NORMAL PEDIATRICS

By: Christian John B. Timogan, RN, USRN

Situation: Raphael, a 6-year-old pupil is seen at the school clinic for growth and development monitoring.
1. In assessing Raphael’s growth and development, the healthcare personnel are guided by the principles of growth and
development. Which is not included?
A. All individuals follow cephalon-caudal and proximo-distal
B. Different parts of the body grows at different rate
C. All individuals follow standard growth rate
D. Rate and pattern of growth can be modified
2. Which of the following is characterized the rate of growth during this period?
A. Most rapid period of growth C. Growth spurt
B. A decline in growth rate D. Slow uniform growth rate
3. What type of play will be ideal for Raphael at this period?
A. Make believe C. Peek-A-Boo
B. Hide and Seek D. Building blocks
4. Which of the following information indicates that Raphael is normal for his age?
A. Determine own sense self C. Develop sense of whether he can trust the world
B. Has the ability to try new things D. Learn basic skills within his culture
5. What type of accident is common for Raphael’s age?
A. Burns B. Poisoning C. Drowning D. Aspiration
6. When teaching a primiparous client about the growth and development of the neonate, which of the following would
the nurse include as the usual age at which most babies are able to drink from a cup using 2 hands?
A. 5-7 months B. 8-10 months C. 12-14 months D. 15-16 months
7. Which of the following assessment data in 6-month old infant needs a follow up?
A. Posterior fontanel is closed C. Slight head lag when pulled to sitting position
B. Positive Babinski reflex D. Cries when approached by stranger
8. Which of the following assessment findings is normal in a 6-month old infant?
A. Is able to hold his bottle C. Is able to sit unsupported
B. Is able to use a spoon D. Is able to stand
9. Which of the following statements when made by the father of a 2-mont-old infant indicates that he understands the
normal growth and development of the child?
A. I expect my baby to hold his bottle C. I expect my baby to smile back at me
B. I expect my baby to have complete head control D. I expect my baby to roll over
10. Which of the following findings is expected in a 6-month-old infant?
A. Turns from side to back C. Turns from back to side
B. Turns from side to stomach D. Turns from front to back
11. Which of the following toys is most appropriate for a 2 ½ year old child?
A. Squeeze toys B. Stacking blocks C. Colored mobiles D. Video games
12. Which of the following toys is inappropriate for an 18-month-old toddler?
A. Low rocking horses B. Push-pull toys C. Remote controls D. Rattles
13. An infant is 7 months. Which of the following comments when made by the mother indicates normal growth and
development of the child?
A. My child is cross-eyed C. My child can sit up with support
B. My child puts his toes into his mouth D. My child starts to crawl
14. Which of the following situation increases the risk of lead poisoning in children?
A. Playing in the park with heavy traffic and with many vehicles passing by.
B. Playing plastic balls with other children
C. Playing sand in the park
D. Playing with stuffed toys at home
15. Which of the following toys is inappropriate for a 10-month-old infant?
A. Brightly colored mobile object with sounds C. Large blocks
B. Push-and-pull D. Cups of different sizes that fit inside each other
16. The 15-month old child can do which of the following at this time?
A. Sits without support C. Holds a cup using 1 hand
B. Drinks from a cup D. Throws ball on the floor
17. The newborn was delivered 6 hours ago. During assessment of the client, which of the following findings need to be
reported to the physician?
A. Nystagmus C. Posterior fontanel is closed
B. Arms actively flexed upon stimulation D. Respiration are irregular
18. A mother brought her child in a clinic for scheduled physical examination. What essential question does the nurse
need to ask regarding lead poisoning?
A. Do you live near the chemical dump site? C. What size of toy does your child usually play?
B. When was the last time you have your plumbing checked? D. Where do you keep your cleaning chemicals?
19. An 8-year-old child is admitted in the pediatric unit. Which of the following is the most appropriate activity for the
child?
A. Talking on the phone B. Changing bed cover C. Listening to music D. Playing chess
20. A nurse is interviewing a mother in a regular clinic visit. Which of the following children should concern the nurse
most?
A. My 5-year-old son doesn’t want to eat meal every morning
B. My 8-year-old son doesn’t like to wear helmet while riding on a bicycle
C. My 9-year-old son who rides on a bicycle with his helmet on goes in the same direction with the traffic
D. My 3-year old son bed wets every night
21.