Test I. MULTIPLE CHOICE: Read the questions/situations carefully.

Shade the circle

corresponding to your answer on the answer sheet. Avoid erasures please. Erasures
will be marked wrong.
1. When discussing care for FLorian who is 15 months old, with her mother, the nurse
should consider the developmental task of parenting for which of the following
divisions of childhood?
a. Preschooler
b. Toddler
c. Infant
d. Neonate
2. A key developmental task of parenting is learning to determine if their child is crying
from hunger, discomfort, or some other reason. This task is most important for
parents of
a. School-aged child
b. Preschooler
c. Toddler
d. Infant
3. An infant is able to raise head before he or she can sit & gains control of the trunk
before walking. This exemplify which development pattern ?
a. Cephalocaudal
b. Mass to specific
c. Gross to Fine
d. Proximodistal
4. An infant grasps w/ hands before pinching w/ the fingers is an example of which
developmental pattern?
a. Cephalocaudal
b. Mass to specific
c. Gross to Fine
d. Proximodistal
5. Growth rate during the adolescent stage is best described as
a. slow and steady
b. rapid growth of limb
c. growth spurt
d. unpredictable
6. The theorist who described child development as a series of psychosexual stages
in which a childs sexual gratification becomes focused on a particular body part is:
a. Erik Erikson
b. Jean Piaget
c. Lawrence Kohlberg
d. Sigmund Freud
7. According to this theorist, children confront a crisis that requires the integration of
personal needs & skills with social & cultural expectations.
a. Erik Erikson
b. Jean Piaget
c. Lawrence Kohlberg
d. Sigmund Freud
8. The theorist who proposed that intellectual maturity is attained through four orderly &
distinct stages of development, all of which are interrelated.
a. Erik Erikson
b. Jean Piaget
c. Lawrence Kohlberg
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d. Sigmund Freud
9. He developed a theory on the way children gain knowledge of right & wrong
a. Erik Erikson
b. Jean Piaget
c. Lawrence Kohlberg
d. Sigmund Freud
10. A child wants to be held and cuddled a great deal at this stage of development:
a. infancy
b. toddler
c. preschool
d. school-age
11. At this stage he/she may prefer finger foods and puts on clothes without assistance:
a. infancy
b. toddler
c. preschool
d. school-age
12. A child at this particular stage takes initiative in activities and questions everything:
a. infancy
b. toddler
c. preschool
d. school-age
13. An infant of a substance-abuse mother is
at risk for developing a sense of which of the following?
a. Guilt
b. Inferiority
c. Mistrust
d. Shame
14. According to Erikson, infants will develop a sense of trust when
a. they can identify their mother and father
b. they feel accepted as part of the family
c. nutritional and hygiene needs are provided on a daily basis
d. they can predict what is coming and needs are consistently met
15. A mother with her 7-month-old child who loves to suck his thumb visits the clinic.
She expresses her concern that her child might develop permanent dental problem.
What should the nurse advise to the mother?
a. ignore the behavior
b. remove the infants thumb
c. distract the infant with toys
d. wrap infant thumb with adhesive tape

16. Erwin is 10 months old. What type of play activity is appropriate for his level of
development?
a. playing peek-a-boo
b. drawing lines
c. catching a ball
b. playing pick up sticks

