HESI Developmental Stages and Transitions Module 1 Practice Exam

These questions are part of the practice quiz. Start practicing

• During fetal heart rate auscultation with the fetoscope, the mother's radial pulse is synchronized with the sounds heard. What should the nurse do next?
• Which statement best describes teach-back in patient discharge education?
• Where should the tape measure be placed when measuring newborn chest circumference?
• During a psychosocial assessment of a young adult, which observation would indicate emotional health?
• What is the maximum recommended time a diaphragm should remain in place after intercourse?
• A nurse observes an unlicensed assistive personnel (UAP) communicating with a hearing-impaired client in late adulthood. The nurse should intervene if the UAP performs which action?
• Which observation indicates physical readiness for toilet training?
• Clomiphene (Clomid, Serophene) is prescribed for a female client to treat infertility. What should the nurse tell the couple?
• A mother asks how to relieve teething discomfort in a 9- to 12-month-old. Which instruction is appropriate?
• According to Erikson, what is the developmental task of the middle-aged adult?
• If the mother tests positive for hepatitis B during pregnancy, what is typical for the newborn after birth?
• What is a major difference between Erikson's psychosocial theory and Piaget's cognitive theory?
• What is the focus of family-centered care when working with pediatric patients?
• Which statement best summarizes essential health promotion strategies for infants and toddlers?
• Which statement correctly describes the role of folic acid in pregnancy?
• If a labor patient has a nonreactive nonstress test, what is the most appropriate action?
• By 12 months, what growth milestone is typical for most infants?
• In the midtrimeter, amniocentesis is most commonly performed to examine what?
• A nurse provides information to a client about the use of a diaphragm. Which statement indicates to the nurse that the client needs further information on how to use the diaphragm?
• Which Piaget stage is characterized by egocentrism and symbolic thinking, typically around ages 2 to 7?
• How often should a 5-year-old have dental examinations?
• Which food item contains the highest amount of folic acid?
• How should healthcare providers address sexual development education in adolescence?
• Which Erikson stage centers on developing a personal identity and clarifying life goals during adolescence?
• How do you differentiate a developmental delay from normal variation?
• Which statement is NOT considered a danger sign requiring contacting the health care provider during pregnancy?
• A sexually active adolescent asks about condoms and STI prevention. What should the nurse tell?
• Which Piagetian stage encompasses infancy through early childhood and includes the development of object permanence?
• A nurse is gathering subjective data from a client seeking a prescription for an oral contraceptive. To identify risk factors associated with the use of an oral contraceptive, which question should the nurse ask?
• In a hospitalized teenage girl in skeletal traction, what is the most likely primary concern?
• Language development in a bilingual toddler is best described as
• A nurse is monitoring a woman who is receiving oxytocin (Pitocin) to induce labor. What action should the nurse take first when late decelerations appear?
• According to Erikson, which developmental task is most associated with a toddler who asserts their own will and resists limits?
• Which practice helps confirm patient understanding when health information is provided?
• Which statement best describes early decelerations on fetal monitoring?
• What preventive measure is essential for bicycle and sports safety in school-age children?
• In the GTPAL acronym used to describe obstetric history, what does the 'A' stand for?
• In the third trimester, what is the most common indication for amniocentesis?
• Which life-transition often involves adapting to retirement and potential changes to identity and social roles?
• At what age might fluoride supplementation be needed, depending on fluoride intake from water and foods?
• A laboring woman not yet fully dilated is pushing; which breathing method helps prevent pushing with the urge?
• By roughly age 2, what language milestone is typically evident?
• What adaptation is recommended when communicating with older adults experiencing sensory decline?
• A sexually active married couple expresses the need for a convenient birth control method and indicates family planning goals have been met. Which method should the nurse suggest?
• Where is the preferred intramuscular injection site for vitamin K in a newborn?
• Which cognitive skill is a hallmark of the Concrete Operational stage?
• Which set of language milestones is typical for preschool years (ages 3 to 5)?
• Which activity best promotes social skills in preschoolers through interaction with peers?
