Hello Friends,
Child Growth and Development is a core subject in nursing education and a consistently tested area in GNM, BSc Nursing, Post Basic Nursing, ANM, and various national and state-level competitive nursing examinations such as AIIMS NORCET, RRB, ESIC, DSSSB, and KGMU.
Child Growth and Development is a core subject in nursing education and a consistently tested area in GNM, BSc Nursing, Post Basic Nursing, ANM, and various national and state-level competitive nursing examinations such as AIIMS NORCET, RRB, ESIC, DSSSB, and KGMU.
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| Free NORCET Exams Preparation Series - Child Health Nursing-1 Unit-2 The Healthy Child |
This is Part 4 of Unit-2 ( The Healthy Child ): MCQs 301–400, carefully compiled to strengthen conceptual understanding and examination readiness. The questions are aligned with standard nursing curricula and frequently asked examination patterns.
This MCQ set comprehensively covers:
- 👶 Normal growth parameters (weight, height, head circumference)
- 🧠 Developmental milestones
- 🧩 Play therapy & types of play
- 🧑⚕️ Theories – Freud, Erikson, Piaget, Kohlberg
- 🍼 Breastfeeding, BFHI, KMC, weaning
- 🥗 Child nutrition & deficiency diseases
- 📊 Growth monitoring & malnutrition indicators
📌 Importance of This MCQ Series
- Reflects previous years’ examination trends
- Integrates theoretical knowledge with clinical relevance
- Ideal for systematic revision and self-assessment
- Enhances accuracy, confidence, and critical thinking
Part 4 : MCQs 301–400
Let's Start - All The Best 👍
Q301. A nurse measures a 6-month-old’s weight. Expected weight is:a) Birth weight
b) Twice the birth weight
c) Three times the birth weight
d) Four times the birth weight
✅ Answer: b) Twice the birth weight
👉 Explanation: By 5–6 months, weight doubles; by 1 year, it triples.
Q302. Height increases by 50% of birth length at:
a) 6 months
b) 1 year
c) 2 years
d) 5 years
✅ Answer: b) 1 year
Q303. Head circumference equals chest circumference at:
a) 6 months
b) 1 year
c) 2 years
d) 5 years
✅ Answer: b) 1 year
Q304. A child with delayed eruption of teeth may have deficiency of:
a) Vitamin D
b) Vitamin K
c) Vitamin C
d) Vitamin B12
✅ Answer: a) Vitamin D
Q305. First permanent teeth to erupt are usually:
a) Incisors
b) Canines
c) First molars
d) Premolars
✅ Answer: c) First molars (around 6 years).
Q306. Social smile appears at:
a) Birth
b) 6 weeks
c) 6 months
d) 9 months
✅ Answer: b) 6 weeks
Q307. A 9-month-old should be able to:
a) Sit without support
b) Walk independently
c) Copy triangle
d) Write alphabets
✅ Answer: a) Sit without support
Q308. Stranger anxiety usually begins at:
a) 3 months
b) 6 months
c) 8–9 months
d) 12 months
✅ Answer: c) 8–9 months
Q309. A 2-year-old child should have a vocabulary of about:
a) 10 words
b) 50 words
c) 200 words
d) 500 words
✅ Answer: b) 50 words
Q310. By 4 years, a child can:
a) Skip on one foot
b) Walk unsupported
c) Write complete sentences
d) Ride a bicycle
✅ Answer: a) Skip on one foot
Q311. Freud’s phallic stage is characterized by:
a) Toilet training
b) Oedipus/Electra complex
c) School achievements
d) Peer group loyalty
✅ Answer: b) Oedipus/Electra complex
Q312. Erikson’s stage for a 2-year-old:
a) Trust vs mistrust
b) Autonomy vs shame and doubt
c) Initiative vs guilt
d) Industry vs inferiority
✅ Answer: b) Autonomy vs shame and doubt
Q313. Piaget’s pre-operational stage is characterized by:
a) Egocentrism & magical thinking
b) Abstract reasoning
c) Object permanence only
d) Logical concrete operations
✅ Answer: a) Egocentrism & magical thinking
Q314. Kohlberg’s pre-conventional level involves:
a) Obedience to avoid punishment
b) Universal ethical principles
c) Social contract
d) Internalized moral values
✅ Answer: a) Obedience to avoid punishment
Q315. A 14-year-old boy questioning social rules is in:
a) Piaget’s concrete operations
b) Piaget’s formal operations
c) Freud’s oral stage
d) Erikson’s trust vs mistrust
✅ Answer: b) Piaget’s formal operations
Q316. WHO recommends exclusive breastfeeding for:
a) 3 months
b) 4 months
c) 6 months
d) 12 months
✅ Answer: c) 6 months
Q317. A 4-month-old infant fed diluted cow’s milk is at risk for:
a) Iron deficiency anemia
b) Rickets
c) Obesity
d) Hypertension
✅ Answer: a) Iron deficiency anemia
