GALEN COLLEGE OF NURSING NURS230 MATERNAL CHILD 230 EXAM 3 PEDS
CORRECTED Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
Growth & Development (Questions 1–20)
1. A 4-month-old infant should be able to perform which gross motor skill?
A. Sit unsupported
B. Roll from abdomen to back
C. Walk with assistance
D. Hold a sippy cup
Correct Answer: B
Rationale: By 4 months, infants can roll from abdomen to back. Sitting unsupported
occurs at 7–8 months; walking with assistance at 10–12 months; holding a cup at 9
months.
2. According to Erikson, the primary psychosocial task of a toddler (1–3 years) is:
A. Trust vs. Mistrust
B. Autonomy vs. Shame & Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Correct Answer: B
Rationale: Toddlers strive for independence (“me do it”). Trust vs. Mistrust is infancy;
Initiative vs. Guilt is preschool; Industry vs. Inferiority is school-age.
3. A nurse is assessing a 2-year-old. Which behavior is developmentally
appropriate?
A. Playing cooperatively with peers
B. Saying “no” frequently
,C. Understanding simple time concepts (yesterday)
D. Riding a tricycle
Correct Answer: B
Rationale: Negativism (“no”) is a hallmark of toddler autonomy. Cooperative play begins
at 4–5 years; time concepts at 5–6 years; tricycle at 3 years.
4. A mother asks when her infant’s anterior fontanel should close. The nurse’s best
response is:
A. 2–3 months
B. 4–6 months
C. 9–18 months
D. 24–36 months
Correct Answer: C
Rationale: Anterior fontanel closes between 9 and 18 months. Posterior fontanel closes
at 2–3 months.
5. Which toy is most appropriate for a 6-month-old infant?
A. Small building blocks
B. A rattle with bright colors
C. A tricycle
D. A puzzle with large pieces
Correct Answer: B
Rationale: Infants at 6 months are in sensorimotor stage, using senses. Rattles provide
auditory and visual stimulation. Small blocks pose choking risk; tricycle and puzzle are
too advanced.
6. A 3-year-old child is having a tantrum in the waiting room. What is the best
nursing intervention?
A. Offer a choice between two acceptable options
,B. Firmly tell the child “stop”
C. Give the child a time-out for 15 minutes
D. Ignore the tantrum completely
Correct Answer: A
Rationale: Offering choices supports autonomy and reduces power struggles. Time-out
should be 1 minute per year of age (3 minutes max). Ignoring is not safe in a clinical
setting.
7. By what age should a child be able to draw a circle?
A. 2 years
B. 3 years
C. 4 years
D. 5 years
Correct Answer: B
Rationale: A 3-year-old (preschooler) can copy a circle. By age 4, they draw a cross; by
age 5, a square; by age 6, a triangle.
8. A school-age child (7 years) is hospitalized. What is a common fear at this age?
A. Separation from parents
B. Loss of control and body integrity
C. Stranger anxiety
D. Magical thinking about illness
Correct Answer: B
Rationale: School-age children fear loss of control, pain, and bodily harm. Stranger
anxiety is infant; separation anxiety peaks at 10–18 months; magical thinking is
preschool.
9. According to Piaget, a 10-month-old infant drops a toy and looks for it. This
demonstrates:
, A. Egocentrism
B. Object permanence
C. Conservation
D. Abstract thinking
Correct Answer: B
Rationale: Object permanence develops at 8–12 months—knowing objects exist even
when out of sight. Egocentrism is preoperational; conservation is concrete operational;
abstract is formal operational.
10. Which statement is true regarding separation anxiety in hospitalized toddlers?
A. It does not occur if parents are present at night
B. The protest phase includes crying and clinging to parents
C. Despair occurs when the child begins to interact with strangers
D. Detachment is the first phase
Correct Answer: B
Rationale: Protest phase = crying, clinging, searching for parent. Despair = withdrawal
and sadness. Detachment = finally interacting but with emotional indifference.
11. At what age does an infant typically begin to sit without support?
A. 4 months
B. 6 months
C. 8 months
D. 10 months
Correct Answer: C
Rationale: Infants sit unsupported at 7–8 months. At 4 months, they sit with support; at 6
months, tripod sit; at 10 months, they pull to stand.
