NR328 / NR 328 Exam 2 2026/2027 Update | Pediatric Nursing | Chamberlain University | Questions & Answers with Detailed Rationales | Grade A | Child Health Nursing & NCLEX-RN® Prep PDF

INSTANT PDF DOWNLOAD — This is the comprehensive Exam 2 preparation guide for NR328 / NR 328 - Pediatric Nursing (2026 Update) at Chamberlain University, featuring questions and answers with detailed rationales. Designed for nursing students in pediatric nursing courses, this resource consolidates the essential child health concepts required to master the NR328 Exam 2 and excel in pediatric nursing. The guide is meticulously aligned with Chamberlain University curriculum, NCLEX-RN® test plan, AAP, Bright Futures, and current evidence-based pediatric nursing standards. This verified resource provides comprehensive coverage of key NR328 Pediatric Nursing Exam 2 topics, including: Growth and Development (infant (birth-12 months)—weight doubles by 6 months, triples by 12 months, length increases 50% by 12 months, anterior fontanelle closes 12-18 months, posterior closes 2-3 months, dentition (6-8 months lower central incisors first), gross motor (2-4 months lifts head, 4-6 months rolls over, 6-8 months sits alone, 8-10 months crawls, 10-12 months cruises, 12-15 months walks independently), fine motor (pincer grasp 9-10 months), cognitive (object permanence 4-8 months, stranger anxiety 7-9 months, separation anxiety 8-12 months), psychosocial (trust vs mistrust, attachment), nursing interventions (car seat (rear-facing until age 2 or height/weight limit), safe sleep (back to sleep, firm mattress, no soft bedding, room-sharing not bed-sharing), fall prevention, aspiration prevention (small objects, balloons, hot dogs, grapes, popcorn, nuts, hard candy), poisoning prevention, immunization schedule (birth: HepB; 2 months: HepB, DTaP, Hib, IPV, PCV13, RV; 4,6 months: DTaP, Hib, IPV, PCV13, RV; 6 months: HepB, influenza annually starting 6 months), nutrition (breastmilk or iron-fortified formula first 6 months, solids 4-6 months (iron-fortified rice cereal first), no honey before 12 months (botulism), no cow's milk before 12 months), anticipatory guidance (teething (teething rings, cold washcloth, acetaminophen/ibuprofen), no topical benzocaine in children 2 (methemoglobinemia), no walkers with wheels (falls, burns, poisoning), drowning prevention (never leave unattended in bath, empty buckets, pool fencing, learn CPR), sun protection, smoke detectors, water heater 120°F); toddler (1-3 years)—weight gain 4-6 lbs/year, height 3-5 inches/year, gross motor (runs 18-24 months, kicks ball, climbs stairs with assistance 2 years, jumps in place 2.5 years, pedals tricycle 3 years), fine motor (scribbles 15 months, stacks 2-4 blocks 18 months, copies circle 3 years), cognitive (symbolic thinking, pretend play, egocentrism (Piaget preoperational stage), object permanence fully developed, 2-3 word phrases 24 months, 200-300 words at 2 years, 900-1000 words at 3 years), psychosocial (autonomy vs shame/doubt, negativism ("no"), temper tantrums (normal, set limits, consistent discipline, time-out (1 minute per year of age), offer choices within limits), parallel play, toilet training readiness (stays dry 2 hours, indicates need, pulls pants up/down, interest in potty, typically 18-30 months, no pressure, positive reinforcement), nursing interventions (injury prevention (falls, burns, drowning, poisoning, choking, pedestrian safety), car safety (forward-facing car seat with harness until age 4 or height/weight limit), nutrition (transition to family meals, picky eating (continue offering without forcing), limit juice to 4 oz/day 100% juice, whole milk until age 2 then low-fat/non-fat), immunization schedule (12-15 months: MMR, Varicella, Hib, PCV13, HepA; 12-23 months: HepA second dose 6 months after first; 15-18 months: DTaP; annually influenza), dental care (first dental visit by first birthday, brush with rice-sized fluoride toothpaste after age 2, no bottle at bedtime, wean from bottle by 12-15 months), limit screen time (1 hour/day high-quality programming, no screens in bedroom, no television for children under 18 months except video chatting), positive discipline (redirect, natural consequences, consistent rules, no physical punishment); preschooler (3-6 years)—growth slows (2-3 inches/year, 4-5 lbs/year), gross motor (rides tricycle, hops on one foot, skips 5 years, catches ball, climbs, walks downstairs alternating feet), fine motor (copies square and triangle 4-5 years, draws stick figure with 2-4 body parts, cuts with scissors, buttons clothing, ties shoelaces 6 years), cognitive (preoperational phase (Piaget), magical thinking, animism, transductive reasoning, centration, egocentrism decreases, 2,000+ words by age 5, 5-6 word sentences, tells stories, knows name/address/phone number 5-6 years, counts to 10, knows colors, letters), psychosocial (initiative vs guilt, imagination, fantasy play, cooperative play, gender identity stable by age 4-5, fears (dark, monsters, separation), nursing interventions (injury prevention (falls (playground, trampoline—discourage home trampoline use), drowning (swimming lessons, life jackets), burns (matches, lighters), pedestrian/bicycle (helmet always), car safety (booster seat age 4-7 until seat belt fits properly, no front seat until age 13), nutrition (fussy eating may continue, involve child in meal prep, regular meal/snack schedule, limit junk food, encourage fruits/vegetables/whole grains, calcium-rich foods), immunization schedule (4-6 years: DTaP, IPV, MMR, Varicella, annually influenza), dental care (brush with pea-sized