Q318. Best first weaning food in India:
a) Honey
b) Rice porridge (khichdi, dal water)
c) Tea
d) Biscuits
✅ Answer: b) Rice porridge / dal water
Q319. Exclusive breastfeeding prevents:
a) Diarrhea & respiratory infections
b) Malaria
c) Asthma always
d) Genetic disorders
✅ Answer: a) Diarrhea & respiratory infections
Q320. Foremilk is rich in:
a) Fat
b) Protein
c) Lactose & water
d) Vitamins only
✅ Answer: c) Lactose & water
Q321. Step 5 of BFHI emphasizes:
a) Counseling mothers about breastfeeding
b) Giving water to newborns
c) Offering free formula
d) Pre-lacteal feeds
✅ Answer: a) Counseling mothers about breastfeeding
Q322. BFHI hospitals must avoid:
a) Rooming-in
b) Exclusive breastfeeding
c) Artificial nipples & bottles
d) Kangaroo care
✅ Answer: c) Artificial nipples & bottles
Q323. Kangaroo mother care is most beneficial for:
a) Overweight babies
b) Preterm & low-birth-weight babies
c) Only healthy infants
d) Mothers only
✅ Answer: b) Preterm & low-birth-weight babies
Q324. Skin-to-skin contact soon after birth:
a) Improves thermoregulation & bonding
b) Causes hypothermia
c) Prevents lactation
d) Delays breastfeeding
✅ Answer: a) Improves thermoregulation & bonding
Q325. Pre-lacteal feeds are discouraged because:
a) Reduce suckling & delay lactation
b) Improve immunity
c) Provide vitamins
d) Prevent jaundice
✅ Answer: a) Reduce suckling & delay lactation
Q326. Play of a 3-year-old:
a) Parallel play
b) Associative play
c) Cooperative play
d) Solitary play
✅ Answer: b) Associative play
Q327. Best toy for a 1-year-old:
a) Push-pull toy
b) Chess
c) Marbles
d) Computer games
✅ Answer: a) Push-pull toy
Q328. Hospital play helps in:
a) Reducing fear & preparing child for procedures
b) Increasing stress
c) Avoiding bonding
d) Isolating child
✅ Answer: a) Reducing fear & preparing child for procedures
Q329. Therapeutic play is used to:
a) Express feelings & cope with illness
b) Pass time only
c) Improve academics
d) Distract parents
✅ Answer: a) Express feelings & cope with illness
Q330. Which play is typical in school-age children?
a) Competitive team games
b) Parallel play
c) Solitary play
d) Onlooker play
✅ Answer: a) Competitive team games
Q331. A 10-year-old feels inferior compared to peers. According to Erikson, this stage is:
a) Industry vs inferiority
b) Initiative vs guilt
c) Identity vs role confusion
d) Trust vs mistrust
✅ Answer: a) Industry vs inferiority
Q332. A 15-year-old girl asks about career and self-image. Erikson stage:
a) Autonomy vs shame
b) Identity vs role confusion
c) Initiative vs guilt
d) Intimacy vs isolation
✅ Answer: b) Identity vs role confusion
Q333. A mother says her 2-year-old refuses to share toys. Nurse explains this is:
a) Normal parallel play behavior
b) Sign of autism
c) Behavioral disorder
d) Delayed development
✅ Answer: a) Normal parallel play behavior
Q334. A child recovering from tonsillectomy prefers coloring. Nurse interprets this as:
a) Suitable quiet play
b) Inappropriate
c) Dangerous
d) Delayed milestone
✅ Answer: a) Suitable quiet play
Q335. A 4-year-old scheduled for surgery is anxious. Best nursing intervention:
a) Demonstrate procedure with doll
b) Ignore child’s fear
c) Force procedure
d) Give sedatives immediately
✅ Answer: a) Demonstrate procedure with doll
Q336. Growth hormone deficiency leads to:
a) Pituitary dwarfism
b) Gigantism
c) Acromegaly
d) Precocious puberty
✅ Answer: a) Pituitary dwarfism
Q337. Precocious puberty in girls is defined as onset before:
a) 6 years
b) 8 years
c) 10 years
d) 12 years
✅ Answer: b) 8 years
Q338. Delayed puberty in boys is absence of testicular enlargement after:
a) 10 years
b) 12 years
c) 14 years
d) 16 years
✅ Answer: c) 14 years
Q339. Rickets is most commonly due to:
a) Vitamin D deficiency
b) Iron deficiency
c) Protein deficiency
d) Iodine deficiency
✅ Answer: a) Vitamin D deficiency
Q340. Kwashiorkor is due to deficiency of:
a) Protein
b) Fat
c) Carbohydrates
d) Vitamins
✅ Answer: a) Protein
Q341. Best indicator of child’s health:
a) Weight gain
b) Hair growth
c) Eye color
d) Skin color
✅ Answer: a) Weight gain
Q342. Mid-upper arm circumference (MUAC) <11.5 cm indicates:
a) Severe acute malnutrition
b) Normal growth
c) Obesity
d) None
✅ Answer: a) Severe acute malnutrition
Q343. Which vitamin deficiency causes delayed wound healing?
