HESI Milestones Developmental Peds Exam New 2025
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Questions and Correct Answer
Adolescents (12-18 years) fear...? ------------ Correct Answer ----------- ...Major concern is
change in body image.
When does child sit unsupported ----------- Correct Answer ------------ 8 months
when does child achieve 50% of adult height? ----------- Correct Answer ------------ 2 years
When does a child throw a ball overhand? ----------- Correct Answer ------------ 18 months
When does a child speak two to three word sentences? ----------- Correct Answer ------------ 2
years
Moro reflex disappears when? ------------ Correct Answer ----------- Around 4 months of age.
Handedness is established during what age bracket?
(Infant, toddler, preschool, school-age, adolescent) ------------ Correct Answer -----------
Handedness is established in the preschool-age child (3-6 years)
developing a sense of industry/ industry vs inferiority ----------- Correct Answer ---------- school
age 6-12
industry vs inferiority / school age child 6-12 ----------- Correct Answer ---------- they like to do
and accomplish things/ peers are important
privacy and modesty important ----------- Correct Answer ---------- school age 6-12
The infant (birth to 1 year) is in what stage of psychosocial development? ------------ Correct
Answer ----------- Trust vs. Mistrust
The toddler (1-3 years) is in what stage of psychosocial development? ------------ Correct Answer
----------- Autonomy vs. Shame and Doubt
The preschool child (3-6 years) is in what stage of psychosocial development? ------------ Correct
Answer ----------- Initiative vs. guilt.
Appropriate toys and play for the hospitalized infant (birth to 1 year)? ------------ Correct Answer
----------- Mobiles, rattles, squeaking toys, picture books, balls, colored blocks, activity boxes.
Appropriate toys and play for the hospitalized toddler (1 to 3 years)? ------------ Correct Answer -
, ---------- Push-pull toys, toy telephones, stuffed animals, etc
Toddlers benefit from being taken to the hospital playroom when able, because mobility is
important to their development.
Appropriate toys and play for the hospitalized preschooler (3-6years)? ------------ Correct Answer
----------- Coloring books, puzzles, cutting and pasting, clay... etc.
Appropriate toys and play for the hospitalized school-aged child (6-12 years)? ------------ Correct
Answer ----------- Board and card games, hobbies, video games.
Children can be expected to dress themselves completely when they reach what age group? ------
------ Correct Answer ----------- School-age children (6-12 years)
When can a child be expected to feed themselves with a spoon and cup? ------------ Correct
Answer ----------- 2 years.
When does the anterior fontanel close? ------------ Correct Answer ----------- 12-18 months. (1 - 1
1/2 years)
When does the posterior fontanel close? ------------ Correct Answer ----------- Sometime between
birth and 8-12 weeks (2-3 months)
(Yellow NCLEX-RN Review book, pg. 339)
Which fontanel closes first? ------------ Correct Answer ----------- The POSTERIOR fontanel.
It closes in birth to 2-3 months. The anterior fontanel closes in 12-18 months.
Would a 4 month-old have steady head control? ------------ Correct Answer ----------- Yes.
How would you elicit the rooting reflex? ------------ Correct Answer ----------- Touch infants lip,
cheek, or corner of mouth with finger.
What would you expect to observe when eliciting the rooting reflex in an infant? ------------
Correct Answer ----------- Infant turns head toward stimulus and opens mouth.
Note: Reflex is difficult to elicit when infant has been fed.
How would you elicit the palmar reflex? ------------ Correct Answer ----------- Place finger in
palm of hand.
How would you elicit the Tonic Neck or "Fencing" reflex, and what is the characteristic
response? ------------ Correct Answer ----------- With the infant supine, turn their head to one
side. The arm and leg on that side should extend; opposite arm and leg should flex.
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