Reviewer: Newborn Growth and Development Milestones

1. You’re assessing a 2-month-old infant. Which finding below is a normal milestone that should be
reached by this infant at this age?
A. The infant can sit up with support.
B. The infant holds a rattle.
C. The infant smiles at its parent.
D. The infant is afraid of strangers.

2. You're providing care to a 1-month-old infant who is hospitalized. The parents are unable to be
at the bedside. The infant is crying. Select appropriate nursing interventions for this infant:
A. Let the infant play with crib mobiles
B. Swaddle the infant
C. Attempt to play peek-a-boo with the infant
D. Rock the infant
E. Distract the infant with a toy

3. A 12-month-old arrives to the health clinic for a well visit. You’re assessing the infant’s
developmental milestones. Select below all the milestones the child should be able to perform?
A. Rides a tricycle
B. Draws a triangle
C. Pulls to a standing position and can take a few steps
D. Follows simple commands like “wave bye-bye”
E. Puts objects in a container
F. Hits two small wooden blocks together
G. Says 2-3 word sentences

4. A mother asks the nurse when her baby will likely begin to roll from back to front. The nurse
correctly responds that most infants achieve this milestone by:
A. 2 months
B. 4 months
C. 6 months
D. 8 months

5. A 9-month child can point to a picture in book or poke objects, but likely to tear pages in a book
instead of turning them.
A. True
B. False

6. The nurse is assessing a four-month-old infant. The nurse would anticipate finding that the infant
would be able to
A. Hold a rattle
B. Bang two blocks
C. Move the small toy from one hand to another
D. Wave “bye-bye”

7. At 8-9 months of age, what milestone should an infant be able to successfully perform?
A. Begin walking
B. Say several words like mama or dada
C. Sit without support
D. Follow basic commands
C. The infant at 8-9 months should be able to sit without support. The other options are
milestones for a 10-12 month old.
8. 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

9. Which developmental milestone puts the 4-month-old infant at greatest risk for injury?
a. Switching objects from one hand to another
b. Crawling
c. Standing
d. Rolling over

10. The nurse is assessing a six-month-old child. Which developmental skills are normal and should
be expected?
A. Speaks in short sentences.
B. Sits alone.
C. Can feed self with a spoon.
D. Pulling up to a standing position.

11. An infant weighed 8 lbs. at birth. How many lbs. should the infant weigh at 6 months?
A. 24 lbs
B. 10 lbs
C. 16 lbs
D. 32 lbs

12. 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

13. A 3-month-old infant is expected to achieve which of the following milestones?

a. Sitting without support
b. Rolling over from back to front
c. Holding head up when on tummy
d. Crawling

14. You're providing care to a 1-month-old infant who is hospitalized. The parents are unable to be
at the bedside. The infant is crying. Select appropriate nursing interventions for this infant:
A. Let the infant play with crib mobiles
B. Swaddle the infant
C. Attempt to play peek-a-boo with the infant
D. Rock the infant E. Distract the infant with a toy

15. A parent has a question about the Rotavirus vaccine and when it is administered. As the nurse
you know that ________ doses are given, and the last dose is given at ________?* o
A. 2; 6 months o
B. 3; 4 months o
C. 4; 4-6 years o
D. 3; 6 months
16. Which of the following situations would alert you to a potentially developmental problem with a
child?
A. Pointing body parts at 15 months of age
B. Using gesture to communicate at 18 months
C. Cooing at 3 months
D. Saying "mama" or "dada" for the first time at 18 months

17. The reflex, that is employed in an infant search for food is

A. Moro
B. Sucking
C. Swallowing
D. Rooting

18. A 6.5-month-old is hospitalized. What nursing intervention will you include in their plan of care?
*
A. Separate the infant and parent during procedures
B. Maintain the infant's daily rituals and routines
C. Allow the infant to examine equipment before usage
D. Maintain the same nursing staff during each shift

19. Nurse Samantha is assessing a four-month-old infant during a well-baby checkup. Which
developmental milestone should Nurse Samantha expect the infant to have achieved?
A. Hold a rattle
B. Wave "bye-bye"
C. Bang two blocks together
D. Drink from a cup

