GROWTH AND DEVELOPMENT NCLEX QUESTIONS
QUIZ
INFANT STAGE
11. A 12-month-old arrives to the health clinic for a well visit. You’re assessing the infant’s
developmental milestones. Select below all the milestones the child should be able to perform?
A. Rides a tricycle
B. Draws a triangle
C. Pulls to a standing position and can take a few steps
D. Follows simple commands like “wave bye-bye”
E. Puts objects in a container
F. Hits two small wooden blocks together
G. Says 2-3 word sentences
The answers are: C, D, E, F. The other options are milestones for older children.
12. Your patient is 5-months-old. Which developmental milestone, if not performed by the
infant, should be further investigated?
A. Crawling
B. Rolling over from back to tummy
C. Using the pincer grasp D. Sitting without support
The answer is B. A 5-month-old should be able to roll over from its back to tummy. The other options
are milestones for older infants.
13. You’re teaching a new mom of a 1-week-old infant on how to prevent SIDS (Sudden Infant
Death Syndrome). Which statement by the parent requires you to reeducate the parent on this
topic?
A. “The best sleeping position for the baby is on their side or tummy”.
B. “It’s okay to share the same room with the baby.”
C. “I will stop swaddling the baby once he can roll over onto his tummy”.
D. “I will be sure to remove extra blankets and toys from the baby’s bed.”
,The answer is A. The best sleeping position for the baby is on their BACK….NOT side or tummy.
14. You’re helping develop a meal plan for a 10-month-old. Which foods will you select to be
part of the meal plan? Select all that apply:
A. Mashed potatoes
B. Grapes
C. Soup
D. Toast with honey
The answers are A and C. Option B should be avoided because it’s a choking hazard, and option D is
wrong because infants under 12 months should not have honey.
15. You’re educating a group of parents about car seat safety. A participant asks about the best
position of a car seat for a 6-month-old. Your response is:
A. Forward-facing and back seat
B. Forward-facing and front seat
C. Rear-facing and front seat
D. Rear-facing and back seat
This answer is D: Rear-facing and back seat
16. You’re providing care to a 1-month-old infant who is hospitalized. The parents are unable to
be at the bedside. The infant is crying. Select appropriate nursing interventions for this infant:
A. Let the infant play with crib mobiles
B. Swaddle the infant
C. Attempt to play peek-a-boo with the infant D. Rock the infant
E. Distract the infant with a toy
The answers are B and D. An infant this age should have their needs responded to promptly.
Appropriate interventions would be swaddling and rocking the infant. The other nursing interventions
listed are more appropriate for an older infant. This infant is very young.
17. Your patient is 6-months-old. According to Erikson’s Stage of Development, this patient is
in what stage? A. Autonomy vs. Shame & Doubt
B. Trust vs. Mistrust
C. Initiative vs. Guilt
D. Identity vs. Role Confusion
The answer is B: Trust vs. Mistrust
, 18. A 3-week-old infant is exclusively breast fed. What will you include in the patient education
to the mother during this clinic visit?
A. Introduce solid foods around 3-4 months of age along with breast feeding.
B. The infant needs to be supplemented with Vitamin D (400 IU) daily.
C. Cow’s milk may be substituted for breast milk around 6 months.
D. Breast feeding is only recommended for the first 4 months of life.
The answer is B. Infants that are exclusively (ONLY) breast fed should receive Vitamin D
supplementation (400 IU) daily per AAP guidelines.
1. You’re assessing a 10-month-old infant. You note on examination the anterior fontanelle is
open. The nurse will:
A. Document this as an abnormal finding because this fontanelle should close at 2 months
B. Document this as a normal finding because this fontanelle closes at about 18 months
C. Document this as a normal finding because this fontanelle closes at about 12 months
D. Document this as an abnormal finding because this fontanelle should close at 6 months The answer
is B. This is a normal finding in a 10-month-old infant. The anterior fontanelle closes around 18
months.
2. An infant weighed 8 lbs. at birth. How many lbs. should the infant weigh at 6 months?
A. 24 lbs
B. 10 lbs
C. 16 lbs D. 32 lbs
The answer is C. The birth weight should DOUBLE at 6 months and triple at 1 year.
Therefore, if the infant weighed 8 lbs. at birth, he or she should weigh 16 lbs. at 6 months. 3. An
infant was 21 inches at birth. How many inches should the infant be at 6 months?
A. 30-36 inches
B. 24-27 inches
C. 23-25 inches D. 22-24 inches
The answer is B. At 6 months the infant should grow about 1/2 to 1 inch every month. Therefore, if the
infant was 21 inches at birth, he or she should be around 24-27 inches at 6 months.
