is a
critical part of pediatric health promotion to ensure adequate nutrition and rule out failure
to thrive.
2. A 2-year-old child is scheduled for a well-child exam. Which of the following developmental
milestones should the practitioner expect this child to have achieved?
A. Draws a person with three parts.
B. Rides a tricycle independently.
,C. Goes up and down stairs one step at a time.
D. Skips and hops on one foot.
Correct Answer: C
At 24 months, a toddler is expected to walk up and down stairs one step at a time and kick
a ball. Drawing a person with three parts and riding a tricycle are milestones usually
associated with a 3-year-old. Hops and skips are 4-year-old motor skills.
3. A nurse practitioner is screening an 18-month-old for Autism Spectrum Disorder (ASD).
According to the M-CHAT-R/F guidelines, which of the following are considered ‘red flags’ for
social-communication delay? (Select All That Apply)
A. No babbling or gesturing by 12 months.
B. No single words by 16 months.
C. No spontaneous two-word phrases by 24 months.
D. Any loss of language or social skills at any age.
E. Using ‘no’ frequently when asked a question.
F. Lack of eye contact or response to name.
Correct Answer: A, B, C, D, F
Early detection of ASD is critical for providing interventions that improve long-term
outcomes. The M-CHAT-R/F screens for these specific red flags which include delays in
, babbling, gesturing, and word formation. Any regression in milestones is a significant
indicator for immediate diagnostic referral.
4. Which of the following describes the correct order of pubertal development in a female
according to Tanner Staging?
A. Thelarche, Pubarche, Menarche.
B. Menarche, Pubarche, Thelarche.
C. Pubarche, Thelarche, Menarche.
D. Thelarche, Menarche, Pubarche.
Correct Answer: A
Female pubertal development typically begins with thelarche (breast budding), followed
by pubarche (pubic hair growth), and finally menarche (first menstruation). This sequence
usually begins between ages 8 and 13. Deviations from this sequence may warrant further
endocrine investigation.
5. During a newborn assessment, the nurse practitioner notes a startle response where the
infant extends their arms and then pulls them back in. This reflex is known as:
A. Rooting reflex.
B. Babinski reflex.
C. Tonic neck reflex.
D. Moro reflex.
