Pediatric Nurse Exam Pediatric Nurse Growth and Development Milestones 5

Question 1

Which gross motor skill is typically achieved first?

Accepted Answer

Cruising along furniture

Answer

Cruising (walking while holding onto furniture) develops around 9–10 months, before standing alone and walking independently.

Question 2

A toddler throws a tantrum when a parent sets a limit. Which nursing explanation is most accurate?

Accepted Answer

This reflects normal autonomy development

Answer

Temper tantrums in toddlers are a normal expression of developing autonomy as children strive for independence.

Question 3

At what age does the anterior fontanel typically close?

Accepted Answer

12–18 months

Answer

The anterior fontanel normally closes between 12 and 18 months of age.

Question 4

Which is the BEST indicator of a child's overall growth and nutritional status over time?

Accepted Answer

Height for age

Answer

Height (length) for age is the best long-term indicator of nutritional status, as linear growth is most sensitive to chronic malnutrition.

Question 5

A nurse notes a 10-month-old cannot sit without support. What is the most appropriate next step?

Accepted Answer

Refer for developmental evaluation

Answer

Independent sitting should be achieved by 6–8 months; failure to sit without support at 10 months warrants developmental evaluation.

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