COLLEGE OF HEALTH SCIENCES

MIDTERM EXAM

NAME:_______________________________________________________________________ SCORE: _________

I. IDENTIFICATION: Supply the correct answer on the space(s) provided. Strictly no erasures. (2 pts each)

1. _______________________ is the ability of toddlers to remember an action and imitate it later. An example of
this behavior would be to act, play or pretend as a teacher although they have not seen this just previously but at a
past time.
2. Children usually learn to creep upstairs, as part of the gross motor development, at what particular age?
_________________________________
3. _____________________________ is a technique that helps children learn that their actions have consequences.
It involves setting up of a concrete and consistent set of rules and making sure that the child understands why
these are being imposed. If a childs behavior negates the rule, he/she is directed to go to a space or area in the
house that is non-stimulating for a specified time period.
4. The vocabulary of a 5-year old child is expected to be around __________________ words.
5. At what age does a child achieve his adult brain size and function? _______________________________
6. ___________________________ is the progressive, destructive lesions or decalcification of the tooth enamel and
dentin.
7. According to Lawrence Kohlberg, school-aged children are in _____________________________ stage of moral
development.
8. Lead ingestion is a common health concern for children between 6 months and 6 years, therefore lead screening
should be periodically done to test the blood levels of lead in this age-group. At what specific lead amount or
blood levels does seizure, coma and death develop? _________________________________
9. Separation anxiety in children generally starts at age 6 months and peaks at around 8 months. However, it is
generally expected to persist only up until what age/period? _____________________________________
10. ____________________________ is the process of intimidating or mistreating somebody who is weaker or in a
more vulnerable situation. This is a common parental concern among preschool and school-aged children.

II. ENUMERATION:
1-3. Name at least 3 indicators / cues that a child is already ready for toilet training.
4-7. Accidents are considered as a major cause of death for children aged 3-5 years. What are the different causes of
accidental poisoning in this age group?
8-10. Give at least 3 common recommendations for parents that will help their school-aged children deal with and
address the problem of violence and terrorism.

III. MODIFIED TRUE OR FALSE. The following statements contain word(s) that are underlined and
italicized. Determine whether these word(s) make the entire statement correct or wrong. Write TRUE if the
underlined word(s) make the given statement correct. However, if the underlined word(s) make the entire
statement wrong, write the word FALSE and supply the correct answer on the space provided. (2 pts each)
An example is given on the first statement.

______FALSE - Infancy__________1. Adolescence starts from 1 month to 1 year.
_______________________________2. Toddlers develop autonomy when they are allowed to experience independence.
On the other hand, children who are constantly told not to try new things because they will hurt themselves will most
likely develop shame.
_______________________________3. School-aged childrens active imaginations can lead them into dangerous
situation therefore promoting childhood safety is a major role for parents and health providers for children in this age
group.
_______________________________4. Ritualistic behavior is the attitude of toddlers to frequently respond with a no
remark or answer to almost every question and request made to them.
_______________________________5. Hypertrophy of breast tissue in school-age boys is called thelarche.
_______________________________6. A critical milestone of toddler development is being able to form two-word
sentences by 2 years of age.
_______________________________7. Telling tall tales or stretching stories to make them seem more interesting is a
phenomenon frequently encountered during the toddler years.
_______________________________8. At 8 years, a school-age child is already expected to be capable of structured
collection.
_______________________________9. Recentering is the ability to project ones self into other peoples situations and
see the world from their view-point rather than focusing only on their own view.
_______________________________10. Youngsters who continue to steal past 9 years of age may require counselling
because they should have progressed beyond this normal development step by this age.
_______________________________11. Pre-schoolers need not be provided with so many toys because at this age their
imaginations are keener so they enjoy games that use imitation, magical-thinking and fantasy.

IV. MULTIPLE CHOICE. Select and encircle the letter of the best answer. (2 points each)

1. Which of the following example represents a parallel play?
a. Jenny and tommy share their toys
b. Jimmy plays with her car beside Mary, who is playing with her doll
c. Kevin plays a game of Scrabble with Kathy and Sue
d. Mary plays with a handheld game while sitting in her mothers lap
2. A 2-year-old toddler is admitted to the hospital. Which of the following nursing interventions would you expect?
a. Ask the parent/guardian to leave the room when assessment is being performed
b. Ask the parent/guardian to take the childs favourite blanket home because anything from outside the hospital
should not be brought to the hospital
c. Ask the parent/guardian to room-in with child
d. If the child is screaming, tell him this is an inappropriate behavior
3. Which play activity is best suited to the gross motor development of the toddler?
a. Coloring books and crayons
b. Ball
c. Building cubes
d. Swing set
4. The mother of a 1-year-old wants to know when she should begin toilet-training her child. The nurses response is
based on the knowledge that sufficient sphincter control for toilet training is present by?
a. 12-15 months
b. 18-24 months
c. 26-30 months
d. 32-36 months
5. Which of the following characterizes peer group relationships in 8 and 9-year olds?
a. Activities organized around competitive games
b. Loyalty and strong same-sex friendships
c. Informal socialization between boys and girls
d. Shared activities with one best friend
6. A mother tells the nurse that her daughter has become quite a collector, filling her room with Beanie babies, dolls,
and stuffed animals. The nurse recognizes that the child is developing:
a. Object permanence
b. Post-conventional thinking
c. Concrete operational thinking
d. Pre-operational thinking
7. How many does a typical 3-year-old ask in a days time?
a. Less than 50
b. 100 200
c. 300 400
d. 1,200 or more
8. A mother uses timeout for punishment. What is a good rule for this?
a. The child should sit still for as many minutes as his age
b. The child should sit still for as many minutes as he misbehaved
c. Timeout activities can include quiet play or reading books
d. Children are not ready for timeout until school age
9. Which of the following best describes the language of an 18-month-old?
a. Doesnt understand yes and no
b. Understands the meaning of words
c. Able to verbalize needs
d. Asks why? to most statements
10. After teaching a group of parents about accident prevention for schoolagers, which of the following statements by
the group would indicate the need for more teaching?
a. Schoolagers are more active and adventurous than are younger children.
b. Schoolagers are more susceptible to home hazards than are younger children.
c. Schoolagers are unable to understand potential dangers around them.
d. Schoolagers are less subject to parental control than are younger children.