• A hepatitis B screen performed during pregnancy shows the presence of hepatitis B surface antigen in the mother's blood. Which statement accurately describes the next step?
• During a transabdominal ultrasound, how long does the examination typically last?
• Which pairing best represents two common health screenings for school-age children?
• A client has been pregnant six times with two deliveries past 20 weeks. What are the gravida and para?
• In the Zone of Proximal Development, how should a learner’s support be adjusted as competence grows?
• Accelerations from the baseline rate during fetal heart rate monitoring are considered which?
• During a first-trimester fetal heart rate assessment, a fetal heart rate of 160 beats per minute is observed. What action should the nurse take?
• Concerning sex play among toddlers, which response is appropriate for parents to use?
• Which finding, when documented, confirms that a client is pregnant?
• According to Erikson, which developmental task represents the toddler stage?
• Which theory identifies stages such as sensorimotor, preoperational, concrete operational, and formal operational?
• In aging adults, what is a common benign cognitive change that should be distinguished from dementia?
• Which psychosocial task is associated with infancy according to Erikson's theory?
• What is a common toilet-training milestone range?
• A 9-year-old child who is 150 cm tall should ride in which restraint?
• A nurse gathering subjective data from a client during a health assessment plans to ask the client about the medical history of the client's extended family. About which family members should the nurse ask the client?
• Which feeding statement shows understanding of introducing allergenic foods for a 6-month-old infant?
• Which domain includes self-care tasks such as dressing, feeding, and toileting for children?
• Which theory explains learning through social interaction and the concept of the Zone of Proximal Development?
• What cognitive advancement marks the shift to formal reasoning, including abstract and hypothetical thought?
• A pregnant patient asks about nonpharmacologic relief of nausea with acupressure. Which statement is correct about acupressure devices?
• Which statement best describes Piaget's Concrete Operational stage?
• By the 10th to 14th day postpartum, the fundus is in the pelvic cavity and cannot be palpated abdominally. Which statement best matches this timeline?
• A postpartum nurse monitors a patient who had a subarachnoid (spinal) block for cesarean delivery. Which adverse effect is monitored?
• Which safety consideration is essential for infant car travel?
• Newborn Apgar score at 1 minute after birth is 6. Most appropriate action?
• When variable decelerations suggesting cord compression are observed, what action should be taken immediately?
• Which developmental task is associated with preschool-age children?
• What is the recommended time frame for cold therapy (ice) on the perineum after vaginal birth?
• After performing Leopold maneuvers, the nurse auscultates the fetal heart rate over which area of the fetus?
• Which toy is most appropriate for play activities for 2- and 3-year-olds?
• Which statement best describes teach-back as a communication method?
• At 9 months of age, which language milestone is expected?
• In a 3-month-old infant, which finding indicates a normal Babinski reflex?
• In Piaget's theory, which process describes incorporating new information into existing schemas?
• A nonreactive nonstress test is characterized by which finding on the fetal monitoring tracing?
• Which of the following could cause a false-positive pregnancy test result?
• A nurse is taking vital signs 1 hour postpartum and notes a radial pulse rate of 55 bpm. What action is most appropriate?
• Which statement about intramuscular injections in newborns is true?
• What describes the balanced approach to involving a pediatric patient in decisions about their care?
• In obstetrics, which is a presumptive sign of pregnancy?
• To best maintain a hospitalized toddler's sense of control and security, which nursing action is most appropriate?
• Which statement indicates a need for further information at discharge?
• What is the term for a child’s affirmative agreement to participate in care, and how does it differ from consent?
• Which of the following is a protective factor for adolescent mental health?
• After an amniotomy, what is the first action the nurse should perform?
• During a physical assessment of a 12-month-old, the head circumference equals the chest circumference. What is the appropriate action?
• A client with a 2-year-old child asks the nurse about preparing for a newborn. Which statement best reflects appropriate guidance?
• Hegar sign indicates which cervical change?
• Which practice is an effective component of plain language health communication for patients with limited health literacy?
• What is the role of play in pediatric development?
• Which stage describes accepting life as it was lived and finding meaning in later years?
