NR 602 PRIMARY CARE OF THE CHILDBEARING FAMILY
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||2026/2027!!!!!!
A 1-month-old infant is observed to have doll’s eye movements, nasal breathing, closed
hands, visual fixation at 20–25 cm, and sleeps 16–17 hours per day. Which developmental
stage is this infant demonstrating?
Correct Answer:
Normal 1-month developmental milestones
Expert Rationale:
At 1 month of age, infants demonstrate primitive brainstem reflexes such as the doll’s eye
(oculocephalic reflex). Vision is limited to short distances (20–25 cm), consistent with focus
on the caregiver’s face during feeding. Nasal breathing is normal due to obligatory nasal
airflow in neonates. Hands are typically clenched due to physiologic flexor tone. Sleep
duration is high (16–17 hours/day), reflecting immature circadian regulation.
Why other options are incorrect:
• 2 months: would show social smile, improved head control, and reduced head lag
• 3 months: would show head control and social interaction, not persistent primitive reflex
dominance
• 6 months: would show sitting independently and social recognition beyond reflexive
behaviors
DIF: Recall
REF: Pediatric Development / Infant Milestones
OBJ: Identify normal neonatal developmental reflexes and behaviors at 1 month
TOP: Developmental Pediatrics / Neonate
A 2-month-old infant has closure of the posterior fontanel, reduced head lag, cooing
sounds, visual tracking of objects side to side, and sleeps 8.5–10 hours at night with 6–7
hours during the day. What developmental milestone is expected at this age?
Correct Answer:
Emergence of early social interaction and improved head control
Expert Rationale:
At 2 months, infants show improvement in neuromuscular control, including reduced head lag.
The posterior fontanel typically closes. Vocalization progresses to cooing, and visual tracking
,improves with horizontal following of objects. Sleep begins to consolidate into longer nighttime
periods with fewer daytime hours.
Why other options are incorrect:
• 1 month: lacks consistent tracking and cooing
• 3 months: would show full head control and social smile
• 6 months: would show independent sitting and stranger recognition
DIF: Recall
REF: Pediatric Development / Infant Milestones
OBJ: Describe developmental milestones at 2 months of age
TOP: Developmental Pediatrics
A 3-month-old infant has fading primitive reflexes, can hold the head up, bears weight on
legs, does not yet reach for objects, babbles, recognizes familiar faces, and sleeps 15–16
hours per day. What is the expected developmental status?
Correct Answer:
Normal 3-month developmental progression with emerging motor and social awareness
Expert Rationale:
By 3 months, primitive reflexes begin to disappear as voluntary motor control improves. Infants
develop head control and begin to bear weight when supported. Babbling begins, and recognition
of familiar people and objects emerges, indicating early cognitive development. Sleep duration
remains high but slightly reduced from newborn levels.
Why other options are incorrect:
• 2 months: would not show weight-bearing or full head control
• 4–5 months: would show reaching, rolling, and increased purposeful interaction
• 6 months: would show sitting independently and stronger social preference
DIF: Recall
REF: Pediatric Development / Infant Milestones
OBJ: Explain developmental transitions at 3 months
TOP: Developmental Pediatrics
A 4-month-old infant is drooling, has no Moro or tonic neck reflex, sits when propped,
plays with hands, pulls objects, laughs, and has a regular sleep–wake cycle. What
developmental milestone is most consistent with this age?
Correct Answer:
Improved motor coordination with emerging social interaction and voluntary grasping
Expert Rationale:
At 4 months, primitive reflexes such as Moro and tonic neck reflex have typically disappeared.
Voluntary hand use begins, including reaching and grasping. Social development includes
,laughter and emotional expression. Head and trunk control improves enough for supported
sitting. Sleep patterns become more regular.
Why other options are incorrect:
• 3 months: reflexes may still be present and sitting is not supported
• 6 months: would show independent sitting and stronger object transfer skills
• 8 months: would show pincer grasp and separation anxiety
DIF: Recall
REF: Pediatric Development / Infant Milestones
OBJ: Identify 4-month developmental achievements
TOP: Developmental Pediatrics
A 5-month-old infant has doubled birth weight, rolls from back to belly, follows dropped
objects, pulls objects to mouth, and sleeps 10–11 hours at night with 3 naps. What
developmental stage is this consistent with?
Correct Answer:
Normal 5-month developmental progression with increased motor exploration
Expert Rationale:
At 5 months, infants show significant motor development including rolling over and purposeful
hand-to-mouth activity. Visual tracking improves, and infants begin exploring objects orally.
Weight typically doubles from birth, reflecting normal growth. Sleep patterns become more
structured with fewer daytime naps.
