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WGU D119 Pediatric Primary Care Final Exam
Actual Exam 2026/2027 | Comprehensive Practice
Test with Verified Answers | Objective
Assessment Prep | Pass Guaranteed - A+ Graded
SECTION 1: GROWTH & DEVELOPMENT (15 Questions)
Q1: According to Erikson's psychosocial development theory, which developmental crisis is most
relevant for an 18-month-old toddler learning to walk and explore independently?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Correct Answer: B. [CORRECT]
Rationale: Erikson's stage of Autonomy vs. Shame and Doubt (ages 1-3 years) centers on
developing independence through mobility and exploration. Toddlers who successfully navigate
this stage gain self-confidence; those who are overly restricted may develop shame and self-
doubt.
Q2: A nurse practitioner is assessing a 6-month-old infant during a well-child visit. Which
finding requires further evaluation?
A. Sitting with support
B. Palmar grasp reflex still present
C. Babbling consonant sounds
D. Rolling from front to back
Correct Answer: B. [CORRECT]
Rationale: The palmar grasp reflex should disappear by 3-4 months of age. Persistence beyond
this timeframe may indicate neurological dysfunction and requires further assessment. Sitting
with support, babbling, and rolling are appropriate 6-month milestones.
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Q3: According to Piaget's cognitive development theory, which characteristic best describes a 9-
year-old child's thinking?
A. Egocentric and magical thinking
B. Logical thinking about concrete objects and events
C. Abstract reasoning and hypothetical thinking
D. Reflexive and sensorimotor exploration
Correct Answer: B. [CORRECT]
Rationale: The concrete operational stage (ages 7-11 years) is characterized by logical thought
applied to concrete situations, conservation concepts, and decreased egocentrism. Children can
classify objects and understand reversibility but cannot yet think abstractly.
Q4: A 4-year-old child believes the moon follows them when they walk outside. This is an
example of:
A. Conservation
B. Egocentrism
C. Animism
D. Reversibility
Correct Answer: B. [CORRECT]
Rationale: Egocentrism, characteristic of Piaget's preoperational stage (ages 2-7), involves the
inability to distinguish between one's own perspective and that of others. The child assumes the
moon's movement relates personally to them, demonstrating self-centered thinking.
Q5: Which growth parameter is the most sensitive indicator of acute nutritional status in
children?
A. Height-for-age
B. Weight-for-height
C. Head circumference
D. BMI-for-age
Correct Answer: B. [CORRECT]
Rationale: Weight-for-height (or weight-for-length in infants) reflects acute nutritional changes
because weight changes more rapidly than height in response to nutritional intake. Height-for-
age indicates chronic nutritional status, while head circumference reflects brain growth.
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SATA Question - Developmental Milestones:
Q6: Which developmental milestones should a 15-month-old toddler typically achieve? Select all
that apply.
A. Walks independently
B. Says 3-5 words
C. Builds a tower of 6 blocks
D. Points to indicate wants
E. Uses a spoon
F. Removes socks and shoes
Correct Answers: A, B, D, E, F. [CORRECT]
Rationale: By 15 months, toddlers typically walk independently, use 3-5 words with meaning,
point to communicate wants, use a spoon (messily), and remove simple clothing items. Building
a 6-block tower is achieved around 24 months; 15-month-olds build 2-3 block towers.
Q7: According to Kohlberg's theory of moral development, which level describes a 10-year-old
who follows rules to avoid punishment and receive rewards?
A. Preconventional level
B. Conventional level
C. Postconventional level
D. Formal operational level
Correct Answer: A. [CORRECT]
Rationale: Kohlberg's preconventional level (stages 1-2) is typical of children up to age 9-10,
where moral reasoning is based on avoiding punishment and seeking rewards. The conventional
level (maintaining social order) develops in adolescence.
Q8: A nurse practitioner is using the Ages and Stages Questionnaire (ASQ-3) to screen an 8-
month-old. Which domain is NOT assessed by this tool?