• Which theory uses the levels of Preconventional, Conventional, and Postconventional morality?
• Immediately after delivery, the fundus is palpated at what location?
• Around which week of gestation are fetal movements first noticed by a multigravida pregnant woman?
• In Kohlberg's theory, the stage most commonly achieved by adolescents is part of which level?
• Which statement best summarizes essential health promotion strategies for infants and toddlers?
• After rupture of membranes, if the amniotic fluid is clear and may contain vernix, what should the nurse do?
• A breastfeeding newborn passes mustard-yellow stools. What should you tell the mother?
• What term describes a family where parents bring unrelated children from prior relationships into a new joint living situation?
• In planning the physical assessment for a Muslim pregnant client, which arrangement is most appropriate?
• Which symptom would be considered a danger sign requiring prompt medical attention during pregnancy?
• Which statement about eliciting the Babinski reflex is correct?
• During a neurological assessment of a client in late adulthood, the nurse notes tremors of the hands. Which action should the nurse take?
• What is a typical adolescent moral development characteristic regarding rules and authority?
• What term describes the first perception of fetal movement?
• Which of the following is a strategy often recommended to reduce fall risk in older adults?
• After starting clomiphene for infertility, ovulation typically occurs within how many days after the last dose?
• A nurse takes vital signs of a pregnant client; temperature 100.6 F, pulse 100, respirations 24. What is the most appropriate nursing action?
• Which statement best describes senile tremors observed in late adulthood?
• Which developmental task is typical for school-age children (approximately ages 6 to 12 years)?
• A mother reports yellow crust over the circumcision site. What should you tell her?
• Six hours postpartum, patient complains of episiotomy site discomfort. Most appropriate action?
• In the first year of life, which Erikson stage is most prominent, and what is its core task?
• To assess jaundice in a newborn, what should you do?
• A female client asks about the advantages of using a female condom. Which should the nurse tell the client?
• At what age should a child have his first dentist visit?
• The Babinski reflex typically disappears by which age?
• Which milestone is least likely to be achieved by around 6 months of age?
• Why should the nurse carefully review a young adult's personal lifestyle assessment?
• Which Erikson stage emphasizes developing competence during school-age years?
• Which statement indicates a need for further instructions about crib safety?
• By what age do most infants typically produce their first social smile?
• How should the nurse advise cleaning the teeth of an 11-month-old infant?
• Which piece of equipment is used to assess the fetal heart rate in a client at 14 weeks' gestation?
• Before administering the hepatitis B vaccine at birth, which action should the nurse take?
• For school-age children, which psychosocial task is central according to Erikson?
• The Chadwick sign is best described as which finding?
• Which position most effectively relieves back labor discomfort?
• According to Erikson, what is the developmental task of the preschooler?
• After stopping oxytocin infusion due to late decelerations, what is the nurse's next action?
• Give two examples of developmental red flags in infancy that warrant further assessment.
• Which dental hygiene routine is appropriate for school-age children?
• Which Piagetian stage comes after the Preoperational stage and before the Formal Operational stage?
• During a planned transabdominal ultrasound, which statement is true?
• What does a hepatitis B surface antigen test detect in maternal blood?
• Immediately after delivery, the uterus is about the size of a large grapefruit or softball. Which option best reflects this description?
• In adolescent sexual development education, which approach supports open communication?
• Which statement best summarizes the core of family-centered care in pediatrics?
• Which Erikson stage is associated with deepening intimate relationships and exploring sexuality in young adulthood?
• When teaching health information to a toddler, what communication strategy is most effective?
• Which feeding practice demonstrates understanding that solids should not be mixed with formula in the bottle?
• What is a key consideration when guiding families through transitions to independence in adolescence?
• What is a respectful, patient-centered approach to grieving in adults?
• A newborn's blood glucose is 40 mg/dL. What action should the nurse take first?
• Which finding is a positive sign of pregnancy?
• According to Erikson's theory of psychosocial development, which statement best describes what infants rely on to develop a healthy personality?
