Question 1

First teeth of baby comes out at?

Accepted Answer

Answer reason: Primary tooth eruption typically begins around 6 months of age, most commonly with the lower central incisors. While there is normal variation, 3 months is earlier than expected for most infants and 9 months is later than the average onset. Therefore, 6 months is the best single answer.
Category reason: This question tests a normal pediatric developmental milestone (timing of first tooth eruption), which fits Health Promotion and Maintenance focused on growth and developmental stages.

Question 2

The nurse is assessing a six-month-old child. Which developmental skills are normal and should be expected?

Accepted Answer

Answer reason: At around 6 months, infants commonly can sit with support and many are beginning to sit independently for short periods, making sitting alone the best expected developmental skill among the options. Speaking in short sentences is a later language milestone (toddler age). Feeding self with a spoon and pulling to a standing position typically develop later (often closer to 9–12 months), so they are not expected at 6 months.
Category reason: The question asks what milestone is expected for a 6-month-old child, which is an assessment of normal pediatric developmental stages—an NCLEX Health Promotion and Maintenance topic under Growth and Development.

Question 3

A 12 month old child is brought to the clinic for a well baby visit. Which developmental milestone should the nurse expect?

Accepted Answer

Answer reason: By around 12 months, many infants are able to stand and take independent steps, making walking independently an expected gross-motor milestone at this age. Three-word sentences typically emerge later (closer to age 2 years). Using a spoon with precision is also a later fine-motor skill (often develops through the second year). Stacking four blocks is usually expected later than 12 months (more commonly around 18–24 months).
Category reason: The question asks the nurse to anticipate an age-appropriate developmental milestone during a well-child visit, which is a growth and development assessment topic within Health Promotion and Maintenance.

Question 4

A child with Down syndrome has a developmental age of four years. According to the Denver Developmental Assessment the four-year-old should be able to?

Accepted Answer

Answer reason: In the Denver Developmental Screening Test, a typical 4-year-old has language and personal-social milestones that include being able to state their full name. Drawing a person with multiple body parts and fully dressing independently are more variable and often align closer to later preschool/early school-age fine-motor and self-care expectations. “Define a list of words” is not a standard Denver milestone for age 4 and is developmentally too advanced for a screening benchmark. Therefore, giving first and last name is the best expected skill at a developmental age of 4 years.
Category reason: This question tests expected developmental milestones at a specific developmental age (preschool), which falls under Growth and Development and developmental stage transitions used in screening tools like the Denver assessment.

Question 5

An 18 month old child is being seen for a well child visit. What is the expected # of vocabulary words for this age?

Accepted Answer

Answer reason: 50 By around 18 months, toddlers typically have a spoken vocabulary of about 50 words and begin combining words shortly after (often closer to 24 months). Earlier milestones are smaller (e.g., ~10–25 words around 12–15 months), while substantially larger vocabularies (e.g., ~90–150) are more consistent with later toddler ages. Therefore, 50 is the best expected vocabulary count for an 18-month-old at a well-child visit.
Category reason: This question tests expected language milestones at a specific pediatric age during a well-child visit, which is part of nursing assessment of developmental stages and transitions.

Question 6

True or False: A 2-year-old should be able to form full sentences.?

Accepted Answer

Answer reason: False At age 2, most toddlers use two-word phrases and short simple sentences, but consistently forming full sentences is more typical closer to ages 3–4. Expected language milestones at 2 years include combining words, naming familiar objects, and having an expanding vocabulary. Saying a 2-year-old “should” form full sentences overestimates normal development and could lead to inappropriate concern or expectations.
Category reason: This question tests expected toddler language milestones, which falls under Growth and Development—Developmental Stages and Transitions in NCLEX.

Question 7

At which age first of all a child can sit with support-?

