Growth and Development 2021/2022 Proctored exam review
Elaborated Distinctively
1. The nurse in a pediatric clinic is performing well-baby checks. The nurse is checking an infant who
is 7 months old for developmental milestones. Which finding is of greatest concern to the nurse?
1. The infant remains flat when in a supine position.
2. The infant exhibits a Babinski reflex.
3. The infant opens and closes her hands to grasp objects.
4. The infant exhibits a lack of startle reflex to sound.
____ 2. The nurse in a pediatric clinic is checking the developmental milestones for a 3-year-old patient.
Which finding causes the nurse to perform additional assessments?
1. The patient’s tee-shirt is on backward.
2. The patient loses balance when kicking a ball.
3. The patient draws a circle that is closed but oblong.
4. The patient jumps with both feet about 2 inches high.
____ 3. A mother of a 9-month-old infant asks the nurse about what toys are age appropriate.
Using Piaget’s theory of development, which toy does the nurse recommend?
1. Building blocks
2. Colorful mobiles
3. Picture books
4. Musical rattles
____ 4. During a well-baby checkup, the mother of an infant states, “Even if he is occupied with
a toy, he cries as soon as he notices I have left the room.” Which explanation by the nurse is
best?
1. “Your baby does not know you exist if he cannot see you.”
2. “Babies learn very quickly how to get an adult’s attention.”
3. “You should move the baby with you if you leave the room.”
4. “Just ignore him; he will soon learn that you are still present.”
____ 5. The nurse is visiting the home of a new mother and a 2-month-old infant. The nurse
notices the infant vigorously sucking on the fist and whining but not crying. The mother validates
that the behavior is common. Which information does the nurse need to obtain from the
mother?
1. If the mother is breast or bottle feeding
2. How long the infant sleeps at night
3. What type of feeding schedule is followed
4. If the infant draws up the legs when crying
,____ 6. The nurse works in an elementary school with students ranging from 6 to 11 years of
age. The nurse uses knowledge related to Freud’s psychosocial theory to identify which behavior
in this pediatric population?
1. Oedipal or Electra conflicts
2. Energy focused on socialization
3. Curiosity about anatomical differences
4. Mild struggles with sexuality
____ 7. The nurse in a pediatric clinic is counseling a parent who expresses concern about a
toddler who plays alone at daycare and does not interact with the other children who are
present. Which information does the nurse provide to alleviate the parent’s concern?
1. Parallel play is being exhibited and is normal at this age.
2. The toddler is likely to grow into a shy, introverted adult.
3. It is important for the child to learn to be alone at this age.
4. The toddler is exhibiting the normal behavior of solitary play.
____ 8. The school nurse in a high school setting expresses concern to school administration
regarding the increase in student complaints about bullying, physical violence, and rejection.
Which concern related to psychosocial development does the nurse share as being most
important?
1. Students are preoccupied with how they are seen in the eyes of others.
2. Students who are bullied will develop issues related to sexual orientation.
3. Students may be unable to provide a meaningful definition of self.
4. Students who are aggressive will develop a strong sense of guilt as adults.
____ 9. The nurse is counseling parents about management of their children who are 2, 4, and 6
years of age. One of the parents states, “We believe in Kohlberg’s theory of social-moral
development.” The nurse is aware that the preconventional stage of this theory involves which
characteristic?
1. Behavior is adjusted according to good/bad and right/wrong thinking.
2. A personal and functional value system is constructed by the child.
3. The focus of the child is on following rules and maintaining social order.
4. Value systems are independent of authority figures and peers.
____ 10. The nurse is teaching a parenting class being held in a community clinic. The nurse is
focusing on behaviors that will assist in increasing the number of children who score well in
kindergarten readiness screening. Which comment by a parent indicates the need for additional
information?
1. “I am not athletic, but the kids would love an outdoor play area.”
2. “Practicing counting with the kids while traveling is a good idea.”
3. “I like the suggestion to label basic items for word recognition.”
4. “In our family we watch TV; books are a waste of money.”
