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Exam 3 Review

Total questions: 28

Worksheet time: 16mins

Name
Class
Date
1.

Which of the following are signs of readiness for introducing solid foods to an infant? (Select all that apply)

a)

Can sit slightly supported

b)

Strong extrusion reflex

c)

Able to turn head away when full

d)

Interest in foods

e)

Over 3 months old

2.

Which action by a parent demonstrates unsafe sleep practice for an infant?

a)

Using a pacifier

b)

Swaddling the infant

c)

Placing a soft toy in the crib

d)

Placing infant on their back to sleep

3.

Which nutrients require supplementation in breastfed infants? (Select all that apply)

a)

Iron

b)

Vitamin K

c)

Protein

d)

Vitamin D

e)

Folic acid

4.

Which of the following is true regarding whole milk and infants?

a)

It’s recommended from birth

b)

It can replace formula at 6 months

c)

It should be introduced after 1 year of age

d)

Nonfat milk is better for infants under 6 months

5.

What food should you avoid feeding an infant under 1 year old to avoid botulism?

a)

Honey

b)

Whole Milk

c)

Grapes

d)

Red Meat

6.

Infants typically double their birth weight by __________ and triple it by ________.

a)

8 months, 1.5 years

b)

4-5 months, 1 year

c)

2-3 months, 1 year

d)

6 months, 2 years

7.

Which vaccine is given at birth as part of routine infant immunization?

a)

MMR

b)

DTaP

c)

Polio

d)

Hep B

8.

A 2-week-old infant has 8 soft stools per day with a clean smell. What is the nurse’s interpretation?

a)

Possible diarrhea

b)

The infant is most likely breastfed

c)

The infant is dehydrated

d)

The infant is most likely formula-fed

9.

Which of the following is the leading cause of injury in toddlers aged 1–3?

a)

Drowning

b)

Burns

c)

Allergic reactions

d)

Falls

10.

What is the nurse’s best advice to a parent concerned about their toddler’s picky eating habits?

a)

Restrict snacks throughout the day

b)

Bribe the child to eat at mealtime

c)

Offer foods on multiple occasions without pressure

d)

Only serve what the child likes

11.

At 2 years old, a child is ____% of their adult height

a)

25

b)

40

c)

70

d)

50

12.

The nurse observes a toddler playing next to other children but not interacting with them. This is an example of:

a)

Cooperative play

b)

Parallel play

c)

Solitary play

d)

Associative play

13.

A parent is concerned about their toddler touching their genitals during toilet training. What should the nurse say?

a)

“This could be a sign of abuse.”

b)

“It means the child is not yet ready for toilet training.”

c)

“You should punish that behavior.”

d)

"This is normal exploratory behavior."

14.

During an assessment, the nurse lets a toddler hold the stethoscope. What is the purpose of this?

a)

To distract the toddler

b)

To encourage autonomy and reduce fear

c)

To teach them how to use it

d)

To make the exam faster

15.

Which behavior is typical for a toddler during the preoperational stage of cognitive development (Piaget)?

a)

Logical Reasoning

b)

Egocentrism

c)

Abstract thinking

d)

Understanding conservation

16.

A nurse observes a child unable to understand that water poured from a tall glass into a short glass is still the same amount. This reflects a lack of:

a)

Egocentrism

b)

Moral Reasoning

c)

Conservation

d)

Classification

17.

A 3-year-old who wants to pick out their own clothes is in which Erikson stage?

a)

Trust vs. Mistrust

b)

Initiative vs. Guilt

c)

Industry vs. Inferiority

d)

Autonomy vs. Shame and Doubt

18.

A nurse is assessing the cognitive development of a 9-month-old infant. Which behavior indicates that the child has developed object permanence?

a)

The infant cries when handed to a stranger.

b)

The infant babbles when music is playing.

c)

The infant imitates facial expressions.

d)

The infant looks for a toy that has been hidden under a blanket.

19.

Which weight-gain target is most appropriate for a client who begins pregnancy with a BMI of 31?

a)

11–20 lbs

b)

15–25 lbs

c)

25-35 lbs

d)

28-40 lbs

20.

The nurse reinforces prenatal nutrition teaching. Which statements should be included? Select all that apply.

a)

“Aim for about 70 g of protein daily.”

b)

“Limit fluids to reduce urinary frequency in the third trimester.”

c)

“Continue regular sodium intake rather than restricting it.”

d)

“Increase iron to about 27 mg/day during pregnancy.”

e)

“Avoid dietary fats during pregnancy.”

21.

A client at 10 weeks' gestation asks why folic acid is emphasized before and during early

pregnancy. Which statement best explains the primary rationale?

a)

It prevents maternal anemia by increasing erythropoietin production.

b)

It reduces the risk of neural tube defects during early embryogenesis.

c)

It enhances placental transfer of glucose to support fetal growth.

d)

It prevents hyperemesis gravidarum by stabilizing gastric mucosa.

22.

Which vision screening intervention addresses amblyopia in a preschooler?

a)

Patching the weaker eye to strengthen it

b)

Prescribing near only glasses to both eyes

c)

Delaying treatment until school age

d)

Patching the stronger eye to force use of the weaker eye

23.

Which sleep counseling points are appropriate for preschoolers? Select all that apply.

a)

Expect 8–12 hours of sleep per night.

b)

Night terrors require awakening the child during the event

c)

Eliminate naps or quiet time entirely by age 4.

d)

Nightmares are anxiety dreams; discuss real vs. pretend.

e)

Honor reasonable bedtime rituals while keeping consistency.

24.

Which play activity best supports a preschooler’s developmental task of initiative vs. guilt?

a)

Silent worksheets with tracing letters

b)

Independent screen time without limits

c)

Imaginative role play with dress up clothes

d)

Highly structured sports

25.

Which of these medications are safe to take during pregnancy? Select all that apply.

a)

Tylenol

b)

Antacids

c)

NSAIDs

d)

Benadryl

e)

Penicillin

26.

At 24 weeks’ gestation, a client reports decreased fetal movements over the past day. Which nursing action is priority?

a)

Teach client to increase sodium intake to improve plasma volume

b)

Encourage high-intensity exercise to stimulate fetal movement

c)

Reassure that movements are minimal until 34 weeks

d)

Instruct on performing 'kick counts' and report continued decreased activity

27.

An adolescent debates a school policy by appealing to universal human rights over rules. This reflects which Kohlberg level?

a)

Preconventional

b)

Conventional

c)

Postconventional

d)

Unrelated to moral development

28.

Parents ask about typical growth. Which expectation is accurate for preschool years?

a)

Weight doubles each year until age 6

b)

About 2 kg (4 lb) and 7 cm (2 in) per year

c)

No change in immune function compared with toddler years

d)

Primary teeth begin erupting during preschool years