NUR254 | NUR254 Concepts of Nursing; The
Childbearing and Child Caring Families Exam 4
Version 2 Questions with Correct Answers and
Expert Explanation for Each Question | Galen
1. A nurse is assessing a 9-month-old infant during a well-child visit. Which fine motor
skill should the nurse expect the infant to demonstrate?
A. Building a tower of two cubes
B. Using a neat pincer grasp
C. Grasping a rattle with the whole hand
D. Turning pages of a book one at a time
Correct Answer: B
Expert Explanation: The development of a neat pincer grasp is a characteristic
milestone for an infant around nine to ten months of age. This skill involves using
the thumb and forefinger to pick up small objects. Assessing fine motor skills is a
critical component of pediatric developmental screening. Failure to achieve this
milestone may require further evaluation of the child’s neurological status. Nurses
should provide parents with guidance on safe finger foods to practice this skill.
2. According to Erikson, which developmental task is primary for a toddler aged 1 to 3
years?
A. Trust vs. Mistrust
,B. Initiative vs. Guilt
C. Autonomy vs. Shame and Doubt
D. Industry vs. Inferiority
Correct Answer: C
Expert Explanation: Erikson identifies the toddler stage as the period for
developing autonomy through independence. During this time, children begin to
assert their will and perform tasks on their own. Success in this stage leads to self-
confidence and a sense of security. If restricted or punished too harshly, the child
may develop feelings of shame or doubt. Nursing care should involve offering
choices to support the child’s need for control.
3. A mother asks when she should introduce solid foods to her 2-month-old infant.
What is the best response by the nurse?
A. Solid foods can be started now if the baby seems hungry.
B. Wait until the infant is at least 4 to 6 months old.
C. Introduce cereal in the bottle at bedtime to help sleep.
D. You should wait until the infant has at least four teeth.
Correct Answer: B
,Expert Explanation: The American Academy of Pediatrics recommends starting
solids between four and six months of age. At this stage, the infant’s digestive
system is mature enough to handle complex nutrients. Furthermore, the tongue-
extrusion reflex typically disappears around this time, making spoon-feeding
possible. Introducing solids too early can increase the risk of food allergies and
obesity. Nurses must educate parents on the proper sequence of food introduction
to ensure safety.
4. Which immunization is typically administered for the first time at the 12-to-15-
month well-child visit?
A. Hepatitis B
B. Measles, Mumps, and Rubella (MMR)
C. Rotavirus
D. Inactivated Poliovirus (IPV)
Correct Answer: B
Expert Explanation: The MMR vaccine is a live attenuated vaccine usually given
after the first birthday. Administering it earlier may result in a poor immune
response due to maternal antibodies. This vaccine protects against three highly
contagious viral diseases in the pediatric population. It is often given in conjunction
with the Varicella vaccine at this specific age. Nurses must screen for
, contraindications like severe immunodeficiency before administering any live
vaccine.
5. A nurse is providing discharge instructions to the parents of a newborn regarding
car seat safety. Which instruction is most important?
A. The car seat should face forward after the child reaches 1 year of age.
B. The car seat should be placed in the front seat if there is no passenger airbag.
C. The infant should remain in a rear-facing car seat until at least age 2.
D. A heavy coat should be worn under the harness to keep the baby warm.
Correct Answer: C
Expert Explanation: Current safety guidelines recommend keeping children rear-
facing for as long as possible, typically until age two. This position provides the best
protection for the child’s head, neck, and spine during a crash. Forward-facing too
early increases the risk of serious injury in a frontal collision. Nurses should ensure
parents know how to install the seat tightly using the LATCH system. Education on
car seat safety is a vital part of neonatal discharge teaching.
6. Which clinical manifestation is a late sign of respiratory distress in a 2-year-old
child?
A. Nasal flaring
B. Bradycardia
Childbearing and Child Caring Families Exam 4
Version 2 Questions with Correct Answers and
Expert Explanation for Each Question | Galen
1. A nurse is assessing a 9-month-old infant during a well-child visit. Which fine motor
skill should the nurse expect the infant to demonstrate?
A. Building a tower of two cubes
B. Using a neat pincer grasp
C. Grasping a rattle with the whole hand
D. Turning pages of a book one at a time
Correct Answer: B
Expert Explanation: The development of a neat pincer grasp is a characteristic
milestone for an infant around nine to ten months of age. This skill involves using
the thumb and forefinger to pick up small objects. Assessing fine motor skills is a
critical component of pediatric developmental screening. Failure to achieve this
milestone may require further evaluation of the child’s neurological status. Nurses
should provide parents with guidance on safe finger foods to practice this skill.
2. According to Erikson, which developmental task is primary for a toddler aged 1 to 3
years?
A. Trust vs. Mistrust
,B. Initiative vs. Guilt
C. Autonomy vs. Shame and Doubt
D. Industry vs. Inferiority
Correct Answer: C
Expert Explanation: Erikson identifies the toddler stage as the period for
developing autonomy through independence. During this time, children begin to
assert their will and perform tasks on their own. Success in this stage leads to self-
confidence and a sense of security. If restricted or punished too harshly, the child
may develop feelings of shame or doubt. Nursing care should involve offering
choices to support the child’s need for control.
3. A mother asks when she should introduce solid foods to her 2-month-old infant.
What is the best response by the nurse?
A. Solid foods can be started now if the baby seems hungry.
B. Wait until the infant is at least 4 to 6 months old.
C. Introduce cereal in the bottle at bedtime to help sleep.
D. You should wait until the infant has at least four teeth.
Correct Answer: B
,Expert Explanation: The American Academy of Pediatrics recommends starting
solids between four and six months of age. At this stage, the infant’s digestive
system is mature enough to handle complex nutrients. Furthermore, the tongue-
extrusion reflex typically disappears around this time, making spoon-feeding
possible. Introducing solids too early can increase the risk of food allergies and
obesity. Nurses must educate parents on the proper sequence of food introduction
to ensure safety.
4. Which immunization is typically administered for the first time at the 12-to-15-
month well-child visit?
A. Hepatitis B
B. Measles, Mumps, and Rubella (MMR)
C. Rotavirus
D. Inactivated Poliovirus (IPV)
Correct Answer: B
Expert Explanation: The MMR vaccine is a live attenuated vaccine usually given
after the first birthday. Administering it earlier may result in a poor immune
response due to maternal antibodies. This vaccine protects against three highly
contagious viral diseases in the pediatric population. It is often given in conjunction
with the Varicella vaccine at this specific age. Nurses must screen for
, contraindications like severe immunodeficiency before administering any live
vaccine.
5. A nurse is providing discharge instructions to the parents of a newborn regarding
car seat safety. Which instruction is most important?
A. The car seat should face forward after the child reaches 1 year of age.
B. The car seat should be placed in the front seat if there is no passenger airbag.
C. The infant should remain in a rear-facing car seat until at least age 2.
D. A heavy coat should be worn under the harness to keep the baby warm.
Correct Answer: C
Expert Explanation: Current safety guidelines recommend keeping children rear-
facing for as long as possible, typically until age two. This position provides the best
protection for the child’s head, neck, and spine during a crash. Forward-facing too
early increases the risk of serious injury in a frontal collision. Nurses should ensure
parents know how to install the seat tightly using the LATCH system. Education on
car seat safety is a vital part of neonatal discharge teaching.
6. Which clinical manifestation is a late sign of respiratory distress in a 2-year-old
child?
A. Nasal flaring
B. Bradycardia