A. Communication
B. Gross motor
C. Emotional regulation
D. Problem-solving
WGU D119 Pediatric Primary Care Final Exam
Actual Exam 2026/2027 | Comprehensive Practice
Test with Verified Answers | Objective
Assessment Prep | Pass Guaranteed - A+ Graded
SECTION 1: GROWTH & DEVELOPMENT (15 Questions)
Q1: According to Erikson's psychosocial development theory, which developmental crisis is most
relevant for an 18-month-old toddler learning to walk and explore independently?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Correct Answer: B. [CORRECT]
Rationale: Erikson's stage of Autonomy vs. Shame and Doubt (ages 1-3 years) centers on
developing independence through mobility and exploration. Toddlers who successfully navigate
this stage gain self-confidence; those who are overly restricted may develop shame and self-
doubt.
Q2: A nurse practitioner is assessing a 6-month-old infant during a well-child visit. Which
finding requires further evaluation?
A. Sitting with support
B. Palmar grasp reflex still present
C. Babbling consonant sounds
D. Rolling from front to back
Correct Answer: B. [CORRECT]
Rationale: The palmar grasp reflex should disappear by 3-4 months of age. Persistence beyond
this timeframe may indicate neurological dysfunction and requires further assessment. Sitting
with support, babbling, and rolling are appropriate 6-month milestones.
,2
Q3: According to Piaget's cognitive development theory, which characteristic best describes a 9-
year-old child's thinking?
A. Egocentric and magical thinking
B. Logical thinking about concrete objects and events
C. Abstract reasoning and hypothetical thinking
D. Reflexive and sensorimotor exploration
Correct Answer: B. [CORRECT]
Rationale: The concrete operational stage (ages 7-11 years) is characterized by logical thought
applied to concrete situations, conservation concepts, and decreased egocentrism. Children can
classify objects and understand reversibility but cannot yet think abstractly.
Q4: A 4-year-old child believes the moon follows them when they walk outside. This is an
example of:
A. Conservation
B. Egocentrism
C. Animism
D. Reversibility
Correct Answer: B. [CORRECT]
Rationale: Egocentrism, characteristic of Piaget's preoperational stage (ages 2-7), involves the
inability to distinguish between one's own perspective and that of others. The child assumes the
moon's movement relates personally to them, demonstrating self-centered thinking.
Q5: Which growth parameter is the most sensitive indicator of acute nutritional status in
children?
A. Height-for-age
B. Weight-for-height
C. Head circumference
D. BMI-for-age
Correct Answer: B. [CORRECT]
Rationale: Weight-for-height (or weight-for-length in infants) reflects acute nutritional changes
because weight changes more rapidly than height in response to nutritional intake. Height-for-
age indicates chronic nutritional status, while head circumference reflects brain growth.
, 3
SATA Question - Developmental Milestones:
Q6: Which developmental milestones should a 15-month-old toddler typically achieve? Select all
that apply.
A. Walks independently
B. Says 3-5 words
C. Builds a tower of 6 blocks
D. Points to indicate wants
E. Uses a spoon
F. Removes socks and shoes
Correct Answers: A, B, D, E, F. [CORRECT]
Rationale: By 15 months, toddlers typically walk independently, use 3-5 words with meaning,
point to communicate wants, use a spoon (messily), and remove simple clothing items. Building
a 6-block tower is achieved around 24 months; 15-month-olds build 2-3 block towers.
Q7: According to Kohlberg's theory of moral development, which level describes a 10-year-old
who follows rules to avoid punishment and receive rewards?
A. Preconventional level
B. Conventional level
C. Postconventional level
D. Formal operational level
Correct Answer: A. [CORRECT]
Rationale: Kohlberg's preconventional level (stages 1-2) is typical of children up to age 9-10,
where moral reasoning is based on avoiding punishment and seeking rewards. The conventional
level (maintaining social order) develops in adolescence.
Q8: A nurse practitioner is using the Ages and Stages Questionnaire (ASQ-3) to screen an 8-
month-old. Which domain is NOT assessed by this tool?
A. Communication
B. Gross motor
C. Emotional regulation
D. Problem-solving