20. You're developing a plan of care for an infant and you include activities for play. The play
activities include hiding a toy and letting the infant look for it along with playing peek-a-boo.
Which infant below would best benefit from this type of play?
A. 6-month-old
B. 2-month-old
C. 9-month-old
D. 4-month-old

21. A stillborn baby was delivered a few hours ago. After the birth, the family has remained together,
holding and touching the baby. The registered nurse is orienting a new nurse, and has provided
education on how to communicate with the family. Which statement by the new nurse indicates
that teaching has been effective?
a. "How can I assist you with ways to remember your baby?"
b. "You seem upset. Do you think a tranquilizer would help?"I feel so bad. I don't understand
why this happened either."
c."I can allow another 15 minutes together for you to grieve."

22. At what age should a baby typically be able to sit without support?
A. 2 months
B. 6 months
C. 8 months
D. 12 months

23. At what age does a child typically develop the following skills: palmer grasp, transfers objects,
and plays at midline?
A. 2-3 months
B. 4-6 months
 C. 7-9 months
D. 10-12 months

24. A 1-year-old male child is scheduled for a routine exam at the pediatric clinic. The child's birth
weight was 8 lbs. 2 oz. The child now weighs 18 pounds, 4 oz. The nurse knows that this weight
is:
A.Below the expected weight.
B.Appropriate for the child's age.
C.Above the expected weight.
D.Individualized and thus unpredictable.

25. Which of the following milestones is typically achieved LAST?

A. Rolling over
B. Crawling
C. Walking
D. Grasping objects

26. At what age should a child typically be able to say "mama" or "dada" specifically?
A.6 months
B.9 months
C.12 months
D.18 months

27. At 9 months of age, a child should:

A. Pull themselves to stand.
B. React (cry, reach) when a parent leaves.
C. Wave “bye-bye.”
D. Drink from a cup without a lid (held by a parent)

28. During an assessment of a 10-month-old infant, you note on the infant’s gum line two teeth that
have erupted. These are the only teeth present in the infant’s mouth. These teeth are known as
the?
A. Lower central incisors
B. Upper central incisors
C. Lateral incisors
D. Canine

29. A 3-week-old infant is exclusively breast fed. What will you include in the patient education to
the mother during this clinic visit?
A. Introduce solid foods around 3-4 months of age along with breast feeding.
B. The infant needs to be supplemented with Vitamin D (400 IU) daily.
C. Cow’s milk may be substituted for breast milk around 6 months.
D. Breast feeding is only recommended for the first 4 months of life.
Infants that are exclusively (ONLY) breast fed should receive Vitamin D supplementation (400 IU)
daily per AAP guidelines.

30. Your patient is 6 months old. Which developmental milestone, if not performed by the patient,
should be further investigated?
A. Crawling
B. Rolling over from stomach to back
C. Using the pincer grasp
D. Sitting without support

31. An infant was 21 inches at birth. How many inches should the infant be at 6 months?
 A. 30-36 inches
B. 24-27 inches
C. 23-25 inches
D. 22-24 inches

32. Baby boy Villanueva, 4 months old, was seen at the pediatric clinic for his scheduled check-up.
By this period, baby Villanueva has already increased his height by how many inches?
A. 3 inches
B. 4 inches
C. 5 inches
D. 6 inches

33. A nurse is educating a first-time parent on expected developmental milestones. The nurse
explains that certain reflexes are essential for assessing neurological health in a newborn. At a
one-month check-up, which of the following reflex findings would be concerning and require
further evaluation?
A. Absence of the rooting reflex
B. Presence of the Moro reflex
C. Weak palmar grasp reflex
D. Presence of the stepping reflex

34. When do babies generally start to babble and make repetitive consonant sounds?
A. 3-4 months
B. 5-6 months
C. 7-9 months
D. 10-12 months

35. After the baby is delivered, the cord was cut between two clamps using a sterile scissors and
blade, then the baby is placed at the:
A. Mother’s breast
B. Mother’s side
C. ive it to the grandmother
D. Baby’s own mat or bed

36. Which of the following is the most appropriate intervention to reduce stress in a preterm infant
at 33 weeks gestation?
a. Sensory stimulation including several senses at a time
b. tactile stimulation until signs of over stimulation develop
c. An attitude of extension when prone or side lying
d. Kangaroo care

