The nurse is aware that the age at which the 6.
6. A clinic nurse assesses the communication
posterior fontanelle closes is _____ months. a. 2 to
3 b. 3 to 6 c. 6 to 9 d. 9 to 12
Which stage of development is most unstable and
challenging regarding development of personal
identity? A) Adolescence B) Toddler hood C)
Childhood D) Infancy
. A maternity nurse is providing instruction to a new
mother regarding the psychosocial development of
the newborn infant. Using Erikson's psychosocial
development theory, the nurse would instruct the
mother to A) Allow the newborn infant to signal a
need B) Anticipate all of the needs of the newborn
infant C) Avoid the newborn infant during the first
10 minutes of crying D) Attend to the newborn
infant immediately when crying
A mother of a 3-year-old tells a clinic nurse that the
child is rebelling constantly and having temper
tantrums. The nurse most appropriately tells the
mother to: A) Punish the child every time the child
says "no", to change the behavior B) Allow the
behavior because this is normal at this age period
C) Set limits on the child's behavior D) Ignore the
child when this behavior occurs
5. A nurse is evaluating the developmental level of
a 2-year-old. Which of the following does the nurse
expect to observe in this child? A) Uses a fork to eat
B) Uses a cup to drink C) Uses a knife for cutting
food D) Pours own milk into a cup
A) When the toddler weighs 20 lbs B) The seat
patterns of a 5-month-old infant. The nurse
determines that the infant is demonstrating the
highest level of developmental achievement
expected if the infant: A) Uses simple words such as
"mama" B) Uses monosyllabic babbling C) Links
syllables together D) Coos when comforted
A nurse is preparing to care for a 5-year-old who
has been placed in traction following a fracture of
the femur. The nurse plans care, knowing that
which of the following is the most appropriate
activity for this child? A) Large picture books B) A
radio C) Crayons and coloring book D) A sports
video.
8. A 16-year-old is admitted to the hospital for
acute appendicitis, and an appendectomy is
performed. Which of the following nursing
interventions is most appropriate to facilitate
normal growth and development? A) Allow the
family to bring in the child's favorite computer
games B) Encourage the parents to room-in with
the child C) Encourage the child to rest and read D)
Allow the child to participate in activities with other
individuals in the same age group when the
condition permits.
9. The mother of a toddler asks a nurse when it is
safe to place the car safety seat in a face-forward
position. The best nursing response is which of the
following?
should not be placed in a face-forward position
unless there are safety locks in the car C) The seat
should never be place in a face-forward position
because the risk of the child unbuckling the harness
D) When the weight of the toddler is greater than
40 lbs
A mother calls the pediatrician's office because her
infant is "colicky." The helpful measure the nurse
would suggest to the parent is to: a. sing songs to
the infant in a soft voice. b. place the infant in a
well-lit room. c. walk around and massage the
infant's back. d. rock the fussy infant slowly and
gently.
11. The nurse teaches parents how to help their
children learn impulse control and cooperative
behaviors. This would occur during which of the
stages of development defined by Erikson? A.Trust
versus mistrust B.Initiative versus guilt C.Industry
versus inferiority D.Autonomy vs. Shame and doubt
. 12. The nurse knows that an infant's birth weight
should be tripled by: a. 9 months. b. 1 year. c. 18
months. d. 2 years. ANS: B The infant usually triples
his or her birth weight by about 12 months of age.
13. The nurse is aware that the earliest age at
which an infant is able to sit steadily alone is _____
months. a. 4 b. 5 c. 8 d. 15
14. The nurse is aware that the earliest age at
which the infant should be able to walk
independently is _____ months. a. 8 to 10 b. 12 to
15 c. 15 to 18 d. 18 to 21
. 15. The parent of a 3-month-old infant asks the
nurse, "At what age do infants usually begin
drinking from a cup?" The nurse would reply: a. 5
months. b. 9 months. c. 1 year. d. 2 years.
16. The nurse would expect a 4-month-old to be
able to: a. hold a cup. b. stand with assistance. c. lift
head and shoulders. d. sit with back straight.
. 17. The abnormal finding in an evaluation of
growth and development for a 6-month-old infant
would be: a. weight gain of 4 to 7 ounces per week.
b. length increase of 1 inch in 2 months. c. head lag
present. d. can sit alone for a few seconds.
18. A parent brings a 6-month-old infant to the
pediatric clinic for her well-baby examination. Her
birth weight was 8 pounds, 2 ounces. The nurse
weighing the infant today would expect her weight
to be at least _____ pounds. a. 12 b. 16 c. 20 d. 24
ANS: B Birth weight is usually doubled by 6 months
of age. 19. The nurse would advise a parent when
introducing solid foods to: a. begin with one
tablespoon of food. b. mix foods together. c.
eliminate a refused food from the diet. d. introduce
each new food 4 to 7 days apart.
20. When assessing development in a 9-month-old
infant, the nurse would expect to observe the
infant: a. speaking in 2-word sentences. b. grasping
objects with palmar grasp. c. creeping along the
floor. d. beginning to use a spoon rather sloppily.
21. The statement made by a parent that indicates
correct understanding of infant feeding is: a. "I've
been mixing rice cereal and formula in the baby's
bottle." b. "I switched the baby to low-fat milk at 9
months." c. "The baby really likes little pieces of
chocolate." d. "I give the baby any new foods
before he takes his bottle."
. 22. The nurse would advise a mother who is
concerned because her 10-month-old is lethargic
to__________. Go to the Emergency Department
23. The nurse discusses child-proofing the home for
safety with the mother of a 9-month-old. The
statement made by the mother that indicates an
unsafe behavior is: a. "I put covers on all of the
electrical outlets." b. "In the car, she rides in a
front-facing car seat." c. "There are locks on all of
the cabinets in the house." d. "I have a gate at the
top and bottom of the stairs."
24. The nurse observes a 10-month-old infant using
her index finger and thumb to pick up pieces of
cereal. This behavior is evidence that the infant has
developed: a. the pincer grasp. b. a grasp reflex. c.
prehension ability. d. the parachute reflex.
25. The most appropriate activity to recommend to
parents to promote sensorimotor stimulation for a
1-year-old would be to: a. ride a tricycle. b. spend
time in an infant swing. c. play with push-pull toys.
d. read large picture books.