NCM 107: 

GROWTH AND DEVELOPMENT EXAM

Required
1.Problems with dental development are associated with the use of pacifier.
(1 Point)
false
true
partially true
partially false
2.The infant is in Erickson’s stage of developing a sense of trust.
(1 Point)
partially false
false
partially true
true
3.A nurse is preparing to care for a 5-year-old who has been placed in traction
following a fracture of the femur. The nurse plans care, knowing that which of the
following is the most appropriate activity for this child?
(1 Point)
a radio
crayons and coloring book
a sport video
large picture books
4.What is the leading cause of fatal injury in children under 1 year of age?
(1 Point)
falls
asphyxia by suffocation
automobile injuries
drowning
5.The increase in height, weight, muscle mass, and sexual maturity of adolescence
is accompanied by greater nutritional requirements.
(1 Point)
true
partially false
 partially true
false
6.According to Freud, the school-age child is _____ period.
(1 Point)
anal
oedipal
latency
oral
7.3 months, the infant displays a definite preference for the mother.
(1 Point)
true
false
partially false
partially true
8.Which age group would have a tendency towards eating disorders?
(1 Point)
adolescence
infancy
school age
early childhood
9.An infant who is 5 months of age should have ________ his or her birth weight.
(1 Point)
same
doubled
tripled
quadrupled
10.The gross motor development of a normal 6-month-old can best be described
as:
(1 Point)
the ability to roll from back to abdomen
the ability to crawl.
the ability to sit unsupported.
the ability to pull self to standing position.
11.Which of the following best describes the younger (6 or 7-year-old) school-
age child’s perception of rules and judgment of actions?
(1 Point)
Understands the reasons behind the rules.
Judges an act by its intentions rather than by the consequences alone.
Believes that rules and judgments are not absolute.
Interprets accidents and misfortunes as punishments for misdeeds.
12.The fine motor development of a normal 3-month-old can best be described
as:
(1 Point)
the ability to actively hold a rattle (but will not reach for it)
the ability to voluntarily grasp an object.
the ability to transfer objects.
the presence of a pincer grasp.
13.The nurse is assessing a four-month-old infant. The nurse would anticipate
finding that the infant would be able to
(1 Point)
drink from a cup
hold a rattle
wave "bye-bye"
bang two blocks
14.Which age group has the greatest potential to demonstrate regression when
they are sick?
(1 Point)
infant
young adulthood
adolescent
toddler
15.The nurse is planning care for an 18-month-old child. Which of the following
should be included in the child’s care?
(1 Point)
Encourage the child to feed himself finger food
Hold and cuddle the child often
 Engage the child in games with other children
Allow the child to walk independently on the nursing unit
16.The child 4 years of age can be expected to:
(1 Point)
tie shoelaces
use sentences of 6 to 8 words
walk down stairs using alternate footing.
questions what parents think
17.While giving nursing care to a hospitalized adolescent, the nurse should be
aware that the MAJOR threat felt by the hospitalized adolescent is
(1 Point)
Pain management
Separation from family
Restricted physical activity
Altered body image
18.According to Erickson, the developmental task of middle childhood is
acquiring a sense of:
(1 Point)
trust
industry
autonomy
initiative
19.Each new solid food is introduced alone for 4 to 7 days to detect food
allergies.
(1 Point)
true
false
partially true
partially false
20.The nurse prepares for a Denver Screening test with a 3-year-old child in the
clinic. The mother asks the nurse to explain the purpose of the test. The BEST
response is to tell her that the test
(1 Point)
 Diagnoses specific problems
Measures potential intelligence
Assesses a child’s development
Evaluates psychological responses
21.According to Erickson, the developmental crisis of adolescents is developing a
sense of:
(1 Point)
identity
autonomy
initiative
industry
22.The solitary play of infancy progresses to _________ play in the toddler.
(1 Point)
parallel
cooperative
leisure
competitive
23.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:
(1 Point)
Ignore the child when this behavior occurs
Punish the child every time the child says “no”, to change the behavior
Allow the behavior because this is normal at this age period
Set limits on the child’s behavior
24.The most common cause of severe accidental injury and death in school-age
children is motor vehicle accidents.
(1 Point)
true
partially true
false
partially false
25.According to Piaget, the school-age is in the ___stage.
(1 Point)
formal operational
preoperational
sensorimotor
concrete operational
26.A 16-year-old child is hospitalized, according to Erik Erikson, what is an
appropriate intervention?
(1 Point)
call the priest to intervene
tell the friends to visit the child
encourage patient to help child learn lessons missed
tell the child’s girlfriend to visit the child
27.If parents keep a toddler dependent in areas where he can use skills, the
toddler will develop a sense of which of the following?
(1 Point)
mistrust
guilt
shame
inferiority
28.All are correct reasons why it is not advisable to introduce solid foods to a 3 –
month-old infant, except:
(1 Point)
The digestive tract is not mature enough.
The extrusion reflex.
Food allergies may develop.
Because of its high iron content.
29.Which of the following is the most appropriate activity for a 5-year-old child?
(1 Point)
computer game
play-doh
squeezy toy
board games
30.During the preschool years, the emphasis on injury prevention is placed on
education for safety and potential hazards to prevent injury.
(1 Point)
true
false
partially false
partially true
31.You review infant safety with Michael’s mother. Considering your knowledge
about the most common injuries among infants, it would be most important to
teach her about preventing which of the following?
(1 Point)
drowning and hypersensitivities
aspiration and falls
poisoning and suffocation
auto accidents and burns
32.The mother of a 3-year-old is concerned because her child still is insisting on a
bottle at nap time and at bedtime. Which of the following is the most appropriate
suggestion to the mother?
(1 Point)
Allow the bottle if it contains water
Allow the bottle during naps but not at bedtime
Do not allow the child to have the bottle
Allow the bottle if it contains juice
33.The appearance of permanent teeth in the school-age child begins with the
eruption of the 6-year molar.
(1 Point)
partially true
true
false
partially false
34.The nurse is assessing a six-month-old child. Which developmental skills are
normal and should be expected?
(1 Point)
Speaks in short sentences.
 Can feed self with a spoon.
Pulling up to a standing position
Sits alone.
35.The child of 2 years can be expected to:
(1 Point)
run fairly well with a wide stance.
have a vocabulary of 500 words
build a tower of 8 cubes
use expressive jargon
36.A two-year old’s mother has just left the hospital to check on her other
children. Which of the following would be the best help to the 2-year old who is
now crying inconsolably?
(1 Point)
taking a nap
large cuddly dog
peer play group
favorite toy
37.The amount of formula that a 6-month-old should be taking at each of five
feedings is 8 ounces.
(1 Point)
partially true
true
false
partially false
38.During infancy, toothpaste can be used to clean erupting teeth.
(1 Point)
partially false
true
partially true
false
39.Bowel training is usually accomplished before bladder training in the toddler.
(1 Point)
false
 partially false
true
partially true
40.The nurse is observing children playing in the hospital playroom. She would
expect to see 4-year-old children playing

(1 Point)
With their own toys alongside with other children
Cooperatively with another preschooler
Alone with hand held computer games
Competitive board games with older children