• For an 8-year-old child, what is the primary developmental task according to Erikson?
• A nurse is discussing birth control methods with a client who is deciding which method to use. On which major factor that will provide the motivation needed for consistent implementation of a birth control method should the nurse focus?
• Which theory outlines stages such as Trust, Autonomy, Identity, and Intimacy as core developmental tasks?
• How should health information be presented to patients with limited health literacy?
• What is the central psychosocial theme of the preschool years according to Erikson?
• Using Nägele's rule, what is the estimated date of delivery for a patient whose last menstrual period began August 30, 2015?
• Which description best characterizes stools of formula-fed infants?
• Which option best describes monitoring milestones across multiple domains over time?
• When should semisolid foods typically be introduced to an infant?
• By about age 2, most toddlers can communicate verbally. Which option correctly reflects this?
• When do most children start speaking their first words?
• What is the cephalocaudal progression in human development?
• According to Erikson, what is the developmental task of late adulthood?
• After a spinal block for cesarean delivery, which management helps relieve postdural headache?
• During rupture of membranes, amniotic fluid is clear with creamy white flecks. What is the most appropriate action?
• Which stage of moral development is commonly observed in many adolescents?
• Which statement accurately supports teething care and when to seek further evaluation?
• Which statement best characterizes Piaget's theory of cognitive development?
• Which cognitive concept describes the understanding that quantity remains the same despite changes in appearance, and at what stage does it typically emerge?
• During the fourth stage of labor, a pulse increase from 70 to 100 bpm is observed. What is the priority action?
• Parents of an adolescent report that their daughter seems self-centered and irresponsible. What should the nurse tell them?
• What is the recommended safe practice for securing a newborn in a car seat?
• What is the ethical framework for involving a pediatric patient in decision-making?
• What is an evidence-based approach to interviewing adolescents about sensitive topics that supports truthful responses?
• Which statement about nausea and vomiting during pregnancy indicates the patient needs additional information from the nurse?
• Which Erikson stage describes the responsibility of guiding the next generation in middle adulthood?
• Which motor activity would you expect a 24-month-old to be able to perform?
• When discussing body piercing with a mother of an adolescent, which statement is accurate regarding risks?
• How should lochia flow be reported when there is a 5-inch stain on the perineal pad?
• How does newborn chest circumference typically compare to head circumference?
• What are two key safety recommendations for infants to reduce SIDS risk and injury?
• Newborn respiratory rate is 40 breaths per minute. Most appropriate action?
• Which description matches the tonic neck reflex?
• According to Erikson, what is the major developmental task of adolescence?
• Which developmental transition is most characteristic of late adolescence to early adulthood regarding independence and responsibility?
• How does the Zone of Proximal Development inform educational strategies in nursing care for children?
• Which description best fits the social play of a typical 2-year-old?
• What is a recommended approach to supporting language development in a bilingual toddler?
• Which age range defines the preschool years?
• An infant's current weight at 6 months is 13 lb, up from 6 lb 8 oz at birth. What should the nurse tell the mother?
• What is a key approach to screen for language delays in early childhood?
• A rubella titer of less than 1:8 in a pregnant client means what?
• During a newborn bath, which action demonstrates proper technique?
• Which statement about maternal antibodies and infant infection risk is correct?
• A nurse reviews the health history of a client who will be seeing the health care provider to obtain a prescription for a combination oral contraceptive. Which finding would cause the nurse to determine that use is contraindicated?
• Which factor increases the risk of thromboembolism when using combination oral contraceptives?
• Which action demonstrates the rooting reflex in a newborn?
• Which statement best defines a reactive NST?
• Which Erikson stage centers on developing trust when caregivers consistently meet basic needs?
• Identify a primary safety concern for school-age children and a preventive measure.
• Which of the following is a strategy to prevent falls in older adults?
• The Erikson stage following infancy that emphasizes developing autonomy and self-control is?
• At approximately what age range do children enter the Preoperational stage, featuring symbolic thinking and egocentrism?
• What is the proximal-distal pattern in developmental growth?
• Where is jaundice first noticeable in a newborn?