, ____ 11. The nurse in a pediatric clinic is performing an assessment on an infant in the presence
of both parents. The parents are short and moderately overweight. The father states, “We are
going to do everything we can to raise a strong, tall, athletic child.” How does the nurse respond?
1. Provides materials about healthy diets and lifestyles for families
2. Shares the impact of genetics on environmental conditions
3. Suggests to the parents how to alter their lifestyles
4. Recognizes the parents for having positive attitudes and goals
____ 12. The pediatric home-care nurse is visiting a toddler born with a genetically related illness.
Which comment by the parent is the greatest cause for the nurse to assess for additional
information?
1. “I am having more difficulty keeping her confined.”
2. “A chronically ill child affects the entire family.”
3. “The other children seem so accepting of the illness.”
4. “Hospitalization would cause some severe stress.”
____ 13. The nurse is performing a development assessment on a 3-month-old infant who was 6
weeks premature. The nurse states the infant’s development is normal. The parent expresses
that the baby seems behind what other babies the same age are doing. Which information does
the nurse share to provide reassurance to the parent?
1. The infant will catch up developmentally by age 1 year.
2. Developmental milestones vary from infant to infant.
3. The infant’s age is adjusted because of prematurity.
4. Each infant is an individual with unique development.
____ 14. The pediatric nurse is providing care for a 14-year-old female patient. After the patient’s
parents leave the hospital, the patient begins to cry. The nurse explores the patient’s feelings
using therapeutic communication. Which information causes the nurse to report suspected
sexual abuse?
1. The patient is frequently denied access to needed health care.
2. The patient reports frequent episodes of genital irritation.
3. The patient admits to multiple incidences of skipping school.
4. The patient states that an older brother frequently “hurts” her.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 15. Erickson’s psychosocial development theory proposes that the school-aged child
between ages 6 and 12 years is in the stage of industry vs. inferiority. Based on this theory, how
will the pediatric nurse design activities as part of a diversional program for children who are in a
long-term medical facility? Select all that apply.
1. Identify adequate activities suited for solitary play.
Elaborated Distinctively
1. The nurse in a pediatric clinic is performing well-baby checks. The nurse is checking an infant who
is 7 months old for developmental milestones. Which finding is of greatest concern to the nurse?
1. The infant remains flat when in a supine position.
2. The infant exhibits a Babinski reflex.
3. The infant opens and closes her hands to grasp objects.
4. The infant exhibits a lack of startle reflex to sound.
____ 2. The nurse in a pediatric clinic is checking the developmental milestones for a 3-year-old patient.
Which finding causes the nurse to perform additional assessments?
1. The patient’s tee-shirt is on backward.
2. The patient loses balance when kicking a ball.
3. The patient draws a circle that is closed but oblong.
4. The patient jumps with both feet about 2 inches high.
____ 3. A mother of a 9-month-old infant asks the nurse about what toys are age appropriate.
Using Piaget’s theory of development, which toy does the nurse recommend?
1. Building blocks
2. Colorful mobiles
3. Picture books
4. Musical rattles
____ 4. During a well-baby checkup, the mother of an infant states, “Even if he is occupied with
a toy, he cries as soon as he notices I have left the room.” Which explanation by the nurse is
best?
1. “Your baby does not know you exist if he cannot see you.”
2. “Babies learn very quickly how to get an adult’s attention.”
3. “You should move the baby with you if you leave the room.”
4. “Just ignore him; he will soon learn that you are still present.”
____ 5. The nurse is visiting the home of a new mother and a 2-month-old infant. The nurse
notices the infant vigorously sucking on the fist and whining but not crying. The mother validates
that the behavior is common. Which information does the nurse need to obtain from the
mother?
1. If the mother is breast or bottle feeding
2. How long the infant sleeps at night
3. What type of feeding schedule is followed
4. If the infant draws up the legs when crying
,____ 6. The nurse works in an elementary school with students ranging from 6 to 11 years of
age. The nurse uses knowledge related to Freud’s psychosocial theory to identify which behavior
in this pediatric population?
