NUR 443: PRACTICE EXAM QUESTIONS
WITH CORRECT ANSWER
Fine motor development - Answer-Newborns have very little control over fine motor
development, broad sweeping movement, palmar grasp progresses to pincer grasp (9
months) pat-a-cake and banging things together (11 months)
strabismus - Answer-crossed eyes, not normal after 1 month of age, will no go away on
its own, treat with glasses, drops, patching, surgery
Amblyopia - Answer-lazy eye, not correctable by glasses or contacts, most common
cause is amblyopia, treatment with drops, vision therapy, patching
Vision assessment - Answer-5 months= 20/200
8 months- permanent eye color
3-4 yr= 20/40
5 yr= 20/30
6 yr= 20/20
Vision assessment skills - Answer-Red reflex
corneal light reflex
Follow objects at midline 2-6 weeks
follow object 180 degrees by 5 months
Unilateral cover test
vision assessment tools - Answer-3-5 yrs: LEA symbols
5-6 yrs: HOTV chart
7 yr: snellen eye chart
Vision referral recommendations - Answer-If not meeting baseline
3-4 yr= 20/40
5 yr= 20/30
6 yr= 20/20
Refer if 2 line difference between eyes
language development - Answer-Coos: 2-3 months
babbles: 4-8 months
dada/mama: 5-10 months
1st word: 8-14 months
4-6 words: 12-18 months
2 word combo: by 2 years
425 words: 2.5 years
4-5 word sentences: 3.5 yrs
, Teeth - Answer-pea sized amount of toothpaste, see dentist by age 3, primary teeth
start shedding by 6-8 years
Number of teeth - Answer-age of child in months - 6
Trust vs mistrust - Answer-Erikson's first stage during the first year of life, infants learn
to trust when they are cared for in a consistent warm manner
stranger anxiety - Answer-5 months: mothering person in sight, don't want to be held by
others
8 months: critical stranger anxiety
12 months: knows who is familiar, needs personal space
analitic depression - Answer-separation anxiety, major stress from middle infancy
throughout preschool years
phase 1: protest - Answer-unconsolable crying, needs lots of attention, should occur
with initial separations
phase 2: despair - Answer-crying has stopped, less active, withdrawn, mourning loss of
mothering person, may play/eat, suit emotional needs of child
phase 3: detachment - Answer-uncommon, occurs with long periods of time, behaves
well so others want them, makes superficial bonds
reactive attachment disorder - Answer-Attachment disorder in which a child with
disturbed behavior neither seeks out a caregiver nor responds to offers of help from
one; fearfulness and sadness are often evident.
Stems from third stage, poor eye contact, severe emotional deprivation from 1-3, loss of
ability to attach
rear facing carseat - Answer-less than 2 years old or until they reach weight and height
allowed
forward facing carseat - Answer-best after 2 but less than 4, weigh at least 20 lbs less
than 40 lbs
booster seat - Answer-at least 4 but less than 8, weight at least 40 lbs less than 80 lbs,
not 4'9"
seat belt - Answer-8 or older, weighs more than 80 lbs, is 4'9" or taller, no children in
front seat until 100 lbs
benefits of breatfeeding - Answer-lower risks of juvenile diabetes, cancer, obesity,
asthma, SIDS, atopic dermatitis