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Section 1: Growth & Development Milestones (Theories, Ages 0-18 Years) (Q1-20)
Q1. A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone would the nurse expect to observe at this age?
A. Walks independently
B. Transfers objects hand-to-hand
C. Builds a tower of six blocks
D. Draws a circle
B. Transfers objects hand-to-hand [CORRECT]
Rationale: At 6 months, infants typically transfer objects between hands, sit with
support, and babble with consonants. Walking independently occurs around 12
months, a tower of six blocks at 2 years, and drawing a circle at 3 years.
Correct Answer: B
Q2. According to Erikson's psychosocial theory, which crisis is the primary
developmental task for a toddler aged 18 months to 3 years?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
B. Autonomy vs. Shame and Doubt [CORRECT]
Rationale: Erikson's stage for toddlers (1-3 years) is Autonomy vs. Shame and Doubt,
characterized by the child's need for independence. Trust vs. Mistrust is infancy (0-1
year), Initiative vs. Guilt is preschool (3-6 years), and Industry vs. Inferiority is school-
age (6-12 years).
,Correct Answer: B
Q3. A 4-year-old child is hospitalized for surgery. The nurse observes the child
sucking their thumb and requesting a bottle. The nurse recognizes this behavior as:
A. A sign of autism spectrum disorder
B. Normal regression under stress
C. Evidence of developmental delay
D. Indicative of poor parenting
B. Normal regression under stress [CORRECT]
Rationale: Regression to earlier developmental behaviors (thumb-sucking, bottle
requests) is a normal coping mechanism for hospitalized toddlers and preschoolers
under stress. It does not indicate autism, delay, or poor parenting.
Correct Answer: B
Q4. According to Piaget's cognitive development theory, a 7-year-old child who can
classify objects by size, color, and shape is demonstrating which stage?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
C. Concrete operational [CORRECT]
Rationale: The concrete operational stage (7-11 years) is characterized by the ability
to classify, sort, and perform logical operations on concrete objects. The
preoperational stage (2-7 years) lacks this logical reasoning ability, while formal
operational (11+ years) involves abstract thinking.
Correct Answer: C
,Q5. A nurse is teaching parents about developmental milestones for their 9-month-
old infant. Which activity should the nurse recommend as age-appropriate?
A. Playing peek-a-boo
B. Riding a tricycle
C. Tying shoelaces
D. Skipping
A. Playing peek-a-boo [CORRECT]
Rationale: At 9 months, infants develop object permanence and enjoy peek-a-boo.
Riding a tricycle occurs at 3 years, tying shoelaces at 5 years, and skipping at 5 years.
Correct Answer: A
Q6. Which gross motor milestone should a nurse expect a healthy 12-month-old
infant to demonstrate?
A. Rolls from front to back
B. Cruises along furniture
C. Runs without falling
D. Hops on one foot
B. Cruises along furniture [CORRECT]
Rationale: By 12 months, infants typically cruise along furniture and may take first
independent steps. Rolling front to back occurs at 4 months, running at 2 years, and
hopping on one foot at 4 years.
Correct Answer: B
Q7. A nurse is evaluating language development in a 2-year-old toddler. Which
finding indicates normal development for this age?
A. Speaks in three-word sentences
B. Uses 50 words and two-word phrases
, C. Tells complete stories
D. Counts to 10
B. Uses 50 words and two-word phrases [CORRECT]
Rationale: By age 2, toddlers typically use 50+ words and combine two-word
phrases. Three-word sentences occur at 3 years, storytelling at 4 years, and counting
to 10 at 5 years.
Correct Answer: B
Q8. During a well-child visit, the parents of a 15-month-old express concern that
their child has temper tantrums. The nurse should respond by explaining that:
A. This indicates oppositional defiant disorder
B. Temper tantrums are normal at this developmental stage
C. The child needs immediate behavioral therapy
D. This behavior is caused by parental inconsistency
B. Temper tantrums are normal at this developmental stage [CORRECT]
Rationale: Temper tantrums are a normal developmental phenomenon in toddlers
(18 months to 3 years) as they struggle with autonomy and frustration. They do not
indicate pathology, require therapy, or necessarily reflect parenting style.
Correct Answer: B
Q9. A school-age child (8 years old) is admitted to the pediatric unit. Based on
Erikson's theory, which nursing intervention is most appropriate?
A. Encourage participation in care decisions
B. Provide consistent caregivers to build trust
C. Offer choices to promote autonomy
D. Allow exploration of the hospital environment
A. Encourage participation in care decisions [CORRECT]