Accepted Answer

Answer reason: 5 Months Sitting with support typically emerges around 4–5 months as trunk control and head stability improve. By about 6 months many infants can sit with minimal support (tripod sitting), and independent sitting is more commonly achieved closer to 7–8 months. Therefore, 5 months is the best match for the earliest age at which sitting with support is expected.
Category reason: This item tests expected infant developmental milestones (gross motor) and their timing, which falls under pediatric growth and development and anticipatory guidance.

Question 8

What is the normal age of disappearance of the Moro reflex?

Accepted Answer

Answer reason: 3-4 months This primitive (newborn) reflex is expected to be present at birth and then integrate as the infant’s neurologic system matures. Persistence beyond about 4–6 months can suggest delayed neurologic maturation or CNS pathology, whereas absence in a newborn may indicate neurologic injury or significant depression. Knowing normal integration timelines helps identify developmental red flags during well-child assessments.
Category reason: This question tests normal infant developmental milestones (integration of primitive reflexes), which aligns with Growth and Development—Developmental Stages and Transitions.

Question 9

Due to acute appendicitis, a 16-year-old patient is admitted to the hospital. They do an appendectomy. Which nursing intervention is best suited to support recovery from surgery by promoting normal growth and development?

Accepted Answer

Answer reason: D. Allow the client to interact with others in his or her same age group. Adolescents are in a developmental stage where peer interaction supports identity formation, autonomy, and normal psychosocial development. After surgery, facilitating appropriate socialization can reduce isolation and promote coping, which supports recovery. The other choices may provide comfort, but they do not address the primary developmental need of a 16-year-old as directly as maintaining peer relationships.
Category reason: The question asks which nursing intervention best supports a 16-year-old’s normal growth and development during hospitalization, which centers on age-appropriate developmental needs and transitions.

Question 10

A nurse is assessing the developmental milestones of a 9-month-old infant. Which of the following findings would be most concerning and require further evaluation?

Accepted Answer

Answer reason: By around 6 months infants typically babble, and by 9 months they should be producing consonant sounds (e.g., “ba,” “da”), so absence suggests possible hearing impairment or a speech/language developmental delay needing evaluation. Pulling to stand and showing stranger anxiety are expected around this age. A developing pincer grasp is also appropriate in late infancy and is less concerning than delayed vocalization.
Category reason: This question tests recognition of normal versus delayed 9-month developmental milestones to decide when further evaluation is needed, which fits pediatric growth and development assessment.

Question 11

A baby learning to walk is called?

Accepted Answer

Answer reason: Walking typically emerges around 12–15 months, which falls within the toddler developmental stage (about 1–3 years). A neonate is the first 28 days after birth, when independent walking is not expected. Embryo and fetus refer to prenatal stages, so they cannot describe a baby learning to walk after birth. Therefore, the best term for a child learning to walk is the toddler stage.
Category reason: This question tests recognition of pediatric developmental stages (age-based terminology and milestones), which aligns with Growth and Development—specifically Developmental Stages and Transitions.

Question 12

THE CLINIC NURSE IS PREPARING TO EXPLAIN THE CONCEPTS OF KOHLBERG'S THEORY OF MORAL DEVELOPMENT WITH A PARENT. THE NURSE SHOULD TELL THE PARENT THAT WHICH FACTOR MOTIVATES GOOD AND BAD ACTIONS FOR THE CHILD AT THE PRECONVENTIONAL LEVEL?

Accepted Answer

Answer reason: At the preconventional level, children judge actions mainly by their direct consequences rather than by internalized principles. Behavior is guided by avoiding punishment (obedience/punishment orientation) and seeking rewards or personal benefit (instrumental orientation). Peer or social pressure becomes more influential later as the child develops conventional moral reasoning focused on approval and rules.
Category reason: This question tests understanding of a child’s developmental stage in moral development and how that affects behavior, which aligns with developmental stages and transitions in health promotion and maintenance.

Question 13

At what age do babies generally develop the pincer grasp? (which allows them to pickup smaller objects).?

