DAVIS PEDIATRIC SUCCESS CHAPTER
#3 GROWTH AND DEVELOPMENT EXAM
QUESTIONS WITH COMPLETE
ANSWERS
Which statement accurately describes the best method for assessing a 12-month-old?
1. The nurse should assess the child on the examining table.
2. The nurse should assess the child in a head-to-toe sequence.
3. The nurse should have the child ' s parent assist in holding her down.
4. The nurse should assess the child while she is in her parent ' s lap. - ANSWER -4
Infants are most secure when in
proximity to the parent. The parent ' s lap
is an excellent place to assess the child.
TEST-TAKING HINT: Health-care professionals
must use developmentally appropriate
methods to approach children. The test
taker must have knowledge of a child ' s
psychosocial development. Answers 1 and 2
can be eliminated because these methods of
assessment would be used on an older child.
The nurse is instructing a new breastfeeding mother in the need to provide her
premature infant with an adequate source of iron in her diet. Which statement
refl ects a need for further education of the new mother?
1. "I will use only breast milk or an iron-fortifi ed formula as a source of milk for my
baby until she is at least 12 months old."
2. "My baby will need to have iron supplements introduced when she is 4 months
old."
3. "I will need to add iron supplements to my baby ' s diet when she is 2 months
old."
4. "When my baby begins to eat solid foods, I should introduce iron-fortifi ed
cereals to her diet." - ANSWER -3
Premature infants have iron stores from
the mother that last approximately 2
months, so it is important to introduce
an iron supplement by 2 months of age.
Full-term infants have iron stores that
last approximately 4 to 6 months.
,TEST-TAKING HINT: The test taker must have
knowledge of the recommended nutrition
for an infant.
A fi rst-time mother brings in her 5-day-old baby for a well-child visit. The nurse
weighs the infant and reports a weight of 7 lb 5 oz to the mother. The mother
looks concerned and tells the nurse that her baby weighed 7 lb 10 oz when she was
discharged 4 days ago. The nurse ' s best response to the mother is:
1. "I will let the doctor know, and he will talk with you about possible causes of
your infant ' s weight loss."
2. "A weight loss of a few ounces is common among newborns, especially for
breastfeeding mothers."
3. "I can tell you are a fi rst-time mother. Don ' t worry; we will fi nd out why she is
losing weight."
4. "Maybe she isn ' t getting enough milk. How often are you breastfeeding her?" -
ANSWER -2
Newborns can lose up to 10% of their
birth weight without concern but should
regain their birth weight by 2 weeks of
age.
TEST-TAKING HINT: The test taker can
eliminate answer 3. This is a nontherapeutic
response. Remembering that newborns can
lose up to 10% of their birth weight will
help you choose the right response.
Which toy is the best choice for a 12-month-old?
1. Baby doll.
2. Musical rattle.
3. Board book.
4. Colorful beads. - ANSWER -2
A musical rattle is the perfect toy for this
child. Infants have short attention spans
and enjoy auditory and visual stimulation.
TEST-TAKING HINT: The test taker must
understand the developmental level of the
child and know safety issues in order to
choose the appropriate toy.
The parents of a newborn are asking the nurse how to use the infant car seat and
where it should be placed in their vehicle. Which is the most appropriate action by
, the nurse?
1. Give the parents a pamphlet explaining how to install the car seat.
2. Accompany the parents to the car and show them how to install the car seat.
3. Contact the hospital ' s car-seat safety offi cer and ask the offi cer to accompany the
parents to the car for car-seat installation.
4. Show the parents a video on car-seat installation and safety and ask if they are
comfortable with the information. - ANSWER -3
The car-seat safety offi cer is the best
choice, as that individual would have the
needed information and certifi cation to
help the family.
TEST-TAKING HINT: The question requires
knowledge of the safety concerns involving
proper car-seat installation. The question
also requires the test taker to implement
teaching and learning strategies for
educating parents. Most people learn
best with demonstration and return
demonstration; therefore, the test taker can
eliminate answers 1 and 4.
The mother of an 11-month-old with iron-deficiency anemia tells the nurse that her
infant is currently taking iron and a multivitamin. Which statement made by the
mother should be of concern to the nurse?
1. "I give the iron and multivitamin at the same time each morning."
2. "I give the iron and multivitamin in the morning 6-oz bottle."
3. "I give the iron and multivitamin 2 hours before I feed the morning bottle."
4. "I give the iron and multivitamin in oral syringes toward the back of the cheek." -
ANSWER -2
Medications should never be mixed in a
large amount of food or formula because
the parent cannot be sure that the child
will take the entire feeding. Formula
decreases the absorption of iron.
TEST-TAKING HINT: The test taker must have
knowledge of medication administration.
Answers 1, 3, and 4 can be eliminated
as they are all appropriate methods for
administering medications to infants.
