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Growth and Development: NCLEX Questions 2024 Already Rated A ANS: A The posterior fontanelle closes between 2 and 3 months of age. at which the posterior fontanelle closes is _____ months. a. 2 to 3 b. 3 to 6 c. 6 to 9 d. 9 to 12 A) Adolescence The nurse is aware that the...

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  • February 16, 2024
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Growth and Development: NCLEX Questions 2024 Already
Rated A
ANS: A

The posterior fontanelle closes between 2 and 3 months of age. The nurse is aware that the age
at which the posterior fontanelle closes is _____ months.

a. 2 to 3

b. 3 to 6

c. 6 to 9

d. 9 to 12



A) Adolescence Which stage of development is most unstable and challenging regarding
development of personal identity?



A) Adolescence

B) Toddler hood

C) Childhood

D) Infancy



A) Allow the newborn infant to signal a need. Trust vs Mistrust stage-This will allow the infant
opportunity to gain trust. A maternity nurse is providing instruction to a new mother regarding
the psychosocial development of the newborn infant. Using Erikson's psychosocial development
theory, the nurse would instruct the mother to



A) Allow the newborn infant to signal a need

B) Anticipate all of the needs of the newborn infant

C) Avoid the newborn infant during the first 10 minutes of crying

D) Attend to the newborn infant immediately when crying



C) Set limits on the child's behavior-According to Erikson, the child focuses on independence
between ages 1 and 3 years. Gaining independence often means that the child has to rebel against
the parents' wishes. Saying things like "no" or "mine" and having temper tantrums are common
during this period of development. Being consistent and setting limits on the child's behavior are the
necessary elements. 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 behavior

B) Allow the behavior because this is normal at this age period

C) Set limits on the child's behavior

D) Ignore the child when this behavior occurs



B. By age 2 years, the child can use a cup and can use a spoon correctly but with some spilling. By
ages 3 to 4, the child begins to use a fork. By the end of the preschool period, the child should be
able to pour milk into a cup and begin to use a knife for cutting. A nurse is evaluating the
developmental level of a 2-year-old. Which of the following does the nurse expect to observe in this
child?



A) Uses a fork to eat

B) Uses a cup to drink

C) Uses a knife for cutting food

D) Pours own milk into a cup



B. Using monosyllabic babbling occurs between 3 and 6 months of age. Using simple words such as
"mama" occurs between 9 and 12 months. Linking syllables together when communicating occurs
between 6 and 9 months. Cooing begins at birth and continues until 2 months. A clinic nurse
assesses the communication patterns of a 5-month-old infant. The nurse determines that the infant
is demonstrating the highest level of developmental achievement expected if the infant:



A) Uses simple words such as "mama"

B) Uses monosyllabic babbling

C) Links syllables together

D) Coos when comforted



C. In the preschooler, play is simple and imaginative and includes activities such as crayons and
coloring books, puppets, felt and magnetic boards, and Play-Doh. Large picture books are most
appropriate for the infant. A radio and a sports video are most appropriate for the adolescent. 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?

, A) Large picture books

B) A radio

C) Crayons and coloring book

D) A sports video



D. Adolescents often are not sure whether they want their parents with them when they are
hospitalized. Because of the importance of the peer group, separation from friends is a source of
anxiety. Ideally, the members of the peer group will support their ill friend. Options a, b, and c isolate
the child from the peer group. A 16-year-old is admitted to the hospital for acute appendicitis,
and an appendectomy is performed. Which of the following nursing interventions is most
appropriate to facilitate normal growth and development?



A) Allow the family to bring in the child's favorite computer games

B) Encourage the parents to room-in with the child

C) Encourage the child to rest and read

D) Allow the child to participate in activities with other individuals in the same age group when the
condition permits



A. The transition point for switching to the forward facing position is defined by the manufacturer of
the convertible car safety seat but is generally at a body weight of 9 kg or 20 lb and 1 year of age.
Convertible car safety seats are used until the child weighs at least 40 lb. Options b, c, and d are
incorrect The mother of a toddler asks a nurse when it is safe to place the car safety seat in a
face-forward position. The best nursing response is which of the following?



A) When the toddler weighs 20 lbs

B) The seat should not be placed in a face-forward position unless there are safety locks in the car

C) The seat should never be place in a face-forward position because the risk of the child unbuckling
the harness

D) When the weight of the toddler is greater than 40 lbs



ANS: D

One technique the nurse can offer parents of a fussy infant is to rock the infant gently and slowly
while being careful to avoid sudden movements. A mother calls the pediatrician's office because
her infant is "colicky." The helpful measure the nurse would suggest to the parent is to:

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