Accepted Answer

Answer reason: Pincer grasp is a fine-motor milestone that typically emerges around 9 months (often first as an inferior/raking pincer and then a neat pincer). Timing earlier than this is more consistent with palmar grasping rather than thumb–index finger opposition. Ages beyond 12 months would be considered delayed relative to expected infant fine motor development and may prompt developmental screening.
Category reason: This question tests recognition of a normal infant developmental milestone (fine motor skill acquisition), which falls under Growth and Development—Developmental Stages and Transitions.

Question 14

A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for injuries sustained from a fall. His parents are very concerned that the child has regressed in his toilet behaviors. Which information should the nurse provide to the parents?

Accepted Answer

Answer reason: Hospitalization and injury are common stressors for preschoolers and can trigger temporary developmental regression, including toileting setbacks. The priority nursing action is to reassure parents that this is usually short-lived and resolves when the child returns to a familiar routine and environment. Forcing retraining or framing regression as failure can increase anxiety and prolong the behavior. Supportive care, minimizing stress, and maintaining routines as able are generally recommended.
Category reason: This item tests parent education about normal preschool developmental regression during hospitalization and expected return to baseline, which fits Developmental Stages and Transitions.

Question 15

What is the meaning of infant-?

Accepted Answer

Answer reason: By standard pediatric age-group definitions, an infant is a child from birth up to 12 months of age. The 0–28 day range describes a neonate, and the first 7 days are the early neonatal period. Clear age classification is used in clinical documentation and anticipatory guidance to align screening, nutrition, and immunization recommendations.
Category reason: This item tests knowledge of pediatric developmental age-stage definitions used in child health care, which fits Growth and Development—Developmental Stages and Transitions.

Question 16

The nurse is planning care for an 18 month-old child. Which action should be included in the child's care?

Accepted Answer

Answer reason: At 18 months (toddler stage), developing autonomy and self-feeding skills is a key developmental task, and offering finger foods promotes independence and fine-motor development. This intervention also supports age-appropriate nutrition while allowing the child to practice self-control and choice. The other options are less developmentally targeted or may pose safety concerns (e.g., unsupervised walking on the unit) or are more typical for older children (cooperative play).
Category reason: This item tests age-appropriate nursing care based on expected toddler developmental milestones and promoting autonomy, which fits Growth and Development—Developmental Stages and Transitions.

Question 17

The stage of growth & development basically concerned with role identification is the-?

Accepted Answer

Answer reason: Role identification and learning culturally appropriate social roles are characteristic developmental tasks of the school-age period, which corresponds to the latency phase in psychosexual development. During this stage, libidinal energy is relatively quiescent and children focus on peer relationships, socialization, skills, and group norms. In contrast, the oral stage centers on feeding and dependency, the Oedipus (phallic) stage on identification with the same-sex parent amid early sexual curiosity, and the genital stage on mature sexual interests in adolescence/adulthood.
Category reason: This item tests knowledge of human growth and developmental stages (psychosexual/social role development), which aligns with NCLEX Health Promotion and Maintenance focusing on Developmental Stages and Transitions.

Question 18

The parents of a 2 year-old child report that he has been holding his breath whenever he has temper tantrums. What is the best action by the nurse?

Accepted Answer

Answer reason: Breath-holding spells during tantrums in toddlers are typically benign and self-limited; the child will resume respirations automatically once brief hypoxia leads to loss of consciousness or the reflex drive to breathe overrides voluntary holding. The safest nursing guidance is to keep the child safe from injury, stay calm, and avoid reinforcing the behavior with attention or capitulation. CPR teaching is not the primary response for typical breath-holding spells, and giving in or trying to “reason” during a tantrum can worsen the pattern by reinforcing it.
Category reason: This is a parent-education and developmental behavior question about managing a common toddler breath-holding spell during tantrums, which fits Growth and Development (Developmental Stages and Transitions) in Health Promotion and Maintenance.

Question 19

A client who is pregnant voices her concern that her 3-year-old son will feel left out once the newborn arrives. Which of the following statements by the nurse is appropriate?