QUIZ
INFANT STAGE
11. A 12-month-old arrives to the health clinic for a well visit. You’re assessing the infant’s
developmental milestones. Select below all the milestones the child should be able to perform?
A. Rides a tricycle
B. Draws a triangle
C. Pulls to a standing position and can take a few steps
D. Follows simple commands like “wave bye-bye”
E. Puts objects in a container
F. Hits two small wooden blocks together
G. Says 2-3 word sentences
The answers are: C, D, E, F. The other options are milestones for older children.
12. Your patient is 5-months-old. Which developmental milestone, if not performed by the
infant, should be further investigated?
A. Crawling
B. Rolling over from back to tummy
C. Using the pincer grasp D. Sitting without support
The answer is B. A 5-month-old should be able to roll over from its back to tummy. The other options
are milestones for older infants.
13. You’re teaching a new mom of a 1-week-old infant on how to prevent SIDS (Sudden Infant
Death Syndrome). Which statement by the parent requires you to reeducate the parent on this
topic?
A. “The best sleeping position for the baby is on their side or tummy”.
B. “It’s okay to share the same room with the baby.”
C. “I will stop swaddling the baby once he can roll over onto his tummy”.
D. “I will be sure to remove extra blankets and toys from the baby’s bed.”
,The answer is A. The best sleeping position for the baby is on their BACK….NOT side or tummy.
14. You’re helping develop a meal plan for a 10-month-old. Which foods will you select to be
part of the meal plan? Select all that apply:
A. Mashed potatoes
B. Grapes
C. Soup
D. Toast with honey
The answers are A and C. Option B should be avoided because it’s a choking hazard, and option D is
wrong because infants under 12 months should not have honey.
15. You’re educating a group of parents about car seat safety. A participant asks about the best
position of a car seat for a 6-month-old. Your response is:
A. Forward-facing and back seat
B. Forward-facing and front seat
C. Rear-facing and front seat
D. Rear-facing and back seat
This answer is D: Rear-facing and back seat
16. You’re providing care to a 1-month-old infant who is hospitalized. The parents are unable to
be at the bedside. The infant is crying. Select appropriate nursing interventions for this infant:
A. Let the infant play with crib mobiles
B. Swaddle the infant
C. Attempt to play peek-a-boo with the infant D. Rock the infant
E. Distract the infant with a toy
The answers are B and D. An infant this age should have their needs responded to promptly.
Appropriate interventions would be swaddling and rocking the infant. The other nursing interventions
listed are more appropriate for an older infant. This infant is very young.
17. Your patient is 6-months-old. According to Erikson’s Stage of Development, this patient is
in what stage? A. Autonomy vs. Shame & Doubt
B. Trust vs. Mistrust
C. Initiative vs. Guilt
D. Identity vs. Role Confusion
The answer is B: Trust vs. Mistrust
, 18. A 3-week-old infant is exclusively breast fed. What will you include in the patient education
to the mother during this clinic visit?
A. Introduce solid foods around 3-4 months of age along with breast feeding.
B. The infant needs to be supplemented with Vitamin D (400 IU) daily.
C. Cow’s milk may be substituted for breast milk around 6 months.
D. Breast feeding is only recommended for the first 4 months of life.
The answer is B. Infants that are exclusively (ONLY) breast fed should receive Vitamin D
supplementation (400 IU) daily per AAP guidelines.
1. You’re assessing a 10-month-old infant. You note on examination the anterior fontanelle is
open. The nurse will:
A. Document this as an abnormal finding because this fontanelle should close at 2 months
B. Document this as a normal finding because this fontanelle closes at about 18 months
C. Document this as a normal finding because this fontanelle closes at about 12 months
D. Document this as an abnormal finding because this fontanelle should close at 6 months The answer
is B. This is a normal finding in a 10-month-old infant. The anterior fontanelle closes around 18
months.
2. An infant weighed 8 lbs. at birth. How many lbs. should the infant weigh at 6 months?
A. 24 lbs
B. 10 lbs
C. 16 lbs D. 32 lbs
The answer is C. The birth weight should DOUBLE at 6 months and triple at 1 year.
Therefore, if the infant weighed 8 lbs. at birth, he or she should weigh 16 lbs. at 6 months. 3. An
infant was 21 inches at birth. How many inches should the infant be at 6 months?
A. 30-36 inches
B. 24-27 inches
C. 23-25 inches D. 22-24 inches
The answer is B. At 6 months the infant should grow about 1/2 to 1 inch every month. Therefore, if the
infant was 21 inches at birth, he or she should be around 24-27 inches at 6 months.
