NR328 / NR 328 Exam 1 2026/2027 Update | Pediatric Nursing | Chamberlain University | Verified Questions & Answers with Detailed Rationales | Grade A | Child Health Nursing & NCLEX-RN® Prep PDF

INSTANT PDF DOWNLOAD — This is the comprehensive Exam 1 preparation guide for NR328 / NR 328 - Pediatric Nursing (2026 Update) at Chamberlain University, featuring verified questions and answers with detailed rationales. Designed for nursing students in pediatric nursing courses, this resource consolidates the essential child health concepts required to master the NR328 Exam 1 and excel in pediatric nursing. The guide is meticulously aligned with Chamberlain University curriculum, NCLEX-RN® test plan, AAP, Bright Futures, and current evidence-based pediatric nursing standards. This verified resource provides comprehensive coverage of key NR328 Pediatric Nursing Exam 1 topics, including: Growth and Development Theories (Erikson's psychosocial development—infant (trust vs mistrust), toddler (autonomy vs shame/doubt), preschooler (initiative vs guilt), school-age (industry vs inferiority), adolescent (identity vs role confusion); Piaget's cognitive development—infant (sensorimotor—object permanence), toddler/preschooler (preoperational—egocentrism, magical thinking), school-age (concrete operational—logical thinking, conservation), adolescent (formal operational—abstract thinking, hypothetical reasoning); Kohlberg's moral development—preconventional (punishment-obedience, instrumental relativist), conventional (good boy/nice girl, law and order), postconventional (social contract, universal ethical principles); Freud's psychosexual development—oral (0-1 year), anal (1-3 years), phallic (3-6 years), latency (6-12 years), genital (12+ years); infant development (birth-12 months)—weight doubles by 6 months, triples by 12 months, length increases 50% by 12 months, anterior fontanelle closes 12-18 months, posterior closes 2-3 months, dentition (6-8 months lower central incisors first), gross motor (2-4 months lifts head, 4-6 months rolls over, 6-8 months sits alone, 8-10 months crawls, 10-12 months cruises, 12-15 months walks independently), fine motor (pincer grasp 9-10 months), cognitive (object permanence 4-8 months, stranger anxiety 7-9 months, separation anxiety 8-12 months, cause and effect learning), psychosocial (trust vs mistrust, attachment to primary caregiver), nursing interventions (car seat (rear-facing until age 2 or height/weight limit), safe sleep (back to sleep, firm mattress, no soft bedding, room-sharing not bed-sharing), fall prevention, aspiration prevention (small objects, balloons, hot dogs, grapes, popcorn, nuts, hard candy), poisoning prevention, immunization schedule (birth: HepB; 2 months: HepB, DTaP, Hib, IPV, PCV13, RV; 4,6 months: DTaP, Hib, IPV, PCV13, RV; 6 months: HepB, influenza annually starting 6 months), nutrition (breastmilk or iron-fortified formula first 6 months, solids 4-6 months (iron-fortified rice cereal first), one new food every 3-5 days, no honey before 12 months (botulism), no cow's milk before 12 months), anticipatory guidance (teething (teething rings, cold washcloth, acetaminophen/ibuprofen appropriate dose—no topical benzocaine in children 2 (methemoglobinemia risk)), no walkers with wheels (falls, burns, poisoning), drowning prevention (never leave infant unattended in bath, empty buckets, toilet lids down, pool fencing with self-closing gate, learn CPR), sun protection, smoke detectors, water heater 120°F); toddler development (1-3 years)—weight gain 4-6 lbs/year, height 3-5 inches/year, gross motor (runs 18-24 months, kicks ball, climbs stairs with assistance 2 years, jumps in place 2.5 years, pedals tricycle 3 years), fine motor (scribbles 15 months, stacks 2-4 blocks 18 months, copies circle 3 years, turns pages, uses spoon, drinks from cup, removes clothing), cognitive (symbolic thinking, pretend play, egocentrism (Piaget preoperational stage), object permanence fully developed, understands simple directions, points to body parts, 2-3 word phrases 24 months, 200-300 words at 2 years, 900-1000 words at 3 years, telegraphic speech), psychosocial (autonomy vs shame/doubt, negativism ("no"), temper tantrums (normal, set limits, consistent discipline, time-out (1 minute per year of age), offer choices within limits), parallel play (plays alongside but not with others), separation anxiety may persist but decreases, toilet training readiness (stays dry 2 hours, bowel movements predictable, indicates need to go, pulls pants up/down, follows simple instructions, interest in potty chair, typically 18-30 months, no pressure, positive reinforcement, boys often later than girls), nursing interventions (injury prevention (falls (stairs, windows, furniture tipping, playground equipment), burns (stove, hot liquids, matches, electrical outlets), drowning (pools, bathtubs, toilets, buckets, ponds, spas, constant supervision), poisoning (childproof caps, keep medications and cleaning products locked up, Poison Control ), choking (small toys, button batteries, magnets, food cut into small pieces (grapes quartered, hot dogs sliced lengthwise), no popcorn, nuts, hard candy, gum), pedestrian safety (hold hand near cars), car safety (forward-facing car seat with harness until age 4 or reaches height/weight limit of seat, no front seat until age 13), nutrition (transition to family meals, picky eating common (continue offering without forcing, one bite rule may increase pressure and food refusal, provide healthy choices, limit juice to 4 oz/day 100% juice, avoid sweets and sugary drinks, whole milk until age 2 then transition to low-fat or non-fat milk), immunization schedule (12-15 months: MMR, Varicella (chickenpox), Hib, PCV13, HepA; 12-23 months: HepA second dose 6 months after first; 15-18 months: DTaP; annually influenza), dental care (first dental visit by first birthday or first tooth eruption, brush with small soft toothbrush and water (rice-sized fluoride toothpaste after age 2), no bottle at bedtime, wean from bottle by 12-15 months), limit screen time (1 hour/day high-quality programming, no screens in bedroom, no television for children under 18 months except video chatting), positive discipline (redirect, natural consequences, consistent rules, avoid physical punishment, time-out for aggression), sleep (10-12 hours/night, consistent bedtime routine, avoid caffeine, limit screen time before bed, treat nightmares with reassurance not elaborate rituals, night terrors (don't wake child, safety, usually outgrow by adolescence)); preschooler development (3-6 years)—growth slows (2-3 inches/year, 4-5 lbs/year), leaner appearance, loss of baby fat, coordination improves, gross motor (rides tricycle, hops on one foot, skips (5 years), catches ball, climbs, walks downstairs alternating feet), fine motor (copies square and triangle (4-5 years), draws stick figure with 2-4 body parts, cuts with scissors, buttons clothing, ties shoelaces (6 years)), cognitive (preoperational phase (Piaget), magical thinking, animism, transductive reasoning, centration, egocentrism decreases but still present, language explosion (2,000+ words by age 5, 5-6 word sentences, tells stories, knows name/address/phone number (5-6 years), asks many questions (why? how?), counts to 10 (5 years), knows colors, letters), psychosocial (initiative vs guilt, imagination, fantasy play, cooperative play (plays with others, shares, takes turns), gender identity development (stable by age 4-5), fears (dark, monsters, loud noises, separation, injury), bedtime resistance and nightmares common, nursing interventions (injury prevention: falls (playground, bicycles, trampoline—discourage home trampoline use), drowning (pool supervision, swimming lessons, life jackets in boats), burns (matches, lighters, fireworks, hot liquids), pedestrian/bicycle (helmet always, rules of road, driveway safety), car safety (booster seat (age 4-7, 40-80 lbs, 35-57 inches) until seat belt fits properly (lap belt low on hips, shoulder belt across chest, typically age 8-12 or 4'9"), no front seat until age 13), nutrition (fussy eating may continue, involve child in meal preparation, regular meal and snack schedule, limit junk food, encourage fruits/vegetables/whole grains, calcium-rich foods), immunization schedule (4-6 years: DTaP, IPV, MMR, Varicella, annually influenza),