Manila Adventist College

School of Nursing
NCM 107 Maternal and Child Health Nursing (Normal Pedia)
Pre-final

Name___________________________________ Section_____________________ Date __________ Score ________

MULTIPLE CHOICE
Instruction: Read carefully and understand the questions before you tick the best choice.

1. Which stage of development is most unstable and challenging regarding development of personal identity?
A. Adolescence
B. Toddler hood
C. Childhood
D. Infancy

2. A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. The
nurse most appropriately tells the mother to:
A. Punish the child every time the child says "no", to change the behaviour
B. Allow the behaviour because this is normal at this age period
C. Ignore but set limits on the child's behaviour
D. Ignore the child when this behaviour occurs

3. The school nurse has been asked to begin teaching sex education in the 5th grade. The nurse should recognize that:
A. Children in 5th grade are too young for sex education.
B. Children should be discouraged from asking too many questions.
C. Correct terminology should be reserved for children who are older.
D. Sex can be presented as a normal part of growth and development.

4. The nurse observes a 10-month-old infant using her index finger and thumb to pick up pieces of cereal. This behaviour
is evidence that the infant has developed:
A. The pincer grasp
B. A grasp reflex
C. Comprehension ability
D. The parachute reflex

5. The most common cause of death in the adolescent age-group involves:

A. Drownings
B. Firearms
C. Drug overdoses
D. Motor vehicles

6. Peer relationships become more important during adolescence because:

A. Adolescents dislike their parents.
B. Adolescents no longer need parental control.
C. They provide adolescents with a feeling of belonging.
D. They promote a sense of individuality in adolescents.

7. In terms of gross motor development, which is most likely with a 5 month old child?
A. Starts to crawl
B. Sits up unsupported
C. Turns both ways
D. Rolls from front to back only

8. Which motor skills can be performed by a 24 month old child?

A. can open doors and knobs
B. can turn pages of the book
C. walks upstairs alone holding rails
D. all of the above
9. The nurse knows that the infant’s birth weight triples at what age?
A. 12 months
B. 24 months
C. 8 months
D. 36 months

10. A group of boys ages 9 and 10 years have formed a “boys only club” that is open to the neighbourhood and school
friends with skateboards. This should be interpreted as:
A. Behaviour that encourages bullying
B. Behaviour showing poor peer relationships
C. Characteristic social development of this age
D. none of the above

11. Peer relationship become more important during adolescence because:

A. They provide adolescents with a feeling of belonging.
B. They provide a sense of individuality
C. Adolescents dislike their parents
D. Adolescents no longer need parental control.

12. An adolescent tells the nurse that he has recently had homosexual feelings. The nurse’s response should be based on
knowledge that:
A. This indicates adolescent is homosexual
B. The adolescent will be homosexual as an adult
C. The adolescent should be referred for psychotherapy
D. The adolescent should be encouraged to share his feelings and experiences.

13. When assessing development of a 9 month old baby, the nurse would expect:
A. Speaking 2 word sentences
B. Grasping objects with palmar grasp
C. Uses spoon steadily
D. Creeping along the floor

14. The nurse is aware that the earliest age at which the infant should be able to walk independently is:
A. 8 to 10 months
B. 12 to 15 months
C. 15 to 18 months
D. 6 to 10 months

15. The parent of a 3-month-old infant asks the nurse, "At what age do infants usually begin drinking from a cup?" The
nurse would reply:
A. 5 months.
B. 9 months.
C. 1 year.
D. 2 years

16. The nurse would expect a 4-month-old to be able to:

A. Hold a cup.
B. Stand with assistance.
C. Lift head and shoulders.
D. Sit with back straight.

17. The abnormal finding in an evaluation of growth and development for a 6-month-old infant would be:
A. Weight gain of 4 to 7 ounces per week
B. Length increase of 1 inch in 2 months
C. Head lag present
D. Can sit alone for a few seconds

18. The statement made by a parent that indicates correct understanding of infant feeding is:
A. "I've been mixing rice cereal and formula in the baby's bottle."
B. "I switched the baby to low-fat milk at 9 months."
C. "The baby really likes little pieces of chocolate."
D. "I give the baby any new foods before he takes his bottle."
19. The most appropriate activity to recommend to parents to promote sensorimotor stimulation for a 1-year-old would
be to:
A. Ride a tricycle.
B. Spend time in an infant swing.
C. Play with push-pull toys.
D. Read large picture books.

20. The parent of a 4-year-old son tells the nurse that the child believes "monsters and boogeymen" are in his bedroom
at night. The nurse's best suggestion for coping with this problem is to:
A. Insist that the child sleep with his parents until the fearful phase passes.
B. Suggest involving the child to find a practical solution such as a night light.
C. Help the child understand that these fears are illogical.
D. Tell the child frequently that monsters and boogeymen do not exist.

21. The nurse would advise a parent when introducing solid foods to:
A. Begin with one tablespoon of food.
B. Mix foods together.
C. Eliminate a refused food from the diet.
D. Introduce each new food 4 to 7 days apart.

