P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NR 602 Midterm Exam
2026/2027 | Nursing
Assessment Questions &
Answers | Updated Midterm
Review (Rationales)
Verified Answers Exam Ready With Rationales 59 QUESTIONS
DOCUMENT OVERVIEW
This document provides 59 nursing assessment questions and answers, complete with
detailed explanations and rationales, and includes diagrams. It covers a broad spectrum of
pediatric and adult health topics. This resource is ideal for comprehensive study, exam
review, and certification preparation.
TOPICS
Pediatric Development & Endocrinology Q1–Q12
Pediatric Dermatology & Ophthalmology Q13–Q25
Pediatric Cardiology Q26–Q37
Pediatric Gastroenterology & Infectious Disease Q38–Q45
Pediatric Musculoskeletal & Genitourinary Q46–Q59
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 59
Infant development
RESPONSE
-1m: dolls eyes, nose breathing, hands closed, sees 20-25cm away, sleeps 16-17 hrs a day
-2m: post fontanel closes, decr head lag, coos,follows toy side to side, sleeps 8.5-10rs/night &
6-7 hrs day
-3m: all primitive reflexes fading, holds head, bears weight on legs, does not reach for rattle,
babbling, mirrors, recognizes familiar objects and faces, sleeps 15-16 hours per day.
Q2 QUESTION 2 OF 59
Infant development
RESPONSE
-4m: drooling, no morrow/tonic neck, sits if propped, plays with hands, pulls on things, shows
mood, laughs, focus on things 1/2in from face, regular sleep/wake pattern
- 5m: double birth wt, rolls back to belly, pull objects to mouth, follows dropped object, sleeps
10-11 hrs & 3 naps.
- 6m: growth slows (3-5oz/week, 1/2in/month), rolls back to belly, sits in chair with back,
recognize parent, definite likes/dislikes, 13-14 hours sleep, 2-3 naps.
- 7m: leans to tripod position, bounce when standing, bang objects, 4 vowels said, knows name,
stranger anxiety
Q3 QUESTION 3 OF 59
Infant Development
Page 2
, RESPONSE
-8m: regular b/b pattern, sits unsupported, pincer grasp, knows "no", more stranger anxiety,
sleeps 11-12hrs + 2-3 naps
- 9m: refined pincer grasp, steadily sits unsupported, pulls to stand, wants to please parents, 2
naps
-10m: mature pincer,walks holding on, grabs by the handle, "mama/dada", object permanence, 2
naps
-11m: lower lat incisors, pivots when standing, imitates sounds, rolls ball when asked
-12m: triples birth wt, length by 50%, walks holding 1 hand, 5-7 words, security object
Q4 QUESTION 4 OF 59
Tanner (pubic hair)
RESPONSE
1) no pubic hair
2) initial, scarce pigmented hair along medial border of labia
3) sparse, dark, visibly pigmented curly hair on labia
4) hair coarse and curly, abundant but less than adult
5) lateral spreading, triangle spread of adult hair to medial surface of thighs
RATIONALE
Tanner staging describes the physical development of secondary sexual characteristics. This
specific staging details the progression of female pubic hair growth, from absent to the adult
pattern, reflecting hormonal changes during puberty. Each stage represents a distinct observable
change in hair quantity, distribution, and texture.
Q5 QUESTION 5 OF 59
Tanner (Males)
RESPONSE
1) Prepubertal
2) enlargement of scrotum & testes & change in scrotum texture. May be reddened
3) further penile growth (length first) & testes & scrotum
4) significantly enlarged ion length & circumference penis. more development of glans penis.
darkening of scrotal skin (facial hair after this only)
5) adult genitals
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