Which statement accurately describes how the nurse should approach an 11-year-old
#3 GROWTH AND DEVELOPMENT EXAM
QUESTIONS WITH COMPLETE
ANSWERS
Which statement accurately describes the best method for assessing a 12-month-old?
1. The nurse should assess the child on the examining table.
2. The nurse should assess the child in a head-to-toe sequence.
3. The nurse should have the child ' s parent assist in holding her down.
4. The nurse should assess the child while she is in her parent ' s lap. - ANSWER -4
Infants are most secure when in
proximity to the parent. The parent ' s lap
is an excellent place to assess the child.
TEST-TAKING HINT: Health-care professionals
must use developmentally appropriate
methods to approach children. The test
taker must have knowledge of a child ' s
psychosocial development. Answers 1 and 2
can be eliminated because these methods of
assessment would be used on an older child.
The nurse is instructing a new breastfeeding mother in the need to provide her
premature infant with an adequate source of iron in her diet. Which statement
refl ects a need for further education of the new mother?
1. "I will use only breast milk or an iron-fortifi ed formula as a source of milk for my
baby until she is at least 12 months old."
2. "My baby will need to have iron supplements introduced when she is 4 months
old."
3. "I will need to add iron supplements to my baby ' s diet when she is 2 months
old."
4. "When my baby begins to eat solid foods, I should introduce iron-fortifi ed
cereals to her diet." - ANSWER -3
Premature infants have iron stores from
the mother that last approximately 2
months, so it is important to introduce
an iron supplement by 2 months of age.
Full-term infants have iron stores that
last approximately 4 to 6 months.
,TEST-TAKING HINT: The test taker must have
knowledge of the recommended nutrition
for an infant.
A fi rst-time mother brings in her 5-day-old baby for a well-child visit. The nurse
weighs the infant and reports a weight of 7 lb 5 oz to the mother. The mother
looks concerned and tells the nurse that her baby weighed 7 lb 10 oz when she was
discharged 4 days ago. The nurse ' s best response to the mother is:
1. "I will let the doctor know, and he will talk with you about possible causes of
your infant ' s weight loss."
2. "A weight loss of a few ounces is common among newborns, especially for
breastfeeding mothers."
3. "I can tell you are a fi rst-time mother. Don ' t worry; we will fi nd out why she is
losing weight."
4. "Maybe she isn ' t getting enough milk. How often are you breastfeeding her?" -
ANSWER -2
Newborns can lose up to 10% of their
birth weight without concern but should
regain their birth weight by 2 weeks of
age.
TEST-TAKING HINT: The test taker can
eliminate answer 3. This is a nontherapeutic
response. Remembering that newborns can
lose up to 10% of their birth weight will
help you choose the right response.
Which toy is the best choice for a 12-month-old?
1. Baby doll.
2. Musical rattle.
3. Board book.
4. Colorful beads. - ANSWER -2
A musical rattle is the perfect toy for this
child. Infants have short attention spans
and enjoy auditory and visual stimulation.
TEST-TAKING HINT: The test taker must
understand the developmental level of the
child and know safety issues in order to
choose the appropriate toy.
The parents of a newborn are asking the nurse how to use the infant car seat and
where it should be placed in their vehicle. Which is the most appropriate action by
, the nurse?
1. Give the parents a pamphlet explaining how to install the car seat.
2. Accompany the parents to the car and show them how to install the car seat.
3. Contact the hospital ' s car-seat safety offi cer and ask the offi cer to accompany the
parents to the car for car-seat installation.
4. Show the parents a video on car-seat installation and safety and ask if they are
comfortable with the information. - ANSWER -3
The car-seat safety offi cer is the best
choice, as that individual would have the
needed information and certifi cation to
help the family.
TEST-TAKING HINT: The question requires
knowledge of the safety concerns involving
proper car-seat installation. The question
also requires the test taker to implement
teaching and learning strategies for
educating parents. Most people learn
best with demonstration and return
demonstration; therefore, the test taker can
eliminate answers 1 and 4.
The mother of an 11-month-old with iron-deficiency anemia tells the nurse that her
infant is currently taking iron and a multivitamin. Which statement made by the
mother should be of concern to the nurse?
1. "I give the iron and multivitamin at the same time each morning."
2. "I give the iron and multivitamin in the morning 6-oz bottle."
3. "I give the iron and multivitamin 2 hours before I feed the morning bottle."
4. "I give the iron and multivitamin in oral syringes toward the back of the cheek." -
ANSWER -2
Medications should never be mixed in a
large amount of food or formula because
the parent cannot be sure that the child
will take the entire feeding. Formula
decreases the absorption of iron.
TEST-TAKING HINT: The test taker must have
knowledge of medication administration.
Answers 1, 3, and 4 can be eliminated
as they are all appropriate methods for
administering medications to infants.
Which statement accurately describes how the nurse should approach an 11-year-old