fluoride toothpaste twice daily, floss, dental visits every 6 months, fluoride varnish, sealants on 6-year molars at age 6), sleep (10-12 hours/night, consistent bedtime routine, treat nightmares with reassurance, night terrors (don't wake child, safety, usually outgrow)), prepare for school (kindergarten readiness, vision/hearing screening, address school anxiety, role-play, read books about starting school), anticipatory guidance (teach safety (stranger danger, good touch/bad touch, 911 use, fire escape plan), encourage physical activity 60 minutes/day, limit screen time 1 hour/day, reading daily to child, positive reinforcement, time-out for discipline); school-age (6-12 years)—slow steady growth (2-2.5 inches/year, 5-7 lbs/year), prepubescent changes begin late school-age (breast buds, testicular enlargement, pubic hair, growth spurt toward end for girls 9-11), permanent teeth erupt (first molars at 6 years, incisors 6-8 years), fine motor refined (handwriting, drawing, musical instruments, typing), gross motor (team sports, bike riding, skating, jumping rope), cognitive (concrete operational (Piaget)—logical thinking, conservation, reversibility, classification, seriation, transitive inference, inductive reasoning, memory strategies develop (rehearsal, organization, elaboration), reading and writing skills advance, understands time (clocks, calendars, seasons), money, multi-step instructions), psychosocial (industry vs inferiority—sense of competence vs inadequacy, social comparison with peers, same-gender peer groups, clubs, teams, bullying, developing conscience and moral reasoning (conventional level), school performance, learning disabilities (dyslexia, ADHD, dyscalculia)), nursing interventions (injury prevention (sports injuries (protective gear—helmet, mouthguard, shin guards, padding, wrist guards, eye protection), bike/skateboard/scooter helmet always, pedestrian safety, fire safety, drowning (swimming skills, life jackets, supervision), motor vehicle (seat belt always, back seat until 13, booster seat until seat belt fits properly), internet safety (monitor online activity, privacy settings, stranger danger online, cyberbullying), violence prevention (conflict resolution, safe storage of firearms (locked, unloaded, ammunition separate)), nutrition (balanced diet, breakfast daily, limit sugary drinks/snacks, healthy school lunch, body image concerns (disordered eating), obesity prevention (BMI monitoring, portion control, physical activity)), immunization schedule (Tdap at 11-12 years, HPV (Gardasil-9) starting at 9-11 years (2 doses 6-12 months apart if start 15 years, 3 doses if start ≥15 years or immunocompromised), MenACWY at 11-12 years (booster at 16 years), annually influenza, COVID-19 per CDC), dental care (regular check-ups every 6 months, orthodontic evaluation by age 7, sealants, fluoride, good oral hygiene, mouthguard for sports), sleep (9-12 hours/night, consistent bedtime, no electronics in bedroom), anticipatory guidance (sexual development education (pubertal changes—breast buds, testicular enlargement, menstruation, nocturnal emissions, erections, pubic hair, voice changes, acne), discuss reproduction and sexual health, provide age-appropriate information, answer questions honestly, safety (good touch/bad touch, puberty changes normal, no one should touch private areas except for health/cleaning, tell trusted adult if anything concerning)); adolescent (12-18 years)—growth spurt (girls 9-12 years peak height velocity, boys 10-13 years peak height velocity), secondary sexual characteristics (Tanner staging (breast/genital development, pubic hair)), cognitive (formal operational (Piaget)—abstract thinking, hypothetical-deductive reasoning, future-oriented, metacognition, moral reasoning (postconventional), risk-benefit analysis immature, invincibility fable (high risk behavior), imaginary audience (self-consciousness)), psychosocial (identity vs role confusion (Erikson), identity formation (vocational, sexual, religious, political, moral), peer relationships (intense friendships, romantic relationships, dating), autonomy from parents (individuation, rebellion, conflict, negotiation), risk behaviors (substance use (alcohol, tobacco, cannabis, vaping, illicit drugs), unprotected sex (STIs, pregnancy), reckless driving (speeding, texting while driving, impaired driving), violence (fighting, weapon carrying, bullying, cyberbullying, dating violence), eating disorders (anorexia nervosa, bulimia nervosa, binge-eating disorder), self-harm (cutting, burning, scratching), suicidal ideation (depression, anxiety, trauma, bullying, sexual/gender identity, family conflict, substance use, social isolation, prior attempt, family history)), nursing interventions (injury prevention (motor vehicle crashes leading cause of death—seat belt always, no distracted driving (cell phone, passengers, eating, grooming), no driving under influence (alcohol, cannabis, other drugs), graduated driver licensing (GDL) (supervised driving, nighttime restrictions, passenger restrictions), pedestrian safety, bike helmet, sports safety (protective gear, concussion prevention (return-to-play protocol, no same-day return to play, remove from play if suspected concussion, medical clearance before return), drowning (swimming skills, life jackets, no alcohol around water), violence prevention (conflict resolution, anger management, avoid weapons, safe storage of firearms, dating violence prevention, sexual assault prevention (consent education, bystander intervention)), nutrition (calcium (bone mass), iron (menstruating females), folic acid, protein