22. In terms of fine motor development, the infant of 7 months should be able to:
A. Transfer objects from one hand to the other.
B. Use thumb and index finger in crude pincer grasp.
C. Hold crayon and make a mark on paper.
D. Release cubes into a cup.

23. Most infants begin to fear strangers at age:

A. 2 months
B. 6 months
C. 4 months
D. 12 months

24. A parent of an 18-month-old boy tells the nurse that he says "no" to everything and has rapid mood swings. If he is
scolded, he shows anger and then immediately wants to be held. The nurse's best interpretation of this behaviour is
that:
A. This is normal behaviour for his age.
B. This is unusual behaviour for his age.
C. He is not effectively coping with stress.
D. He is showing he needs more attention.

25. The parents of a 2-year-old tell the nurse that they are concerned because the toddler has started to use "baby talk"
since the arrival of their new baby. The nurse should recommend that the parents:
A. Ignore the "baby talk".
B. Explain to the toddler that "baby talk" is for babies.
C. Tell the toddler frequently, "You are a big kid now".
D. Encourage the toddler to practice more advanced patterns of speech.

26. In terms of cognitive development the 5-year-old child would be expected to:
A. Use magical thinking.
B. Think abstractly.
C. Understand conservation of matter.
D. Be unable to comprehend another person's perspective

27. Which type of play is most typical of the preschool period?

A. Solitary
B. Associative
C. Parallel
D. Team

28. Generally the earliest age at which puberty begins is:

A. 13 years in girls, 13 years in boys
B. 11 years in girls, 11 years in boys
C. 10 years in girls; 12 years in boys
D. 12 years in girls, 10 years in boys
29. According to Erikson, the psychosocial task of adolescence is developing:
A. Intimacy
B. Initiative
C. Identity
D. Independence

30. A 3 year old boy was hospitalized and everytime you will take the vital signs, the child keeps on telling you “no”.
This behaviour shows;
A. Normal Toddler
B. attitude problem
C. misguided behaviour
D. sign of autism

31. When developing a plan of care for a male adolescent, the nurse considers the child’s psychosocial needs. During
adolescence, psychosocial development focuses on:
A. Becoming industrious
B. Establishing an identity
C. Achieving intimacy
D. Developing initiative

32. When developing a plan care for a hospitalized child, Nurse Edgar knows that children in which age group are most
likely to view illness as a punishment for misdeeds?
A. Infancy
B. Preschool age
C. School age
D. Adolescence

33. Nurse Salome suspects that a child, age 4, is being neglected physically. To best assess the child’s nutritional status,
the nurse should ask the parents which question?
A. ”Has your child always been so thin?”
B. “Is your child a picky eater?”
C. “What did your child eat for breakfast?”
D. “Do you think your child eats enough?”

34. During a well-baby visit, Liza asks the nurse when she should start giving her infant solid foods. The nurse should
instruct her to introduce which solid food first?
A. Apple sauce
B. Egg whites
C. Rice cereal
D. Yogurt

35. Which of the following is the best method for performing a physical examination on a toddler
A. Head to toe
B. Cephalocaudal
C. Distal to Proximal
D. From least to most intrusive

36. A mother tells the nurse that she is very worried because her 2-year old child does not finish his meals. What should
the nurse advise the mother?
A. Make the child eat with the family in the dining room
B. Provide a quiet environment for the child during mealtime.
C. Do not give snacks to the child before meals.
D. Put a child on a chair and feed.

37. The nurse is assessing a 9-month-old boy for a well-baby check-up. Which of the following observations would be of
most concern?
A. The baby cannot say mama when he wants his mom.
B. The mother is not allowing finger foods.
C. The child does not sit unsupported
D. The baby cries whenever he saw unfamiliar face
38. Around what age should a child be able to build a tower of three building blocks?
A. 21 months
B. 9 months
C. c 12 months
D. 18 months

39. Which of the following is an example of "Double-syllable babble" displayed by an infant around 9-12 months?
A. Ma-ma
B. ma-ba
C. Ba-da
D. Ma-da

40. At what age should the child develop an elimination pattern?

A. 1 - 3 years
B. 6 – 12 months
C. 3 -6 years
D. 4 – 6 months

41. In normal fine motor development, which of the following occur first?
A. Drawing a square
B. Copying a circle
C. Copying a cross
D. Copying a triangle

42. A two-year-old child is scheduled for Tonsillectomy. How would you educate this patient regarding the surgery?
A. Use picture book and puppets and repeat explanations
B. Provide a video and explain in clear terms
C. Engage in conversations about the procedure.
D. Describe the procedure how it is performed

43. Which statement by the mother demonstrates her child is ready for toilet training?
A. “She is waking up dry from a nap for about a couple of weeks now.”
B. “I still change a wet diaper every 2 hours.”
C. “She screams when placed on the potty.”
D. None of the above

44. A first-time mother asks you what type of toy would be best for her 2 1/2 year old. Your response is?
A. Push-pull toys, large balls, and wooden puzzles
B. Marbles, dress –up clothes, and card games
C. Movies, computer games and card games
D. Video games

