Growth and Development Exam
Study Guide – Practice
Questions with Verified
Answers With rationales.
GRADED A+. Latest 2026/2027
Update
Which of the following would be most helpful when assessing a child's bone
age?
a. Birth date
b. Body mass index
c. Blood test
d. X-rays
d.
Bone age is determined by taking x-rays of the child's hands and wrists for
comparison against an atlas of standard x-rays categorized by age. This test is
used to predict the remaining height growth prediction given a certain bone
age. Typically a child's bone age should match their chronological age. A
delayed bone age as compared to chronological age is consistent with an
increased height growth prediction, while an advanced bone age as compared
to chronological age is consistent with a decreased height growth prediction.
,When assessing a toddler's growth and development, the nurse understands
that a child in this age group displays behavior that fosters which
developmental task?
a. Initiative
b. Autonomy
c. Trust
d. Industry
b.
The toddler between 1-2 years of age is in Erikson's developmental stage of
Autonomy versus Shame and Doubt. The virtue begin developed is will. The
toddler exerts his or her autonomy with statements like "Me do", "No" and
"Mine". The toddler requires opportunities to accomplish independent tasks
and respond to simple instructions, while supervised.
When performing a physical assessment of a 10-year-old girl, the nurse keeps
in mind that the first sign of sexual maturity is:
a. Breast bud development
b. Pubic hair
c. Axillary hair
d. Menarche
a.
The first sign of puberty in females is breast budding (average age=10 years),
followed by axillary and pubic hair development (average age=11 years), height
spurt (average age=12 years), and finally menarche (average age=13-14 years).
A parent calls the clinic to express concern over her child's eating habits. She
says the child eats very little and consumes only a single type of food for weeks
on end. The nurse knows this behavior is characteristic of :
a. Toddlers
b. Preschool-age children
c. School-age children
d. Adolescents
b.
Pre-school children are known for their relatively small appetites and food jag
eating behaviors. Also, preschoolers have a relatively slow rate of growth and ,
, therefore, require fewer calories for growth. Food jags generally disappear
after this developmental phase. Generally, it is recommended that parents and
caregivers avoid battles over food, particularly among toddlers and
preschoolers.
When developing a plan of care for an adolescent, the nurse considers the
child's psychosocial needs. During adolescence, psychosocial development
depends on:
a. Becoming industrious
b. Establishing an identity
c. Achieving intimacy
d. Developing initiative
b.
The adolescent is in Erikson's developmental stage of Identity versus Role
Confusion. If the adolescent successfully masters this phase, she will develop a
sense of identity with regard to personal identity, beliefs and/or values, sexual
identity, and goals for a future job or vocation.
Sam is a 2-month old who weighed 8 pounds at birth. Based on your
knowledge of pediatric growth and development you know that his weight at 1
year should be at least:
a. 16 pounds
b. 20 pounds
c. 24 pounds
d. 32 pounds
c.
Infants should minimally double their birth weight at 5-6 months and triple it
by 1 year. After 1 year of age, weight gain is attributable to the environment,
genetics and whether or not the child has a chronic condition.
Which developmental milestone would you expect to see the 9-month-old
developing:
a. Pincer grasp
b. Walking
c. Speaking with intelligible words
d. Sitting up without support
Study Guide – Practice
Questions with Verified
Answers With rationales.
GRADED A+. Latest 2026/2027
Update
Which of the following would be most helpful when assessing a child's bone
age?
a. Birth date
b. Body mass index
c. Blood test
d. X-rays
d.
Bone age is determined by taking x-rays of the child's hands and wrists for
comparison against an atlas of standard x-rays categorized by age. This test is
used to predict the remaining height growth prediction given a certain bone
age. Typically a child's bone age should match their chronological age. A
delayed bone age as compared to chronological age is consistent with an
increased height growth prediction, while an advanced bone age as compared
to chronological age is consistent with a decreased height growth prediction.
,When assessing a toddler's growth and development, the nurse understands
that a child in this age group displays behavior that fosters which
developmental task?
a. Initiative
b. Autonomy
c. Trust
d. Industry
b.
The toddler between 1-2 years of age is in Erikson's developmental stage of
Autonomy versus Shame and Doubt. The virtue begin developed is will. The
toddler exerts his or her autonomy with statements like "Me do", "No" and
"Mine". The toddler requires opportunities to accomplish independent tasks
and respond to simple instructions, while supervised.
When performing a physical assessment of a 10-year-old girl, the nurse keeps
in mind that the first sign of sexual maturity is:
a. Breast bud development
b. Pubic hair
c. Axillary hair
d. Menarche
a.
The first sign of puberty in females is breast budding (average age=10 years),
followed by axillary and pubic hair development (average age=11 years), height
spurt (average age=12 years), and finally menarche (average age=13-14 years).
A parent calls the clinic to express concern over her child's eating habits. She
says the child eats very little and consumes only a single type of food for weeks
on end. The nurse knows this behavior is characteristic of :
a. Toddlers
b. Preschool-age children
c. School-age children
d. Adolescents
b.
Pre-school children are known for their relatively small appetites and food jag
eating behaviors. Also, preschoolers have a relatively slow rate of growth and ,
, therefore, require fewer calories for growth. Food jags generally disappear
after this developmental phase. Generally, it is recommended that parents and
caregivers avoid battles over food, particularly among toddlers and
preschoolers.
When developing a plan of care for an adolescent, the nurse considers the
child's psychosocial needs. During adolescence, psychosocial development
depends on:
a. Becoming industrious
b. Establishing an identity
c. Achieving intimacy
d. Developing initiative
b.
The adolescent is in Erikson's developmental stage of Identity versus Role
Confusion. If the adolescent successfully masters this phase, she will develop a
sense of identity with regard to personal identity, beliefs and/or values, sexual
identity, and goals for a future job or vocation.
Sam is a 2-month old who weighed 8 pounds at birth. Based on your
knowledge of pediatric growth and development you know that his weight at 1
year should be at least:
a. 16 pounds
b. 20 pounds
c. 24 pounds
d. 32 pounds
c.
Infants should minimally double their birth weight at 5-6 months and triple it
by 1 year. After 1 year of age, weight gain is attributable to the environment,
genetics and whether or not the child has a chronic condition.
Which developmental milestone would you expect to see the 9-month-old
developing:
a. Pincer grasp
b. Walking
c. Speaking with intelligible words
d. Sitting up without support