37. You are assessing a 2-month-old infant during a well-baby visit. Which developmental milestone
would you expect this infant to achieve by this age?
A. Sitting without support
B. Smiling responsively at caregivers
C. Holding objects with a pincer grasp
D. Saying "mama" or "dada"

38. You’re assessing a 2-month-old infant. Which finding below is a normal milestone that should be
reached by this infant at this age?
A. The infant can sit up with support.
B. The infant holds a rattle.
C. The infant smiles at its parent.
D. The infant is afraid of strangers.
 An infant at this age should be smiling. All the other options are too advanced for this infant at
this age.

39. At 8-9 months of age, what milestone should an infant be able to successfully perform?
A. Begin walking
B. Say several words like mama or dada
C. Sit without support
D. Follow basic commands
C. Sit without support The answer is C. The infant at 8-9 months should be able to sit without
support. The other options are milestones for a 10-12 month old.

40. A 3-year old boy with vesicoureteral reflux is scheduled for ureteral reimplantation. His father
plans to go home during the surgery to get his favorite toy. When the father left, the boy asked
the nurse when will his father be back? The nurse’s best response is:
A. “Your daddy will be back later this afternoon”
B. “Your daddy will be back at 11 am”
C. “Your daddy will be back after you wake up”
D. “Your daddy will be back within 2 ½ hours”

41. You note a 10-month-old is using the pincer grasp. Which option below best describes this
milestone?
A. The infant is able to grasp large objects with the palm and forefingers.
B. The infant is able to grasp small objects with the index finger and thumb.
C. The infant is able to grasp small and large objects with the middle finger and thumb.
D. The infant is able to grasp large objects with the palm and thumb.

42. You're teaching a new mom of a 1-week-old infant on how to prevent SIDS (Sudden Infant Death
Syndrome). Which statement by the parent requires you to re-educate the parent on this topic?
A. "The best sleeping position for the baby is on their side or tummy".
B. "It's okay to share the same room with the baby."
C. "I will stop swaddling the baby once he can roll over onto his tummy".
D. "I will be sure to remove extra blankets and toys from the baby's bed."
The best sleeping position for the baby is on their BACK....NOT side or tummy.

43. You're developing a plan of care for an infant and you include activities for play. The play
activities include hiding a toy and letting the infant look for it along with playing peek-a-boo.
Which infant below would best benefit from this type of play?
A. 6-month-old
B. 2-month-old
C. 9-month-old
D. 4-month-old

44. A 6.5-month-old is hospitalized. What nursing intervention will you include in their plan of care?
A. Separate the infant and parent during procedures
B. Maintain the infant’s daily rituals and routines
C. Allow the infant to examine equipment before usage
D. Maintain the same nursing staff during each shift

45. 7. At 8-9 months of age, what milestone should an infant be able to successfully perform?*
A. Begin walking
B. Say several words like mama or dada
C. Sit without support
D. Follow basic commands
At 8-9 months of age, a baby achieves several motor milestones, including:
46. Which of the following is an example of development?
A. A 7-month-old infant pulls up to a standing position.
B. Two lower teeth appear in an 8-month-old infant.
C. The birth weight of an infant doubles by 6 months of age.
D. A young child uses words instead of crying to make his or her needs known.
Crawling or attempting to crawl may also begin around this period.

47. At what age would a nurse expect an infant to sit up independently according to developmental
milestones?
A. 3-4 months
B. 6-7 months
C. 8-10 months
D. 12 months
Fine motor skills improve, such as grasping objects using a pincer grasp (thumb and forefinger)

48. The nurse is assessing a four-month-old infant. The nurse would anticipate finding that the infant
would be able to
A. Hold a rattle
B. Bang two blocks
C. Move the small toy from one hand to another
D. Wave “bye-bye”

49. At 8-9 months of age, what milestone should an infant be able to successfully perform?*
A. Begin walking
B. Say several words like mama or dada
C. Sit without support
D. Follow basic commands
The infant at 8-9 months should be able to sit without support. The other options are milestones
for a 10-12 month old.