12. A preschooler believes his stuffed animal feels sad. This is an example of:
A. Animism
CORRECTED Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
Growth & Development (Questions 1–20)
1. A 4-month-old infant should be able to perform which gross motor skill?
A. Sit unsupported
B. Roll from abdomen to back
C. Walk with assistance
D. Hold a sippy cup
Correct Answer: B
Rationale: By 4 months, infants can roll from abdomen to back. Sitting unsupported
occurs at 7–8 months; walking with assistance at 10–12 months; holding a cup at 9
months.
2. According to Erikson, the primary psychosocial task of a toddler (1–3 years) is:
A. Trust vs. Mistrust
B. Autonomy vs. Shame & Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Correct Answer: B
Rationale: Toddlers strive for independence (“me do it”). Trust vs. Mistrust is infancy;
Initiative vs. Guilt is preschool; Industry vs. Inferiority is school-age.
3. A nurse is assessing a 2-year-old. Which behavior is developmentally
appropriate?
A. Playing cooperatively with peers
B. Saying “no” frequently
,C. Understanding simple time concepts (yesterday)
D. Riding a tricycle
Correct Answer: B
Rationale: Negativism (“no”) is a hallmark of toddler autonomy. Cooperative play begins
at 4–5 years; time concepts at 5–6 years; tricycle at 3 years.
4. A mother asks when her infant’s anterior fontanel should close. The nurse’s best
response is:
A. 2–3 months
B. 4–6 months
C. 9–18 months
D. 24–36 months
Correct Answer: C
Rationale: Anterior fontanel closes between 9 and 18 months. Posterior fontanel closes
at 2–3 months.
5. Which toy is most appropriate for a 6-month-old infant?
A. Small building blocks
B. A rattle with bright colors
C. A tricycle
D. A puzzle with large pieces
Correct Answer: B
Rationale: Infants at 6 months are in sensorimotor stage, using senses. Rattles provide
auditory and visual stimulation. Small blocks pose choking risk; tricycle and puzzle are
too advanced.
6. A 3-year-old child is having a tantrum in the waiting room. What is the best
nursing intervention?
A. Offer a choice between two acceptable options
,B. Firmly tell the child “stop”
C. Give the child a time-out for 15 minutes
D. Ignore the tantrum completely
Correct Answer: A
Rationale: Offering choices supports autonomy and reduces power struggles. Time-out
should be 1 minute per year of age (3 minutes max). Ignoring is not safe in a clinical
setting.
7. By what age should a child be able to draw a circle?
A. 2 years
B. 3 years
C. 4 years
D. 5 years
Correct Answer: B
Rationale: A 3-year-old (preschooler) can copy a circle. By age 4, they draw a cross; by
age 5, a square; by age 6, a triangle.
8. A school-age child (7 years) is hospitalized. What is a common fear at this age?
A. Separation from parents
B. Loss of control and body integrity
C. Stranger anxiety
D. Magical thinking about illness
Correct Answer: B
Rationale: School-age children fear loss of control, pain, and bodily harm. Stranger
anxiety is infant; separation anxiety peaks at 10–18 months; magical thinking is
preschool.
9. According to Piaget, a 10-month-old infant drops a toy and looks for it. This
demonstrates:
, A. Egocentrism
B. Object permanence
C. Conservation
D. Abstract thinking
Correct Answer: B
Rationale: Object permanence develops at 8–12 months—knowing objects exist even
when out of sight. Egocentrism is preoperational; conservation is concrete operational;
abstract is formal operational.
10. Which statement is true regarding separation anxiety in hospitalized toddlers?
A. It does not occur if parents are present at night
B. The protest phase includes crying and clinging to parents
C. Despair occurs when the child begins to interact with strangers
D. Detachment is the first phase
Correct Answer: B
Rationale: Protest phase = crying, clinging, searching for parent. Despair = withdrawal
and sadness. Detachment = finally interacting but with emotional indifference.
11. At what age does an infant typically begin to sit without support?
A. 4 months
B. 6 months
C. 8 months
D. 10 months
Correct Answer: C
Rationale: Infants sit unsupported at 7–8 months. At 4 months, they sit with support; at 6
months, tripod sit; at 10 months, they pull to stand.
12. A preschooler believes his stuffed animal feels sad. This is an example of:
A. Animism
