NUR 203/NUR203 Exam 1 V2 | Pediatric
Nursing Q&A with Rationale | Fortis
College
1. According to Erikson’s stages of psychosocial development, which task is primary for an
infant from birth to 18 months?
A. Autonomy vs. Shame and Doubt
B. Industry vs. Inferiority
C. Initiative vs. Guilt
D. Trust vs. Mistrust
Correct Answer: D
Expert Explanation: The infant stage is characterized by the development of trust.
Caregivers provide the infant with food, comfort, and safety to establish this foundation. If
needs are not met consistently, the child may develop a sense of mistrust towards the
world.
2. A 2-year-old child is admitted to the pediatric unit and is crying loudly, kicking, and
screaming for ‘Mommy.’ Which stage of separation anxiety is this?
A. Despair
B. Protest
C. Denial
,D. Detachment
Correct Answer: B
Expert Explanation: The protest stage involves active resistance and crying when
separated from the primary caregiver. Children in this phase often refuse comfort from
nursing staff and continue to search for their parents. This is a normal and healthy
developmental response for a toddler.
3. When performing a physical examination on a 15-month-old child, in which order should
the nurse perform the assessments?
A. Head-to-toe sequence
B. Most invasive procedures first
C. Heart and lungs, then ears and throat
D. Ears, throat, and then abdomen
Correct Answer: C
Expert Explanation: For toddlers, the nurse should perform least invasive or quiet
procedures like auscultation first. More invasive or frightening tasks, such as looking into
the ears or throat, should be reserved for the end. This sequence helps maintain the child’s
cooperation for a longer duration.
4. An infant’s birth weight was 7 lbs 8 oz. What is the expected weight for this infant at 6
months of age?
A. 10 lbs
, B. 22 lbs 8 oz
C. 30 lbs
D. 15 lbs
Correct Answer: D
Expert Explanation: A general rule of thumb for infant growth is that birth weight doubles
by the age of 5 to 6 months. Therefore, an infant weighing 7.5 lbs at birth should weigh
approximately 15 lbs at 6 months. Tracking weight gain is essential to monitor for
appropriate nutritional intake.
5. Which type of play is most characteristic of a 2-year-old child?
A. Cooperative play
B. Associative play
C. Parallel play
D. Solitary play
Correct Answer: C
Expert Explanation: Toddlers typically engage in parallel play, where they play beside
other children but not with them. They may use similar toys but do not attempt to influence
the other child’s activity. This is a developmental milestone reflecting their increasing
awareness of peers without social integration.
Nursing Q&A with Rationale | Fortis
College
1. According to Erikson’s stages of psychosocial development, which task is primary for an
infant from birth to 18 months?
A. Autonomy vs. Shame and Doubt
B. Industry vs. Inferiority
C. Initiative vs. Guilt
D. Trust vs. Mistrust
Correct Answer: D
Expert Explanation: The infant stage is characterized by the development of trust.
Caregivers provide the infant with food, comfort, and safety to establish this foundation. If
needs are not met consistently, the child may develop a sense of mistrust towards the
world.
2. A 2-year-old child is admitted to the pediatric unit and is crying loudly, kicking, and
screaming for ‘Mommy.’ Which stage of separation anxiety is this?
A. Despair
B. Protest
C. Denial
,D. Detachment
Correct Answer: B
Expert Explanation: The protest stage involves active resistance and crying when
separated from the primary caregiver. Children in this phase often refuse comfort from
nursing staff and continue to search for their parents. This is a normal and healthy
developmental response for a toddler.
3. When performing a physical examination on a 15-month-old child, in which order should
the nurse perform the assessments?
A. Head-to-toe sequence
B. Most invasive procedures first
C. Heart and lungs, then ears and throat
D. Ears, throat, and then abdomen
Correct Answer: C
Expert Explanation: For toddlers, the nurse should perform least invasive or quiet
procedures like auscultation first. More invasive or frightening tasks, such as looking into
the ears or throat, should be reserved for the end. This sequence helps maintain the child’s
cooperation for a longer duration.
4. An infant’s birth weight was 7 lbs 8 oz. What is the expected weight for this infant at 6
months of age?
A. 10 lbs
, B. 22 lbs 8 oz
C. 30 lbs
D. 15 lbs
Correct Answer: D
Expert Explanation: A general rule of thumb for infant growth is that birth weight doubles
by the age of 5 to 6 months. Therefore, an infant weighing 7.5 lbs at birth should weigh
approximately 15 lbs at 6 months. Tracking weight gain is essential to monitor for
appropriate nutritional intake.
5. Which type of play is most characteristic of a 2-year-old child?
A. Cooperative play
B. Associative play
C. Parallel play
D. Solitary play
Correct Answer: C
Expert Explanation: Toddlers typically engage in parallel play, where they play beside
other children but not with them. They may use similar toys but do not attempt to influence
the other child’s activity. This is a developmental milestone reflecting their increasing
awareness of peers without social integration.