50. An infant weighed 8 lbs. at birth. How many lbs. should the infant weigh at 6 months?
A. 24lbs
B. 10lbs
C. 16lbs
D. 32lbs
The birth weight should DOUBLE at 6 months and triple at 1 year. Therefore, if the infant
weighed 8 lbs. at birth, he or she should weigh 16 lbs. at 6 months.

51. You note a 10-month-old is using the pincer grasp. Which option below best describes this
milestone?
A. The infant is able to grasp large objects with the palm and forefingers.
B. The infant is able to grasp small objects with the index finger and thumb.
C. The infant is able to grasp small and large objects with the middle finger and thumb.
D. The infant is able to grasp large objects with the palm and thumb.
The infant is able to grasp small objects with the index finger and thumb.

52. Nurse karen assessing a 10-month-old infant. Nurse karen note on examination the anterior
fontanelle is open. The nurse Karen will:
A. Document this as an abnormal finding because this fontanelle should close at 2 months
B. Document this as a normal finding because this fontanelle closes at about 18 months
C. Document this as a normal finding because this fontanelle closes at about 12 months
D. Document this as an abnormal finding because this fontanelle should close at 6 months
53. 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

54. A nurse is evaluating the developmental level of a two (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

55. A parent brings their 6-month-old baby to the clinic for a check-up. During the visit, the nurse
notes that the baby is starting to sit up with minimal support and is reaching for toys. What does
this suggest about the baby's development?
A. The baby is falling behind in gross motor skills.
B. The baby is meeting expected developmental milestones.
C. The baby may need a physical therapy referral.
D. The baby is ready to start walking.

56. Your patient is 6 months old. Which developmental milestone, if not performed by the patient,
should be further investigated?
A. Crawling
B. Rolling over from stomach to back
C. Using the pincer grasp
D. Sitting without support

57. What are developmental milestones?

A. Skills children learn to perform complex math problems
B. Skills that mark stages in a child's play, learning, speech, and movement
C. Abilities children are born with
D. Tasks only learned in school

58. At what age should a baby typically be able to roll over from tummy to back? Options:
A) 2 months
B) 4 months
C) 6 months
D) 9 months

59. At what age would you educate the parents of an infant to stop swaddling the infant because the
infant will be able to roll over onto its tummy?*
A. 2 months
B. 4 months
C. 6 months
D. 10 months
An infant should not be swaddled once they can roll over,

60. During an assessment of a 10-month-old infant, you note on the infant's gum line two teeth that
have erupted. These are the only teeth present in the infant's mouth. These teeth are known as
the?
A. Lower central incisors
 B. Upper central incisors
C. Lateral incisors
D. Canine
The lower central incisors are the first teeth that erupt in an infant's mouth and this tends to
occur by 10 months of age

61. A10-month-old is using the pincer grasp. Which option below best describes this milestone?
A. The infant is able to grasp large objects with the palm and forefingers.
B. The infant is able to grasp small objects with the index finger and thumb.
C. The infant is able to grasp small and large objects with the middle finger and thumb.
D. The infant is able to grasp large objects with the palm and thumb.

62. A parent brings a 6-month-old infant to the pediatric clinic for her well-baby examination. Her
birth weight was 8 pounds, 2 ounces. The nurse weighing the infant today would expect her
weight to be at least _____ pounds.
a. 12
b. 16
c. 20
d. 24

63. You're assessing a 10-month-old infant. You note on examination the anterior fontanelle is open.
The nurse will:*
A. Document this as an abnormal finding because this fontanelle should close at 2 months
B. Document this as a normal finding because this fontanelle closes at about 18 months
C. Document this as a normal finding because this fontanelle closes at about 12 months
D. Document this as an abnormal finding because this fontanelle should close at 6 months

64. You’re providing car seat safety education to a mother of an 18-month-old. Which statement by
the mother requires you to re-educate her about this topic?
A. “The safest place for the child is in the back seat.”
B. “A child is switched to a forward-facing car seat at 12 months.”
C. “A child less than 24 months of age should be in a rear-facing care seat.”
D. “My son sits in a rear-facing car seat in the back of the car.”

