PEDIATRICS GROWTH AND DEVELOPMENT EXAM 2026
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For which pediatric client should the nurse use the Age and Stages Questionnaire (ASQ)
as a developmental screening tool during a health maintenance assessment?
1
A 2-week old newborn client
2
A 15-month-old toddler client
3
A 6-year-old school-age client
4
A 14-year-old adolescent client
2
The ASQ developmental screening tool is appropriate to use for pediatric clients from 1
month to 4.5 years of age. The nurse would use this screening tool for the 15-
month-old toddler. The other clients are not within the age range for the use of
the ASQ screening tool.
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,3/3/26, 2:34 PM Peds Growth and development
Which is a characteristic of the glands that secrete a thick substance in response to
emotional stimulation and become odoriferous because of bacterial action?
1
Highly active in childhood
2
Absent around the umbilicus
3
Widely distributed throughout the body
4
Grow in conjunction with axillary hair follicles
4
The apocrine sweat glands secrete a thick substance in response to emotional
stimulation and become odoriferous because of bacterial action. These glands grow in
conjunction with hair follicles around the axillae. The apocrine glands are inactive during
childhood and reach their secretory potential at the time of puberty. The apocrine
glands are situated around the umbilicus. They have limited distribution and are found
only around the axillae, areolae, external auditory canal, and anal and genital regions.
Eccrine sweat glands, not the apocrine glands, have wide distribution throughout the
body.
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,3/3/26, 2:34 PM Peds Growth and development
The nurse is instructing the parents of a 6-month-old infant about sleeping patterns and
the best sleeping positions for their child. Which instruction regarding sleep position is
most important?
1
"Place the infant in a supine position for sleep."
2
"Avoid positioning the head on alternating sides."
3
"A prone position is more beneficial for sleeping."
4
"If the infant is restless, place it on one side to sleep."
1
The nurse instructs the parent to place the infant in a supine position so the infant does not
roll over to a prone position. When the infant is less than 6 months old, the infant is placed
in a supine position and the head is positioned on alternating sides to prevent positional
plagiocephaly. There is a risk for sudden infant death syndrome (SIDS) if the
infant is placed in a prone position. If the infant is restless, it should be assessed, but not
put to sleep on one side, because the infant can easily roll over to the prone position if
placed on the side.
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, 3/3/26, 2:34 PM Peds Growth and development
Which statement correctly describes the initiative versus guilt stage?
1
Individuals like to pretend and try out new roles.
2
Individuals are more accomplished in some basic self-care activities. 3
Individuals show marked preoccupation with appearance and body image.
4
Individuals are eager to apply themselves to learning socially productive skills and tools.
1
During the initiative versus guilt stage, a child likes to pretend and try out new roles. A
child is more accomplished in some basic self-care activities during the autonomy versus
sense of shame and doubt stage. During the identity versus role confusion stage, an
individual shows marked preoccupation with appearance and body image. During the
industry versus inferiority stage, a child is eager to apply himself or herself to learning
socially productive skills and tools.
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