NU 170 MATERNAL-CHILD NURSING • EXAM 1 • 2026–2027
Name: ____________________________________ Date: ____________________
1. A toddler who was previously toilet trained begins wetting after admission. Which interpretation
from the review best fits?
A. A specific diagnosis of kidney disease from wetting alone.
B. A normal milestone of adolescent identity formation.
C. Proof that the child never achieved bladder control.
D. Regression to an earlier pattern of functioning in response to hospitalization.
✓ Correct answer: D. Regression to an earlier pattern of functioning in response to hospitalization.
Rationale: The hospitalization notes define regression as returning to a previously used behavior and give
bedwetting after toilet training as an example.
2. A hospitalized toddler cries when a parent leaves and watches the doorway for the parent's return.
Which stage of separation anxiety is described?
A. Denial or detachment.
B. Formal operations.
C. Despair.
D. Protest.
✓ Correct answer: D. Protest.
Rationale: The notes describe crying and watching for parents in the protest stage.
3. A hospitalized child becomes withdrawn, moves about less, and no longer plays actively with toys
after separation from parents. Which stage of separation anxiety best fits?
A. Despair.
B. Denial or detachment.
C. Protest.
D. Cooperative play.
✓ Correct answer: A. Despair.
Rationale: The notes characterize despair by sadness, withdrawal, decreased movement, and reduced
play.
4. A toddler must undergo a procedure. Which communication strategy best matches the uploaded
hospitalization notes?
A. Provide a long abstract explanation and no parent involvement.
B. Speak only with the parents and exclude the child.
C. Give a simple explanation, one direction at a time, and offer a choice when possible.
D. Promise that no discomfort is possible even if that is untrue.
✓ Correct answer: C. Give a simple explanation, one direction at a time, and offer a choice when
possible.
Rationale: The notes recommend simple explanations, single directions, truthful preparation, parental
involvement, and limited choices for toddlers.
, 5. An adolescent is being prepared for a procedure. Which approach is most appropriate in the
source?
A. Assume peers and body image have no importance.
B. Use only a doll and omit any detailed explanation.
C. Exclude the adolescent from all discussion.
D. Provide privacy and involve the adolescent in explanations and the treatment plan.
✓ Correct answer: D. Provide privacy and involve the adolescent in explanations and the
treatment plan.
Rationale: The notes emphasize adolescent privacy, participation, detailed explanation, and attention to
peer and body-image concerns.
6. A child with limited English proficiency and family members at the bedside needs care instructions.
Which communication approach follows the notes?
A. Arrange a qualified language interpreter instead of relying on a family member.
B. Assume nonverbal gestures fully replace interpretation.
C. Require the child to translate for the parents.
D. Avoid explaining the care plan to the family.
✓ Correct answer: A. Arrange a qualified language interpreter instead of relying on a family
member.
Rationale: The hospitalization notes recommend an interpreter because meaning can be lost when family
members translate.
7. An infant's weight has doubled since birth at approximately six months. How does the growth
review classify this?
A. A sign of hydrocephalus by itself.
B. A finding limited to school-age children.
C. Evidence that weight should already be four times birth weight.
D. An expected first-year growth pattern.
✓ Correct answer: D. An expected first-year growth pattern.
Rationale: The Unit 1 review says birth weight typically doubles by six months and triples by one year.
8. A one-year-old's weight is approximately three times birth weight. Which conclusion is best
supported?
A. This matches the typical growth pattern described in the review.
B. It proves the child has reached adolescent maturity.
C. It is the expected newborn weight within four weeks.
D. It demonstrates a deficit in gross motor skills.
✓ Correct answer: A. This matches the typical growth pattern described in the review.
Rationale: The review describes tripling of birth weight by one year.
Name: ____________________________________ Date: ____________________
1. A toddler who was previously toilet trained begins wetting after admission. Which interpretation
from the review best fits?
A. A specific diagnosis of kidney disease from wetting alone.
B. A normal milestone of adolescent identity formation.
C. Proof that the child never achieved bladder control.
D. Regression to an earlier pattern of functioning in response to hospitalization.
✓ Correct answer: D. Regression to an earlier pattern of functioning in response to hospitalization.
Rationale: The hospitalization notes define regression as returning to a previously used behavior and give
bedwetting after toilet training as an example.
2. A hospitalized toddler cries when a parent leaves and watches the doorway for the parent's return.
Which stage of separation anxiety is described?
A. Denial or detachment.
B. Formal operations.
C. Despair.
D. Protest.
✓ Correct answer: D. Protest.
Rationale: The notes describe crying and watching for parents in the protest stage.
3. A hospitalized child becomes withdrawn, moves about less, and no longer plays actively with toys
after separation from parents. Which stage of separation anxiety best fits?
A. Despair.
B. Denial or detachment.
C. Protest.
D. Cooperative play.
✓ Correct answer: A. Despair.
Rationale: The notes characterize despair by sadness, withdrawal, decreased movement, and reduced
play.
4. A toddler must undergo a procedure. Which communication strategy best matches the uploaded
hospitalization notes?
A. Provide a long abstract explanation and no parent involvement.
B. Speak only with the parents and exclude the child.
C. Give a simple explanation, one direction at a time, and offer a choice when possible.
D. Promise that no discomfort is possible even if that is untrue.
✓ Correct answer: C. Give a simple explanation, one direction at a time, and offer a choice when
possible.
Rationale: The notes recommend simple explanations, single directions, truthful preparation, parental
involvement, and limited choices for toddlers.
, 5. An adolescent is being prepared for a procedure. Which approach is most appropriate in the
source?
A. Assume peers and body image have no importance.
B. Use only a doll and omit any detailed explanation.
C. Exclude the adolescent from all discussion.
D. Provide privacy and involve the adolescent in explanations and the treatment plan.
✓ Correct answer: D. Provide privacy and involve the adolescent in explanations and the
treatment plan.
Rationale: The notes emphasize adolescent privacy, participation, detailed explanation, and attention to
peer and body-image concerns.
6. A child with limited English proficiency and family members at the bedside needs care instructions.
Which communication approach follows the notes?
A. Arrange a qualified language interpreter instead of relying on a family member.
B. Assume nonverbal gestures fully replace interpretation.
C. Require the child to translate for the parents.
D. Avoid explaining the care plan to the family.
✓ Correct answer: A. Arrange a qualified language interpreter instead of relying on a family
member.
Rationale: The hospitalization notes recommend an interpreter because meaning can be lost when family
members translate.
7. An infant's weight has doubled since birth at approximately six months. How does the growth
review classify this?
A. A sign of hydrocephalus by itself.
B. A finding limited to school-age children.
C. Evidence that weight should already be four times birth weight.
D. An expected first-year growth pattern.
✓ Correct answer: D. An expected first-year growth pattern.
Rationale: The Unit 1 review says birth weight typically doubles by six months and triples by one year.
8. A one-year-old's weight is approximately three times birth weight. Which conclusion is best
supported?
A. This matches the typical growth pattern described in the review.
B. It proves the child has reached adolescent maturity.
C. It is the expected newborn weight within four weeks.
D. It demonstrates a deficit in gross motor skills.
✓ Correct answer: A. This matches the typical growth pattern described in the review.
Rationale: The review describes tripling of birth weight by one year.