17. While performing physical assessment of a 12-month-old infant, the nurse notes that
the infants anterior fontanelle is still slightly open. Which of the following is the nurses
most appropriate action?
a. Notify the health care provider immediately.
b. Perform an intensive neurologic examination.
c. Monitor closely the child and place on NPO.
d. Explain to the mother that the finding at his age.
18. The mother of a 2-month-old is concerned that she may be spoiling her child by
picking her up when she cries. Which of the following would be the nurses best
response?
a. Crying at this age means the baby is hungry; give her a bottle.
b. Let her cry for awhile before picking her up, so you wont spoil her.
c. If you leave her alone she will learn how to cry for herself to sleep.
d. Babies need to be held and cuddled; you wont spoil her this way.
19. The nurse notes that an infant stares at an object, placed in her hand and takes it to
her mouth, coos, and gurgles when talked to, and sustains part of her own weight when
held in a standing position. The nurse interprets these findings as typical of an infant of
which age?
a. 2 months
b. 4 months
c. 7 months
d. 9 months
20. Which of the following developmental milestones would the nurse expect in a 1month-old infant?
a. Holding a rattle briefly.
b. Rolling from back to side.
c. Smiling and laughing out loud.
d. Turning the head from side to side.
21. A mother brings her 4-month-old infant to the clinic for a regular check-up is
concerned that her infant is not developing appropriately. When assessing the infant,
which of the following would the nurse expect to find?
a. Reaching for a toy
b. Saying mama or dada
c. Sitting up with support
d. Finger-to-thumb grasping
22. A mother is singing to Nathan, her 5 month-old baby. What type of response should
be expected of him?
a. saying ma-ma
b. imitating the sounds
c. smiling, cooing, and babbling
d. watching her mothers face without making sound
23. At what age should an infant begin to locate an object hidden under a blanket?
a. 6 months
b. 8 months
c. 10 months
d. 12 months
24. An 8-month-old infant is seen in the well-child clinic for a routine check-up. The
nurse would expect the infant to be able to do which of the following?.
a. Sit without support
b. Stack three blocks
c. Walk independently
d. Feed self with a spoon

25. When teaching a mother about introducing solid foods to her infant, what age in
months should the nurse indicates as the earliest age to start?
a.
b.
c.
d.

4 months
6 months
9 months
12 months

26. Which of the following is the primary nursing intervention used to help a 1-month-old
infant tolerate hospitalization?
a. Using consistent caregivers.
b. Providing sensorimotor stimulation.
c. Keeping the infant warm and dry.
d. Following the home schedule as closely as possible.
27. A mother reports that her infant frequently wakes up from a sound sleep. What
should the nurse advise the parents to do to help the baby sleep through the night?
a. Place pillows around the infant.
b. Pick her up and play with the child.
c. Comfort the child back to sleep.
d. Play nursery rhymes
28. A parent is concerned about the fact that the infants soft spot is still open. Which of
the following would the nurse include when explaining about the usual age for closure of
the soft spot near the front of infants head?
a. 2-4 months
b. 5-8 months
c. 9-11 months
d. 12-18 months

29. A mother brings her 18-month-old to the clinic because the child eats ashes,
crayons, and paper. Which of the following about the toddler would the nurse assess
first?
a. Intake of a soft, low-roughage diet.
b. Evidence of eruption of large teeth.
c. Amount of attention from the mother.
d. Any changes in the home environment.
30. When assessing a 2-year-old child brought by his mother to the clinic for a routine
check-up, which of the following would the nurse expect the child to be able to do?
a. Ride a bicycle.
b. Tie his shoelaces.
c. Use blunt scissors.
d. Kick a ball forward.
31. When responding to a mother who is concerned that her 1-year-old is not yet
walking, the nurses response would be based on the knowledge that the age when
most children should be able to walk is which of the following?
a. 12 months
b. 15 months
c. 18 months
d. 24 months
32. A 3 -year-old child brought to the clinic by her parents is uncooperative when the
nurse tries to look in her ears. Which of the following would the nurse try first?
a. Restraint the childs arms.
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b. Allow a parent to assist.

