Growth & Development
What milestone should a 6-month-old achieve?
A: Sitting / transferring objects
Rationale: Expected gross & fine motor development
Blue hands and feet in newborn?
A: Acrocyanosis (normal)
Rationale: Immature circulation
Jaundice within first 24 hours?
A: Concerning
Rationale: Possible pathology
Infant stage in Erikson?
A: Trust vs mistrust
Rationale: Needs must be met
Best source of pediatric history?
A: Parent/caregiver
Rationale: Primary historian
When does a child typically begin walking?
A: Around 12 months
Rationale: Normal variation exists but around 1 year
Toddler saying “no” constantly?
A: Normal
Rationale: Autonomy development
Absent reflex on one side?
A: Concerning
Rationale: Neurologic injury
Toddler stage in Erikson?
A: Autonomy vs shame
Rationale: Independence development
Most important infant measurement?
A: Head circumference
Rationale: Brain growth indicator
A 2-year-old is not using 2-word phrases—concern?
A: Yes
Rationale: Language delay → evaluate hearing/development
Stranger anxiety in an infant?
A: Normal
Rationale: Developmental stage
Adolescent giving away belongings?
A: Suicide risk
Rationale: Major red flag
School-age stage?
A: Industry vs inferiority
Rationale: Achievement focus
A child avoids school—what should you assess?
Psychosocial + academic + bullying
Rationale: Multifactorial
What developmental pattern describes head-to-toe progression?
A: Cephalocaudal
Rationale: Development follows predictable sequence
Teen questioning rules?
A: Normal
Rationale: Moral development stage
Infant with poor feeding and lethargy?
A: Concerning
Rationale: Possible infection or metabolic issue
Adolescent stage?
A: Identity vs role confusion
Rationale: Self-discovery
What must you consider before labeling behavior as abnormal?
A: Developmental stage
Rationale: Age determines normal
A 9-month-old is not bearing weight—what does this suggest?
A: Developmental delay
Rationale: Milestone not met → further evaluation needed
A child engages in pretend play—what stage?
A: Preoperational
Rationale: Symbolic thinking
Sudden mood improvement after depression?
A: HIGH concern
Rationale: Possible decision to act on suicide
Why do toddlers have tantrums?
A: Limited emotional regulation
Rationale: Developmental—not behavioral problem
A 15-year-old presents with fatigue, withdrawal, declining grades, and giving away belongings. What is your priority action?
Assess for suicide risk immediately
These are classic warning signs—requires urgent evaluation