Accepted Answer

Answer reason: ) Involving a preschool-age sibling in simple, supervised caregiving tasks supports attachment to the new baby and reduces feelings of displacement. It gives the child a developmentally appropriate role and sense of importance while maintaining safety through adult oversight. The other options are either unclear/incomplete or focus on logistical changes that do not directly address the child’s emotional adjustment to the new family transition.
Category reason: This question tests nursing guidance to help a family manage a preschooler’s adjustment to the transition of a new sibling, which fits Developmental Stages and Transitions within Growth and Development.

Question 20

An infant weighs 7 pounds at birth. The expected weight by 1 year should be?

Accepted Answer

Answer reason: Infant growth follows predictable patterns used for anticipatory guidance and screening for failure to thrive. Birth weight typically triples by 12 months, reflecting rapid growth in the first year. Tripling 7 pounds gives an expected weight of about 21 pounds at 1 year. Options suggesting smaller gains align more with earlier milestones (e.g., doubling by around 4–6 months) rather than the 12-month benchmark.

Question 21

Which of the following best describes the cognitive development of an 18-month old child?

Accepted Answer

Answer reason: At around 18 months, toddlers are expected to demonstrate early receptive language and simple problem-solving, including the ability to understand and carry out simple one-step commands. This milestone reflects age-appropriate cognitive/language integration (e.g., “bring me the ball”). Understanding abstract time concepts like “forever” requires much more advanced concrete/abstract reasoning seen in later childhood. Naming six body parts is more typical closer to age 2, and a reliable 5-minute attention span is generally more consistent with older toddlers/preschoolers than an 18-month-old.

Question 22

Infancy is a period from?

Accepted Answer

Answer reason: The 1–3 year range corresponds to toddlerhood, which has distinct developmental tasks such as increasing autonomy and motor refinement. The 3–6 year and 6–12 year ranges align with preschool and school-age stages, respectively, and are characterized by different cognitive and psychosocial milestones. Therefore, the period labeled infancy is best matched by the first year after birth.

Question 23

A nurse is collecting data from a 3-year-old child. Which of the following developmental milestones should the nurse expect the child to demonstrate?

Accepted Answer

Answer reason: This reflects typical preschool expressive language and grammar progression. The other choices are generally later milestones: tying shoelaces and naming days of the week are more common at school age, and skipping on alternate feet typically appears closer to 4–5 years as gross motor coordination matures. Therefore the language milestone best matches a normal 3-year-old expectation.

Question 24

Abstract thinking occur at the age of

Accepted Answer

Answer reason: This developmental shift typically begins around early adolescence (about 11–12 years) and strengthens through the teen years. Earlier ages (2–3 years) correspond to sensorimotor and early preoperational stages, dominated by concrete, egocentric thinking. Around 9 years children are in the concrete operational stage, where logical reasoning is present but still tied to tangible, concrete situations rather than abstract concepts.

Question 25

Milestone for 5 month old baby :-

Accepted Answer

Answer reason: By around 5 months, many infants can roll both ways as trunk strength and coordination improve. Steady head control is typically achieved earlier (about 3–4 months), so it is not the best single milestone for 5 months. Walking with support is a later gross-motor milestone (commonly closer to 9–12 months), making it clearly too advanced here.

Question 26

At which age a baby can starts to sit without support?

Accepted Answer

Answer reason: By about 6 months, most infants can sit with minimal support and many can sit briefly without support as trunk control improves. Waiting until 8–12 months would be too late for the onset of this milestone and would better fit later skills like pulling to stand and independent walking. Therefore the earliest appropriate age listed for sitting without support is the 6-month option.

Question 27

A nurse is performing a well-child assessment for a 2-year-old. Which finding requires further evaluation?

Accepted Answer

Answer reason: By age 2, a toddler should ambulate independently with improving coordination (running, climbing), so inability to walk alone suggests a potential gross motor delay or neuromuscular/orthopedic problem needing prompt assessment. Two-word phrases and a vocabulary around 50 words are expected language milestones around this age, supporting normal communication development. Hopping on one foot typically emerges later (around preschool age), so not being able to do this at 2 is not concerning. Because independent walking is a foundational milestone expected much earlier, difficulty here warrants further evaluation.