Why other options are incorrect:
• 4 months: rolling is less consistent and weight doubling may not yet be achieved
• 6 months: would show sitting independently and social recognition
• 7 months: would show tripod sitting and stranger anxiety
DIF: Recall
REF: Pediatric Development / Infant Milestones
OBJ: Describe developmental milestones at 5 months
TOP: Developmental Pediatrics
A 6-month-old infant shows slowed growth (3–5 oz/week, ½ inch/month), rolls over, sits in
a chair with back support, recognizes parents, shows clear likes and dislikes, and sleeps 13–
14 hours with 2–3 naps. What is the expected developmental pattern?
Correct Answer:
Emerging social recognition with improved gross motor control
Expert Rationale:
At 6 months, growth velocity slows compared to earlier infancy. Motor skills include rolling and
, supported sitting. Cognitive development includes recognition of primary caregivers and
emotional preferences. Sleep becomes more consolidated with fewer naps.
Why other options are incorrect:
• 5 months: would not reliably recognize parents or show strong preferences
• 7 months: would show tripod sitting and stranger anxiety
• 8 months: would show independent sitting and pincer grasp
DIF: Recall
REF: Pediatric Development / Infant Milestones
OBJ: Explain 6-month developmental milestones
TOP: Developmental Pediatrics
A 7-month-old infant leans into a tripod position, bounces when standing, bangs objects,
says vowel sounds, recognizes name, and shows stranger anxiety. What developmental
stage is this consistent with?
Correct Answer:
Normal 7-month developmental progression with early mobility and social awareness
Expert Rationale:
At 7 months, infants develop tripod sitting for stability and begin to explore environment
actively. Object banging reflects cause-and-effect learning. Vocalization increases with vowel
sounds. Stranger anxiety appears due to memory and attachment development.
Why other options are incorrect:
• 6 months: would not reliably show stranger anxiety or tripod sitting
• 8–9 months: would show independent sitting and pincer grasp
• 10 months: would show crawling and object permanence
DIF: Recall
REF: Pediatric Development / Infant Milestones
OBJ: Identify 7-month developmental milestones
TOP: Developmental Pediatrics
A 12-month-old infant triples birth weight, increases length by 50%, walks holding one
hand, says 5–7 words, and uses a security object. What developmental stage is expected?
Correct Answer:
Normal 12-month developmental milestones indicating early toddler transition
Expert Rationale:
By 12 months, infants typically transition to toddler development. Gross motor skills include
assisted walking. Language expands to several words. Growth milestones include tripling birth
weight and significant linear growth. Emotional attachment to a security object is normal.
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||2026/2027!!!!!!
A 1-month-old infant is observed to have doll’s eye movements, nasal breathing, closed
hands, visual fixation at 20–25 cm, and sleeps 16–17 hours per day. Which developmental
stage is this infant demonstrating?
Correct Answer:
Normal 1-month developmental milestones
Expert Rationale:
At 1 month of age, infants demonstrate primitive brainstem reflexes such as the doll’s eye
(oculocephalic reflex). Vision is limited to short distances (20–25 cm), consistent with focus
on the caregiver’s face during feeding. Nasal breathing is normal due to obligatory nasal
airflow in neonates. Hands are typically clenched due to physiologic flexor tone. Sleep
duration is high (16–17 hours/day), reflecting immature circadian regulation.
Why other options are incorrect:
• 2 months: would show social smile, improved head control, and reduced head lag
• 3 months: would show head control and social interaction, not persistent primitive reflex
dominance
• 6 months: would show sitting independently and social recognition beyond reflexive
behaviors
DIF: Recall
REF: Pediatric Development / Infant Milestones
OBJ: Identify normal neonatal developmental reflexes and behaviors at 1 month
TOP: Developmental Pediatrics / Neonate
A 2-month-old infant has closure of the posterior fontanel, reduced head lag, cooing
sounds, visual tracking of objects side to side, and sleeps 8.5–10 hours at night with 6–7
hours during the day. What developmental milestone is expected at this age?
Correct Answer:
Emergence of early social interaction and improved head control
Expert Rationale:
At 2 months, infants show improvement in neuromuscular control, including reduced head lag.
The posterior fontanel typically closes. Vocalization progresses to cooing, and visual tracking
,improves with horizontal following of objects. Sleep begins to consolidate into longer nighttime
periods with fewer daytime hours.
Why other options are incorrect:
• 1 month: lacks consistent tracking and cooing
• 3 months: would show full head control and social smile
• 6 months: would show independent sitting and stranger recognition
DIF: Recall
REF: Pediatric Development / Infant Milestones
OBJ: Describe developmental milestones at 2 months of age
TOP: Developmental Pediatrics
A 3-month-old infant has fading primitive reflexes, can hold the head up, bears weight on
legs, does not yet reach for objects, babbles, recognizes familiar faces, and sleeps 15–16
hours per day. What is the expected developmental status?