c. Ask another nurse to assist.
d. Wait until the child calms down.
33. Which of the following describes the type of play observed with toddlers?
a. competitive
b. fantasy
c. parallel
d. solitary
34. When observing the parent instilling prescribed ear drops for a toddler, the nurse
decides that the teaching about positioning of the pinna for instillation of the drops is
effective when the parent pulls the toddlers pinna in which of the following directions?
a. Up and forward
b. Up and backward
c. Down and forward
d. Down and backward
35. When assessing for pain in a toddler, which of the following methods would be most
appropriate?
a. Use numeric pain scale.
b. Ask the child to describe the pain.
c. Assess for changes in the vital signs.
d. Observe the child for restlessness.
36. A 3-year-olds mother has just left the hospital to check on her other children. Which
of the following would best help the child who is now crying inconsolably?
a. Bottle of milk
b. Favorite pillow
c. Taking a nap
d. Playing peek-a-boo
37. If parents keep a toddler dependent in areas where he is capable of using skill, the
toddler will develop a sense of:
a. guilt
b. inferiority
c. mistrust
d. shame
38. The mother of a 20-month-old boy asks the nurse why her son has temper tantrums.
Which of the following would be the nurse best response?
a. He is expressing the need for identity.
b. He is probably spoiled and needs discipline.
c. He cannot express his feeling of frustration verbally.
d. It is the only way he can get attention from his mother.
39. A 30-month-old girl always puts her teddy bear on the left side of her bed
immediately after her mother reads a bedtime story. Which of the following describes
the purpose of this repeated behavior?
a. Provision of a sense of security.
b. Establishment of a sense of identity.
c. Establishment of learning behaviors.
d. Manipulation of adults in the childs environment.
40. Which of the following fears would the nurse typically associate with toddlerhood?
a. Ghosts
b. The dark
c. Mutilation
d. Going to sleep
41. Which intervention is most appropriate for a toddler?
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a. Placing a gate on the door to a toddlers room.

b. Leaving the toddlers alone in the tub for a brief moment.
c. Assisting the child in putting his clothes on to develop neatness.
d. Offering the toddler something pleasurable during episodes of tantrum.
42. When teaching parents about the childs readiness for toilet training, which of the
following signs should the nurse instruct them to watch for in the toddler?
a. demonstrates dryness for 4 hours
b. demonstrates ability to sit and walk
c. has a new sibling for stimulation
d. verbalizes desire to go to the bathroom

43. After teaching a group of parents about temper tantrums, the nurse knows the
teaching has been effective when one of the parents states which of the following?
a. I will ignore the temper tantrum.
b. I should pick-up the child during the tantrum.
c. Ill talk to my daughter during the tantrum.
d. I shall put my child in time-out.
44. The mother of a 4-year-old expresses concern that her child may be hyperactive.
She describes the child as always in motion, constantly dropping and spilling things.
Which of the following actions would be most appropriate at this time?
a. Explain that this is not unusual behavior.
b. Explore the possibility that the child is being abused.
c. Suggest that the child be seen by a pediatric neurologist.
d. Determine whether there have been any changes at home.
45. When providing a therapeutic play, which of the following toys would best promote
imaginative play in a 4-year-old?
a. Blowing bubbles
b. Wooden puzzle
c. Large blocks
d. Dress-up clothes
46. The mother of a preschooler reports that her child creates a scene every night at
bedtime. The nurse and mother decide that the best course of action would be to do
which of the following?
a. Encourage active play before bedtime.
b. Establish a set bedtime and follow a routine.
c. Allow the child to stay up later one or two times a week.
d. Give the child a cookie if bedtime is pleasant.
47. After having a blood sample drawn, a 5 year-old insists that the site be covered with
adhesive bandage strip. When the mother tries to remove the bandage before leaving
the office, the child screams that all the blood will come out. The nurse interprets this
behavior as indicating a fear of which of the following?
a. Pain
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b. Injury
c. Loss of control
d. Compromised body image
48. When developing the teaching plan for the mother of a preschooler about illness,
which of the following would the nurse expect to include about how a preschooler
perceive illness?
a. The will of God.
b. Test of self-worth.
c. A necessary part of life.
d. Punishment from wrong doing.

49. When providing a health teaching for a 4-year-old, the nurse knows that the child is
capable of which of the following ?
a. Exhibiting intuitive thought
b. Seeing relationships in reverse
c. Making simple classifications
d. Understanding another point of view
50. Which of the following suggestions should the nurse offer the parents of a 4-year-old
boy who resists going to bed at night?
a. Tell him that you will lock him in his room if he gets out of bed one more time.
b. Allow him to fall asleep in your room, then move him to his own bed.
c. Encourage active play at bedtime to tire him out so he will fall asleep faster.
d. Read him a story and allow him to play quietly in his bed until he falls asleep.