Question 28

When Does The Sucking Reflex In An Infant Disappear And Become Voluntary?

Accepted Answer

Answer reason: The sucking reflex is present at birth and normally becomes more voluntary as cortical control increases in early infancy. By around 4 months, infants increasingly coordinate and initiate sucking intentionally rather than purely as a reflex. Earlier ages (e.g., 2 months) are typically too soon for consistent integration, while 6–12 months would represent an abnormally prolonged persistence of a primitive reflex.

Question 29

Following milestone is expected at 18 months of age, except?

Accepted Answer

Answer reason: Around 18 months, toddlers commonly demonstrate self-help and more refined hand skills such as removing simple clothing items and using utensils with less spillage. Turning pages one at a time also becomes more consistent in this toddler period as bilateral coordination improves. Therefore, the option that is not specifically expected to newly emerge at 18 months is the already-earlier mature pincer development.

Question 30

A nurse is caring for a 4-year-old child who is scheduled for surgery. Which priority action should the nurse take when preparing the child?

Accepted Answer

Answer reason: Preschool-age children learn best through concrete, play-based teaching and have limited ability to understand abstract explanations. Using a doll provides developmentally appropriate preparation that reduces anxiety by showing what will happen in a simple, nonthreatening way. Telling the child to “be brave” is nontherapeutic and can increase fear or shame without improving understanding. Letting the child choose toys can provide comfort but does not directly prepare the child for the surgical experience, and medical terminology is inappropriate for this age.

Question 31

Hand over mouth exercise (HOME) is effective behavioral modification technique in the age group of?

Accepted Answer

Answer reason: HOME relies on the child comprehending the contingency and being able to inhibit behavior briefly, which aligns best with school-age development. Younger children typically lack sufficient impulse control and may experience fear or misunderstanding, reducing effectiveness and increasing distress. Older children and adolescents often respond better to more sophisticated cognitive-behavioral strategies and collaborative approaches rather than simple aversive-type cues. Therefore, this technique is most appropriately effective in the 6–9 year range.

Question 32

Which newborn reflex should disappear around 4-6 months of age?

Accepted Answer

Answer reason: The Moro reflex is normally present at birth and disappears by about 4–6 months, aligning with typical developmental milestones. In contrast, the rooting reflex usually integrates earlier (around 3–4 months) and the palmar grasp often disappears by about 5–6 months, while the Babinski response can be normal up to about 12–24 months due to immature corticospinal tracts. Therefore, the reflex expected to disappear around 4–6 months is the Moro reflex.

Question 33

You are the nurse developing a plan of care for a hospitalized child. Based on your knowledge, you know that which age group is most likely to view illness as a punishment for misdeeds?

Accepted Answer

Answer reason: This makes them prone to interpret illness or hospitalization as a consequence of being “bad” or as punishment for misdeeds. Nursing care should therefore include simple, concrete explanations and reassurance that they did not cause the illness. In contrast, school-age children are more likely to understand basic cause-and-effect and may view illness as resulting from external factors rather than moral wrongdoing.

Question 34

An effective means of establishing rapport with the hospitalized pre-schooler is through?

Accepted Answer

Answer reason: Therapeutic play reduces anxiety, provides a sense of control, and allows the nurse to assess the child’s fears and understanding in a nonthreatening way. Lengthy discussion exceeds typical attention span and cognitive level for this age group, often increasing stress. Using drawings/models can help explain procedures but is less effective than play for initiating rapport. Silence may be therapeutic with some adolescents/adults but is usually not the best primary strategy to engage a preschooler.

Question 35

Knowledge of the developmental theories is useful for the nurse because it?