Correct Answer:
Normal 3-month developmental progression with emerging motor and social awareness
Expert Rationale:
By 3 months, primitive reflexes begin to disappear as voluntary motor control improves. Infants
develop head control and begin to bear weight when supported. Babbling begins, and recognition
of familiar people and objects emerges, indicating early cognitive development. Sleep duration
remains high but slightly reduced from newborn levels.
Why other options are incorrect:
• 2 months: would not show weight-bearing or full head control
• 4–5 months: would show reaching, rolling, and increased purposeful interaction
• 6 months: would show sitting independently and stronger social preference
DIF: Recall
REF: Pediatric Development / Infant Milestones
OBJ: Explain developmental transitions at 3 months
TOP: Developmental Pediatrics
A 4-month-old infant is drooling, has no Moro or tonic neck reflex, sits when propped,
plays with hands, pulls objects, laughs, and has a regular sleep–wake cycle. What
developmental milestone is most consistent with this age?
Correct Answer:
Improved motor coordination with emerging social interaction and voluntary grasping
Expert Rationale:
At 4 months, primitive reflexes such as Moro and tonic neck reflex have typically disappeared.
Voluntary hand use begins, including reaching and grasping. Social development includes
,laughter and emotional expression. Head and trunk control improves enough for supported
sitting. Sleep patterns become more regular.
Why other options are incorrect:
• 3 months: reflexes may still be present and sitting is not supported
• 6 months: would show independent sitting and stronger object transfer skills
• 8 months: would show pincer grasp and separation anxiety
DIF: Recall
REF: Pediatric Development / Infant Milestones
OBJ: Identify 4-month developmental achievements
TOP: Developmental Pediatrics
A 5-month-old infant has doubled birth weight, rolls from back to belly, follows dropped
objects, pulls objects to mouth, and sleeps 10–11 hours at night with 3 naps. What
developmental stage is this consistent with?
Correct Answer:
Normal 5-month developmental progression with increased motor exploration
Expert Rationale:
At 5 months, infants show significant motor development including rolling over and purposeful
hand-to-mouth activity. Visual tracking improves, and infants begin exploring objects orally.
Weight typically doubles from birth, reflecting normal growth. Sleep patterns become more
structured with fewer daytime naps.
Why other options are incorrect:
• 4 months: rolling is less consistent and weight doubling may not yet be achieved
• 6 months: would show sitting independently and social recognition
• 7 months: would show tripod sitting and stranger anxiety
DIF: Recall
REF: Pediatric Development / Infant Milestones
OBJ: Describe developmental milestones at 5 months
TOP: Developmental Pediatrics
A 6-month-old infant shows slowed growth (3–5 oz/week, ½ inch/month), rolls over, sits in
a chair with back support, recognizes parents, shows clear likes and dislikes, and sleeps 13–
14 hours with 2–3 naps. What is the expected developmental pattern?
Correct Answer:
Emerging social recognition with improved gross motor control
Expert Rationale:
At 6 months, growth velocity slows compared to earlier infancy. Motor skills include rolling and
, supported sitting. Cognitive development includes recognition of primary caregivers and
emotional preferences. Sleep becomes more consolidated with fewer naps.
Why other options are incorrect:
• 5 months: would not reliably recognize parents or show strong preferences
• 7 months: would show tripod sitting and stranger anxiety
• 8 months: would show independent sitting and pincer grasp
DIF: Recall
REF: Pediatric Development / Infant Milestones
OBJ: Explain 6-month developmental milestones
TOP: Developmental Pediatrics
A 7-month-old infant leans into a tripod position, bounces when standing, bangs objects,
says vowel sounds, recognizes name, and shows stranger anxiety. What developmental
stage is this consistent with?
Correct Answer:
Normal 7-month developmental progression with early mobility and social awareness
Expert Rationale:
At 7 months, infants develop tripod sitting for stability and begin to explore environment
actively. Object banging reflects cause-and-effect learning. Vocalization increases with vowel
sounds. Stranger anxiety appears due to memory and attachment development.
Why other options are incorrect:
• 6 months: would not reliably show stranger anxiety or tripod sitting
• 8–9 months: would show independent sitting and pincer grasp
• 10 months: would show crawling and object permanence
DIF: Recall
REF: Pediatric Development / Infant Milestones
OBJ: Identify 7-month developmental milestones
TOP: Developmental Pediatrics
A 12-month-old infant triples birth weight, increases length by 50%, walks holding one
hand, says 5–7 words, and uses a security object. What developmental stage is expected?
Correct Answer:
Normal 12-month developmental milestones indicating early toddler transition
Expert Rationale:
By 12 months, infants typically transition to toddler development. Gross motor skills include
assisted walking. Language expands to several words. Growth milestones include tripling birth
weight and significant linear growth. Emotional attachment to a security object is normal.