1. Oedipal or Electra conflicts
2. Energy focused on socialization
3. Curiosity about anatomical differences
4. Mild struggles with sexuality
____ 7. The nurse in a pediatric clinic is counseling a parent who expresses concern about a
toddler who plays alone at daycare and does not interact with the other children who are
present. Which information does the nurse provide to alleviate the parent’s concern?
1. Parallel play is being exhibited and is normal at this age.
2. The toddler is likely to grow into a shy, introverted adult.
3. It is important for the child to learn to be alone at this age.
4. The toddler is exhibiting the normal behavior of solitary play.
____ 8. The school nurse in a high school setting expresses concern to school administration
regarding the increase in student complaints about bullying, physical violence, and rejection.
Which concern related to psychosocial development does the nurse share as being most
important?
1. Students are preoccupied with how they are seen in the eyes of others.
2. Students who are bullied will develop issues related to sexual orientation.
3. Students may be unable to provide a meaningful definition of self.
4. Students who are aggressive will develop a strong sense of guilt as adults.
____ 9. The nurse is counseling parents about management of their children who are 2, 4, and 6
years of age. One of the parents states, “We believe in Kohlberg’s theory of social-moral
development.” The nurse is aware that the preconventional stage of this theory involves which
characteristic?
1. Behavior is adjusted according to good/bad and right/wrong thinking.
2. A personal and functional value system is constructed by the child.
3. The focus of the child is on following rules and maintaining social order.
4. Value systems are independent of authority figures and peers.
____ 10. The nurse is teaching a parenting class being held in a community clinic. The nurse is
focusing on behaviors that will assist in increasing the number of children who score well in
kindergarten readiness screening. Which comment by a parent indicates the need for additional
information?
1. “I am not athletic, but the kids would love an outdoor play area.”
2. “Practicing counting with the kids while traveling is a good idea.”
3. “I like the suggestion to label basic items for word recognition.”
4. “In our family we watch TV; books are a waste of money.”
, ____ 11. The nurse in a pediatric clinic is performing an assessment on an infant in the presence
of both parents. The parents are short and moderately overweight. The father states, “We are
going to do everything we can to raise a strong, tall, athletic child.” How does the nurse respond?
1. Provides materials about healthy diets and lifestyles for families
2. Shares the impact of genetics on environmental conditions
3. Suggests to the parents how to alter their lifestyles
4. Recognizes the parents for having positive attitudes and goals
____ 12. The pediatric home-care nurse is visiting a toddler born with a genetically related illness.
Which comment by the parent is the greatest cause for the nurse to assess for additional
information?
1. “I am having more difficulty keeping her confined.”
2. “A chronically ill child affects the entire family.”
3. “The other children seem so accepting of the illness.”
4. “Hospitalization would cause some severe stress.”
____ 13. The nurse is performing a development assessment on a 3-month-old infant who was 6
weeks premature. The nurse states the infant’s development is normal. The parent expresses
that the baby seems behind what other babies the same age are doing. Which information does
the nurse share to provide reassurance to the parent?
1. The infant will catch up developmentally by age 1 year.
2. Developmental milestones vary from infant to infant.
3. The infant’s age is adjusted because of prematurity.
4. Each infant is an individual with unique development.
____ 14. The pediatric nurse is providing care for a 14-year-old female patient. After the patient’s
parents leave the hospital, the patient begins to cry. The nurse explores the patient’s feelings
using therapeutic communication. Which information causes the nurse to report suspected
sexual abuse?
1. The patient is frequently denied access to needed health care.
2. The patient reports frequent episodes of genital irritation.
3. The patient admits to multiple incidences of skipping school.
4. The patient states that an older brother frequently “hurts” her.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 15. Erickson’s psychosocial development theory proposes that the school-aged child
between ages 6 and 12 years is in the stage of industry vs. inferiority. Based on this theory, how
will the pediatric nurse design activities as part of a diversional program for children who are in a
long-term medical facility? Select all that apply.
1. Identify adequate activities suited for solitary play.