Accepted Answer

Answer reason: Using these theories supports individualized care planning by comparing expected versus observed development to identify delays or special needs. Theories are guides rather than rigid rules, so they inform clinical judgment without implying that every child develops identically. A common misconception is that developmental knowledge lets the nurse predict and control development or provides exact instructions, which would ignore normal variation and contextual factors.

Question 36

The de los Reyes couple have a 6-year old child entering school for the first time. The de los Reyes family has a

Accepted Answer

Answer reason:  Entering school for the first time is a predictable developmental transition for a child and family, and such transitions are considered anticipatory events that require adaptation. A foreseeable (developmental) crisis occurs with expected life-cycle changes that commonly create temporary stress and role adjustments but are not inherently pathological. The scenario describes an expected milestone rather than an actual unmet need or existing problem. In contrast, a health deficit implies a current illness/condition or unmet basic health need, which is not indicated here.

Question 37

The RN is preparing to review teaching handouts about developmental milestones with parents who have a 6-month-old child. The child was born at 28 weeks gestation. Which of the following handouts are most appropriate when discussing the child's development?

Accepted Answer

Answer reason: A baby born at 28 weeks is 12 weeks (3 months) early compared with a 40-week term gestation. At chronologic age 6 months, the corrected age is about 3 months, so expectations and teaching should align with typical 3-month milestones. Using chronologic-age milestones would incorrectly suggest developmental delay and increase caregiver anxiety.

Question 38

A 30 month-old child is admitted to the hospital unit. Which of the following toys would be appropriate for the nurse to select from the toy room for this child?

Accepted Answer

Answer reason: A large-piece wooden puzzle is age-appropriate because pieces are easier to grasp, reduce choking risk, and promote matching and spatial skills. Blunt scissors and paper are more appropriate for older preschoolers with better motor control and safety awareness. Stickers may be used but are less developmentally rich as a primary selection and can be a mess/ingestion hazard in a hospital setting.

Question 39

The nurse is assessing a 4 month-old infant. Which motor skill would the nurse anticipate finding?

Accepted Answer

Answer reason: Grasping and briefly holding a rattle aligns with typical fine motor development at this age. Banging two blocks requires more advanced purposeful bilateral coordination usually seen later in infancy. Drinking from a cup and waving “bye-bye” are later developmental skills associated with older infants/toddlers and more mature motor and social development.

Question 40

The nurse assesses delayed gross motor development in a 3 year-old child. The inability of the child to do which action confirms this finding?

Accepted Answer

Answer reason: By about 3 years, many children can briefly balance on one foot; inability to do so supports concern for delayed gross motor development. Catching a ball is more of a fine-motor/hand–eye coordination milestone and may vary with practice and opportunity rather than indicating a primary gross motor delay. Skipping on alternate feet and riding a bicycle are typically later preschool skills (around 4–5 years), so inability at age 3 would not confirm delay.

Question 41

A nurse is conducting a community wide seminar on childhood safety issues. Which of these children is at the highest risk for poisoning?

Accepted Answer

Answer reason: Newly climbing stairs expands access to stored medications and household chemicals in upper areas, increasing exposure opportunities. At this age, oral exploration and rapid, unsupervised moments make ingestion more likely before a caregiver can intervene. The older children listed generally have better understanding of warnings and are less likely to ingest substances impulsively, even if they face other safety risks.

Question 42

The father of an 8 month-old infant asks the nurse if his infant's vocalizations are normal for his age. Which of the following would the nurse expect at this age?

Accepted Answer

Answer reason: Around 7–9 months, infants commonly mimic speech sounds and begin repetitive consonant-vowel babbling, reflecting advancing hearing, attention, and oral-motor control. Earlier milestones include cooing (about 2 months) and laughter (around 4 months), which are typically well established before 8 months. Throaty/guttural sounds are more characteristic of earlier vocal play and do not best represent the key 8-month vocal milestone.

Question 43

The nurse is planning care for a 2 year-old hospitalized child. Which of the following will produces the most stress at this age?