65. You're assessing a 2-month-old infant. Which finding below is a normal milestone that should be
reached by this infant at this age?*
A. The infant can sit up with support.
B. The infant holds a rattle.
C. The infant smiles at its parent.
D. The infant is afraid of strangers.

66. You're developing a plan of care for an infant and you include activities for play. The play
activities include hiding a toy and letting the infant look for it along with playing peek-a-boo.
Which infant below would best benefit from this type of play?
A. 6-month-old
B. 2-month-old
C. 9-month-old
D. 4-month-old

67. The nurse is assessing a six-month-old child. Which developmental skills are normal and should
be expected?
A. Pulling up to a standing position
B. Can feed self with a spoon
C. Sits alone
 D. Speaks in short sentences

68. You’re helping develop a meal plan for a 10-month-old. Which foods will you select to be part of
the meal plan? Select all that apply:
A. Mashed potatoes
B. Grapes
C. Soup

69. A clinic nurse assesses the communication patterns of a five (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

70. Nurse Samantha is assessing a four-month-old infant during a well-baby checkup. Which
developmental milestone should Nurse Samantha expect the infant to have achieved?
A. Bang two blocks together.
B. Wave “bye-bye”.
C. Hold a rattle.
D. Drink from a cup.

71. At what age should a baby typically be able to sit without support?
A. 3 months
B. 6 months
C. 9 months
D. 12 months
By around 6 months, most infants can sit without support

72. While giving nursing care to a hospitalized adolescent, the nurse should be aware that the major
threat felt by the hospitalized adolescent is
A. Fear of the unknown
B. Loss of bodily control
C. Altered body image
D. Separation from family

73. Which stage of development is most unstable and challenging regarding development of
personal identity?
A) Adolescence
B) Toddler hood
C) Childhood
D) Infancy

74. Your patient is 6 months old. Which developmental milestone, if not performed by the patient,
should be further investigated?
A. Crawling
B. Rolling over from stomach to back
C. Using the pincer grasp
D. Sitting without support

75. At 8-9 months of age, what milestone should an infant be able to successfully perform?
A. Begin walking
B. Say several words like mama or dada
 C. Sit without support
D. Follow basic commands

76. Kelly, a first-time mother, went to the community clinic and asked the nurse what kind of toy
would be most appropriate for her 15th-month-old child?
A. Knitting knits
B. Board games
C. Ball Popper Toys
D. Checkers

77. The mother of a 2-year-old verbalizes concern about how her child has suddenly developed
temper tantrums. She asks about preventive measures. What are some preventive measures you
can educate the mother about? Select-all-that-apply:
A. Avoid giving the child choices
B. Distract the child
C. Give in to the child’s request
D. Prepare the child for a change in activity or an event a few minutes before it occurs
E. Avoid new activities when the child is hungry or tired

78. You’re teaching a new mom of a 1-week-old infant on how to prevent SIDS (Sudden Infant Death
Syndrome). Which statement by the parent requires you to re-educate the parent on this topic?
A. “The best sleeping position for the baby is on their side or tummy”.
B. “It’s okay to share the same room with the baby.”
C. “I will stop swaddling the baby once he can roll over onto his tummy”.
D. “I will be sure to remove extra blankets and toys from the baby’s bed.”

79. At 8-9 month of age, what milestones should an infant be able to successfully perform?
A. Begin walking
B. Say several words like mama or dada
C. Sit without support
D. Follow basic commands

80. At what age should a baby typically be able to sit without support?
A. 3 months
B. 6 months
C. 9 months
D. 12 months
By 6 months, most babies have developed enough core strength and motor skills to sit without
support.

81. You're teaching a new mom of a 1-week-old infant on how to prevent SIDS (Sudden Infant Death
Syndrome). Which statement by the parent requires you to re-educate the parent on this topic?*
A. "The best sleeping position for the baby is on their side or tummy".
B. "It's okay to share the same room with the baby."
C. "I will stop swaddling the baby once he can roll over onto his tummy".
D. "I will be sure to remove extra blankets and toys from the baby's bed."

82. You are assesing a 2month old infant. which finding below is a normal milestone that should be
reach by this infant at this age?
A. The infant can sit up with support.
B. The infant holds a rattle.
C. The infant smiles at its parent.
D. The infant is afrad of strangers