Early childhood development

Question 1

Which of the following is most consistent with a normal developmental examination for a three month old infant born at 40 weeks gestation? 
A. Sitting briefly with support, 
B. Experimenting with sound, 
C.Rolling over, 
D. Having a social smile

Answer 1

B. Experimenting with sound

Question 2

Which of the following is most consistent with a normal developmental examination for a thriving five-month-old infant born at 32 weeks gestation?

Sitting briefly with support,
experimenting with sound,
rolling over,
performing hand to hand transfers

Answer 2

Experimenting with sound

Question 3

A healthy full-term infant at age 3 to 5 months should be able to

Gesture to an object,
bring hands together,
reach for an object with one hand,
Feed self with the teething biscuits

Answer 3

Bring hands together

Question 4

A healthy infant at age 9 to 11 months is expected to: 
roll from back to stomach, 
imitate bye-bye, 
play peekaboo, 
and hand toy on request

Answer 4

Play peekaboo

Question 5

Healthy two-year-old child is able to:
Speak in phrases of two or more words, 
throw a ball at a target, 
scribble spontaneously, 
ride a tricycle

Answer 5

Speak in phrases of two or more words

Question 6

At which age with a child likely start to imitate house work: 
18 months, 
24 months, 
30 months, 
36 months,

Answer 6

18 months

Question 7

I healthy three-year-old child is expected to: give his or her first and last name, use pronouns, kick a ball, name a best friend

Answer 7

Give his or her first and last name

Question 8

I healthy 6 to 7 month old infant is able to: roll from back to stomach, confidently feed self a cracker, reach for an object, crawl on abdomen

Answer 8

Roll from back to stomach

Question 9

You examine a healthy nine-month-old infant from a full term pregnancy and expect to find that the infant:
sits without support,
cruises,
has the ability to recognize his or her own name,
imitates a razzing noise

Answer 9

How’s the ability to recognize his or her own name

Question 10

A healthy three-year-old child is in your office for a well child care. You expect this child to be able to: name five colors, alternate feet when climbing stairs, speak into word phrases, tie shoelaces

Answer 10

Alternate feet when climbing stairs

Question 11

Which of the following would not be found in newborns? Best vision at a range of 8 to 12 inches, presence of red reflex, light sensitive eyes, lack of defensive blink

Answer 11

Lack of a defensive blink

Question 12

Which of the following do you expect to find in an examination of a two week old infant? Visual preference for the human face,
a preference for low pitched voices,
and differences to the cry of other Neonates,
poorly developed sense of smell

Answer 12

Visual preference for the human face

Question 13

Which of the following is the most appropriate response in a developmental examination of a healthy 5-year-old child?
A. being able to name a best friend
B. giving gender appropriately
C. naming an intended career
D. hopping on one foot

Answer 13

. Being able to name a best friend

Question 14

29. You are examining an 18-month-old boy who is not speaking any discernible words. Mom tells you he has not said “mama” or “dada” yet or babbled or smiled responsively. You:
    A. encourage the mother to enroll her son in day care to increase his socialization.
    B. conduct further evaluation of milestone attainment.
    C. reassure the parent that delayed speech is common in boys.
    D. order audiogram and tympanometry.

Answer 14

.Conduct further a valuation of milestones attainment

Question 15

30. The following benchmarks indicate normal development by a healthy child born at term who is now 12-months of age. (Choose all that apply.)
    A. talking in two-word sentences
    B. pointing to a desired object
    C. reaching for a desired object
    D. walking backward (Fitzgerald 428-429)

Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation, 5th Edition. F.A. Davis Company, 20170314. VitalBook file.

Answer 15

Point to a desired object,

reaching for desired object

Question 16

31. It is considered a developmental “red flag” if a child does not respond to his or her name by nine months of age.
    A. true
    B. false

Answer 16

.False

Question 17

32. Which of the following children demonstrates a developmental “red flag”?
    A. a 14-month-old who only says “mama” and “no”
    B. a 4-month-old who does not smile
    C. a 12-month-old who does not respond to his/her name
    D. a 2-year-old who speaks two-word phrases

Answer 17

. Please pretend games while alone or with others

Question 18

33. All of the following are consistent with a fragile X syndrome diagnosis in males except:
    A. microorchidism following onset of puberty.
    B. large body habitus.
    C. large ears.
    D. hyperactivity. (Fitzgerald 429)

Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation, 5th Edition. F.A. Davis Company, 20170314. VitalBook file.

Answer 18

A. microorchidism following onset of puberty.

Question 19

34. Which of the following chromosomal syndrome is a common etiology of social and verbal developmental delays in boys?
A. Tay-Sachs disease
B. cystic fibrosis
C. fragile X
D. trisomy 18

Answer 19

. C. fragile X

Question 20

35. One physical sign of fragile X syndrome in males includes:
A. large eyes.
B. large forehead.
C. small head.
D. recessive jaw.

Answer 20

.

B. large forehead.

Question 21

36. Klinefelter syndrome (XXY male) is most commonly marked by:
A. language impairment in males.
B. fine motor delay in males.
C. hip and breast enlargement in women.
D. attention deficit disorder in males.

Answer 21

. A. language impairment in males.

Question 22

37. Klinefelter syndrome (XXY male) and risk for having a child with this condition can be accurately identified by which of the following? (Choose all that apply.)
A. urine test
B. literacy assessment
C. amniocentesis
D. blood testing for carrier state

Answer 22

. C. amniocentesis

D. blood testing for carrier state

Question 23

38. All of the following would support a diagnosis of autism spectrum disorder except:
    A. a failure to initiate or respond to a social interaction.
    B. exhibiting extreme distress with small changes in routines.
    C. the symptoms are absent until child reaches school age.
    D. excessive touching of objects. (Fitzgerald 429)

Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation, 5th Edition. F.A. Davis Company, 20170314. VitalBook file.

Answer 23

C. the symptoms are absent until child reaches school age.