45. Which age group would have a tendency of eating disorder?

A. Infant
B. School age
C. Toddler
D. Adolescent

46. Which of the developmental stages defined by Freud is a time of turbulence during which earlier sexual urges
reawaken?
A. Anal
B. Latency
C. Genital
D. Phallic or oedipal

47. According to Piaget's theory of cognitive development, the child aged 7 to 11 years demonstrates concrete
operations when he or she:
A. Begins to think abstractly
B. Participates in parallel play
C. Is able to communicate with others on a simple level
D. Recognizes that friends may perceive things differently
48. The parents of a 2-year-old child are concerned that the child wants to do everything by himself and seems to be
rejecting their authority. The nurse's response should be based on which of the following?
A. The parent need to tighten their control on the child
B. The need for autonomy is not usually seen until puberty
C. Limiting choices and punishing the child will restore trust
D. The independence displayed by the child is a normal result of growth and development.

49. Children generally double their birth weight by 5 months of age. This is an example of:
A. Heredity
B. State of health
C. Development
D. Physical growth

50. Physical growth involves:

A. Changes in level of skill
B. Improved performance on intellectual tasks
C. Strengthening of skeletal and body structures
D. Learning how to respond to social situations

51. The nurse caring for a hospitalized adolescent can best meet the adolescent's developmental needs by:
A. Providing diversion activities
B. Providing privacy while significant others visits
C. Encouraging he parents to stay with the adolescents
D. Explaining procedures and including the adolescent in decision making

52. Development of the ability of an individual to distinguish right from wrong and to develop ethical values on which to
base his or her actions is termed
A. Moral development
B. Psychosocial development
C. Cognitive development
D. Psychoanalytic development

53. A 10-year-old fifth-grader enjoys having his artwork displayed on the family refrigerator. This behavior is indicative of
which developmental stage as described by Erikson?
A. Initiative vs. guilt
B. Industry vs. inferiority
C. Intimacy vs. isolation
D. Identity vs. role confusion

54. Which age group has the greatest potential to demonstrate regression when they are sick?
A. Infant
B. Young adult
C. Toddler
D. Adolescent

55. At what age does a child walks alone well?

A. 15 months
B. 12 months
C. 21 months
D. 9 months

56. Melba, a mother of 2 years old boy ask the nurse, “At what age will my child have complete primary dentition?” The
nurse response should be:
A. 4 years old
B. 1 1/2 years old
C. 2 ½ years old
D. 2 years old

57. Which of the following is a good suggestion for feeding the toddlers?
A. Serve food in small portions
B. Satisfy the child’s appetite with nutritious foods
C. Avoid sweets
D. All of the above
58. Which age group is afraid of mutilation?
A. Toddler
B. Adolescent
C. Pre-schooler
D. School-age

59. Pre-schoolers develops Magical and animistic thinking. What intervention can be done to combat heir fears?
A. Monitor possible stimuli for fears
B. Reassure the child that he/she is safe
C. provide a night light
D. All of the above

60. A 6 year old girl always wants to be with the father and is jealous with her mother. The girl is showing which f the
following?
A. Electra complex
B. Tertiary secondary reaction
C. Secondary reactions
D. none of the above

61. Heather has a complete set of permanent teeth, but the dentist said her final molars have not erupted yet.
Approximately what age is complete permanent dentition?
A. 12 years
B. 10 years
C. 7 years
D. 5 years

62. According to Erickson what is the developmental task of a 10 year old child?
A. Industry vs. Inferiority
B. Trust vs. Mistrust
C. Identity vs. role confusion
D. Intimacy vs. isolation

63. According to Freud, a child achieves sexual maturity and establishes satisfactory relationship with opposite sex at
which phase?
A. Genital phase
B. Phallic phase
C. Latent phase
D. Anal phase

64. The period when child learns to control of urination and defecation:
A. Anal phase
B. Oral phase
C. Latent phase
D. Genital phase

65. Which of the following actions will not help in the growth and development of an infant?
A. Offer pacifiers to provide oral stimulation
B. Provide primary caregiver
C. Discourage thumb sucking
D. Provide safety and securityyuu

66. This theorist described adult behaviour as the result of instinctual drives of a primarily sexual nature.
A. Sigmund Freud
B. Erik Erickson
C. Jean Piaget
D. Kohlsberg

67. It is the period of most rapid growth and development

A. Fetal and infancy
B. school-age
C. pre-schooler
D. adolescence
68. Which of the following is the correct sequence of locomotion?
A. creeps  stands  walks  run
B. creeps  walks  stand  run
C. crawl  walks  stand  run
D. Crawl  run  walk  stand

69. Dance reflex of the infant disappears at what age?

A. 3 months
B. 1 month
C. 2 months
D. 2 ½ months

70. Baby Boy Miller during the clinic visit is very active and keeps on saying ‘mama – dada”. Based on your knowledge of
normal developmental milestone, he is what age?
A. 9 months
B. 6 months
C. 12 months
D. 7 months