PEDIATRIC COMAT EXAM NEWEST 2026 ACTUAL
EXAM TEST BANK| COMPLETE 850 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+| COMAT PEDIATRICS REVIEW
2026 (BRAND NEW!!)
1. A 2-month-old infant is brought for a well-child visit. The
mother reports that the infant has been smiling socially and
following objects. Which developmental milestone should the
infant have achieved by this age?
a) Sitting without support
b) Transferring objects hand-to-hand
c) Social smile and visual tracking
d) Babbling consonant sounds
Correct Answer: c) Social smile and visual tracking
*Rationale: Social smile emerges at 6-8 weeks (2 months). Visual
tracking of faces/objects is also present. Sitting without support
1
,occurs at 6-7 months; transfer hand-to-hand at 5-6 months;
babbling consonants at 4-6 months .*
2. A 4-month-old infant does not turn toward sounds and
does not coo. Which screening test should be performed?
a) Newborn hearing screen (if not done)
b) Brain MRI
c) Genetic testing
d) Lumbar puncture
Correct Answer: a) Newborn hearing screen
Rationale: Failure to respond to sounds or coo by 4 months
warrants formal audiology evaluation. Many states mandate
newborn hearing screening. Early intervention (by 6 months)
improves language outcomes .
2
,3. A 9-month-old infant cannot sit without support and is not
crawling. The mother reports the infant had an uneventful
birth and no known illnesses. What is the next best step?
a) Reassure mother that this is normal variation
b) Developmental screening (e.g., Ages and Stages
Questionnaire) and referral to early intervention
c) Order MRI of the brain
d) Start physical therapy immediately without evaluation
Correct Answer: b) Developmental screening and referral to
early intervention
Rationale: By 9 months, infants should sit without support. Gross
motor delay warrants formal developmental screening and referral
to early intervention (Part C of IDEA). Early therapy improves
outcomes .
3
, 4. A 15-month-old toddler is brought for a well-child visit. The
parents are concerned because the child uses only 2 words
consistently. Which statement is correct?
a) This is consistent with normal development (expected 3-5
words by 15 months)
b) This is a language delay requiring speech therapy
c) The child should be evaluated for autism
d) The child needs a hearing test immediately
Correct Answer: a) This is consistent with normal
development
*Rationale: At 15 months, children should have 3-5 words (not
necessarily clear). Language explosion occurs at 18-24 months.
"Expressive language delay" is defined as <10 words by 18
months .*
4
EXAM TEST BANK| COMPLETE 850 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+| COMAT PEDIATRICS REVIEW
2026 (BRAND NEW!!)
1. A 2-month-old infant is brought for a well-child visit. The
mother reports that the infant has been smiling socially and
following objects. Which developmental milestone should the
infant have achieved by this age?
a) Sitting without support
b) Transferring objects hand-to-hand
c) Social smile and visual tracking
d) Babbling consonant sounds
Correct Answer: c) Social smile and visual tracking
*Rationale: Social smile emerges at 6-8 weeks (2 months). Visual
tracking of faces/objects is also present. Sitting without support
1
,occurs at 6-7 months; transfer hand-to-hand at 5-6 months;
babbling consonants at 4-6 months .*
2. A 4-month-old infant does not turn toward sounds and
does not coo. Which screening test should be performed?
a) Newborn hearing screen (if not done)
b) Brain MRI
c) Genetic testing
d) Lumbar puncture
Correct Answer: a) Newborn hearing screen
Rationale: Failure to respond to sounds or coo by 4 months
warrants formal audiology evaluation. Many states mandate
newborn hearing screening. Early intervention (by 6 months)
improves language outcomes .
2
,3. A 9-month-old infant cannot sit without support and is not
crawling. The mother reports the infant had an uneventful
birth and no known illnesses. What is the next best step?
a) Reassure mother that this is normal variation
b) Developmental screening (e.g., Ages and Stages
Questionnaire) and referral to early intervention
c) Order MRI of the brain
d) Start physical therapy immediately without evaluation
Correct Answer: b) Developmental screening and referral to
early intervention
Rationale: By 9 months, infants should sit without support. Gross
motor delay warrants formal developmental screening and referral
to early intervention (Part C of IDEA). Early therapy improves
outcomes .
3
, 4. A 15-month-old toddler is brought for a well-child visit. The
parents are concerned because the child uses only 2 words
consistently. Which statement is correct?
a) This is consistent with normal development (expected 3-5
words by 15 months)
b) This is a language delay requiring speech therapy
c) The child should be evaluated for autism
d) The child needs a hearing test immediately
Correct Answer: a) This is consistent with normal
development
*Rationale: At 15 months, children should have 3-5 words (not
necessarily clear). Language explosion occurs at 18-24 months.
"Expressive language delay" is defined as <10 words by 18
months .*
4