Accepted Answer

Answer reason: Their coping relies heavily on a primary caregiver for regulation, comfort, and routine; disruption quickly leads to protest, despair, and regression. Pain and fear of bodily injury are stressful but are more salient in preschoolers who have greater imagination and misconceptions about mutilation. “Loss of control” is often prominent, but at age 2 it is typically secondary to the distress caused by separation from attachment figures.

Question 44

While assessing the vital signs in children, the nurse should know that the apical heart rate is preferred until the radial pulse can be accurately assessed at about what age?

Accepted Answer

Answer reason: In infants and young toddlers, the radial artery can be difficult to palpate reliably due to small vessel caliber, variable perfusion, and frequent movement, which can underestimate the true rate. The apical pulse provides a more dependable measure of heart rate until the child is typically around 2 years old, when the radial pulse becomes easier and more consistent to assess. Choosing older ages would unnecessarily delay transition to a standard peripheral pulse site once reliability is expected.

Question 45

As the nurse is speaking with a group of teens which of these side effects of chemotherapy for cancer would the nurse expect this group to be more interested in during the discussion?

Accepted Answer

Answer reason: Chemotherapy-induced alopecia is highly visible, can occur relatively quickly, and often causes significant distress, making it a central concern for teens. Anticipatory guidance should therefore prioritize coping strategies (e.g., wigs, hats, scalp care) and emotional support around appearance changes. While mucositis, fatigue, and diarrhea can be serious and require teaching for safety, they are typically less salient to teens’ identity and social concerns than a noticeable change in appearance.

Question 46

The nurse is performing a developmental assessment on an 8 month-old. Which finding should be reported to the health care provider?

Accepted Answer

Answer reason: Losing balance and pitching forward suggests a delay in sitting stability and warrants further evaluation for developmental delay or neuromuscular issues. The other findings are generally age-appropriate milestones seen earlier in infancy, indicating normal motor and social responsiveness. Reporting this concern allows timely screening and referral for early intervention if needed.

Question 47

An infant weighed 7 pounds 8 ounces at birth. If growth occurs at a normal rate, what would be the expected weight at 6 months of age?

Accepted Answer

Answer reason: At 6 months, doubling is therefore the best expected weight trend for a term infant with typical growth. Tripling at 6 months is too rapid and is more consistent with the 12-month milestone. Weekly or monthly gain statements are less reliable across the full 0–6 month range because expected gain rate slows over time, making the milestone-based option the most accurate.

Question 48

At a well baby clinic the nurse is assigned to assess an 8 month-old child. Which of these developmental achievements would the nurse anticipate that the child would be able to perform?

Accepted Answer

Answer reason: By about 8 months, most infants can sit independently without support, making this the expected achievement. Pulling to stand is more typical closer to 9–10 months, while drinking from a cup and speaking two words are generally later skills. Choosing the milestone that matches the age-appropriate gross motor trajectory best fits normal development screening in this visit.

Question 49

When observing 4 year-old children playing in the hospital playroom, what activity would the nurse expect to see the children participating in?

Accepted Answer

Answer reason: This best matches an observation of 4-year-olds engaging together in the same play with simple collaboration. Parallel play (playing alongside with their own toys) is more characteristic of toddlers, while solitary play is less typical when peers and age-appropriate activities are available. Competitive board games with older children generally require more advanced rule-following and social-cognitive skills typical of school-age children.

Question 50

The parents of a 4 year-old hospitalized child tell the nurse, "We are leaving now and will be back at 6 PM." A few hours later the child asks the nurse when the parents will come again. What is the best response by the nurse?

Accepted Answer

Answer reason: Preschoolers (around age 4) understand time best through familiar routines and concrete events rather than precise clock time or vague intervals. Linking the parents’ return to a predictable daily activity helps reduce anxiety and supports the child’s developmental level of thinking. Options using clock faces or specific hour estimates can be confusing because preschoolers often cannot reliably interpret clocks or abstract durations. A response tied to a routine meal provides a clear, reassuring, developmentally appropriate timeframe.

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