Growth & Development MCQs for Nursing Exams

Answer: D. A gradual rise in bilirubin to 8 mg/dl on day 3 to 5 after birth

Physiologic or normal jaundice shows a gradual rise in bilirubin of 8 mg/dl at 3 to 5 days after Chapter 29 GROWTH AND DEVELOPMENT birth. The level falls to normal the second week of life. If the unconjugated level is greater than 12 mg/dl when the baby is formula-fed, greater than 14 mg/dl if the baby is breast-fed, or if the jaundice is persistent past 2 weeks of age, further evaluation is warranted.

Answer: C. Establish an effective, habitual breathing pattern

(A) Regular exercise does promote a sense of well-being and selfworth, but this is not the ultimate goal of exercise for this patient. (B) Regular chest physiotherapy, not exercise per se, helps to prevent respiratory infections. (C) Physical exercise is an important adjunct to chest physiotherapy. It stimulates mucus secretion, promotes a feeling of well-being, and helps to establish a habitual breathing pattern. (D) Along with adequate nutrition and minimization of pulmonary complications, exercise does help promote normal growth and development. However, exercise is promoted primarily to help establish a habitual breathing pattern.

Answer: D. Test the temperature of water before bathing

Excessively high temperatures can damage the delicate skin of an infant. 1 Although infants are capable of putting small things in their mouths, they are not yet able to crawl and probably will not be placed on the floor. 2 At 3 months of age infants are not yet able to explore the environment to the point that electric outlets pose a problem. 3 At 3 months of age infants are still too small and have not yet developed motor capabilities to get into containers of poison.

Answer: A. Crawl

A. Most infants are able to crawl unassisted by 8 months. B. Infants learn to cruise (walk around holding on to furniture) at about 9 to 10 months. C. Walking occurs on average at about 12 months.

Answer: D. Posterior fontanel is open

A. The posterior fontanel should close between 6 and 8 weeks of age. B. The anterior fontanel usually closes between 12 and 18 months. C. The infant usually has a first tooth erupt at about 6 months of age. D. The infant should be able to track objects.