a) Vitamin C
b) Vitamin D
c) Vitamin A
d) Vitamin K
✅ Answer: a) Vitamin C
Q344. Vitamin A deficiency leads to:
a) Night blindness & xerophthalmia
b) Rickets
c) Pellagra
d) Beriberi
✅ Answer: a) Night blindness & xerophthalmia
Q345. Best method to monitor growth:
a) Growth chart plotting
b) Monthly weight only
c) Height once in lifetime
d) Checking teeth
✅ Answer: a) Growth chart plotting
Q346. A 3-year-old hospitalized for pneumonia cries when mother leaves. This is:
a) Separation anxiety (normal)
b) Autism
c) Aggression
d) Regression only
✅ Answer: a) Separation anxiety
Q347. Regression during hospitalization means:
a) Returning to earlier developmental stage
b) Accelerated maturity
c) Independence
d) Logical reasoning
✅ Answer: a) Returning to earlier stage
Q348. A nurse advises a mother that bottle feeding increases risk of:
a) Otitis media & diarrhea
b) Rickets
c) Asthma always
d) Diabetes immediately
✅ Answer: a) Otitis media & diarrhea
Q349. A newborn with low birth weight should be:
a) Kept skin-to-skin with mother (KMC)
b) Separated in nursery
c) Fed formula immediately
d) Given pacifier
✅ Answer: a) Kept skin-to-skin with mother
Q350. The role of nurse in promoting child health is mainly:
a) Growth monitoring, parental guidance, health education
b) Only giving injections
c) Only weighing babies
d) Restricting play
✅ Answer: a) Growth monitoring, parental guidance, health education
Q351. The best single indicator of child’s nutritional status is:
a) Weight for age
b) Head circumference
c) Skin fold thickness
d) Height for age
✅ Answer: a) Weight for age
👉 Explanation: Weight changes quickly with illness or malnutrition, making it the most sensitive indicator.
Q352. At what age does a child achieve full adult head circumference?
a) 1 year
b) 3 years
c) 5 years
d) 12 years
✅ Answer: c) 5 years
👉 Explanation: By 5 years, ~90% of adult brain size is achieved.
Q353. A 2-year-old boy is 85 cm tall. This is:
a) Normal
b) Short stature
c) Tall stature
d) Needs genetic test
✅ Answer: a) Normal
👉 Explanation: Average height at 2 years ≈ 85–90 cm.
Q354. A child’s birth weight is 3 kg. Expected weight at 5 years is:
a) 12 kg
b) 15 kg
c) 18 kg
d) 20 kg
✅ Answer: d) 20 kg
👉 Explanation: Weight at 2 years ≈ 4× birth weight, and at 5 years ≈ 6× birth weight.
Q355. In infancy, the most rapid growth occurs in:
a) Weight
b) Length
c) Head circumference
d) Chest circumference
✅ Answer: c) Head circumference
👉 Explanation: Brain grows fastest in the first year.
Q356. A 3-year-old should be able to:
a) Copy a circle
b) Copy a triangle
c) Write own name
d) Tie shoelaces
✅ Answer: a) Copy a circle
Q357. Toilet training is usually successful by:
a) 12 months
b) 18 months
c) 2–3 years
d) 4–5 years
✅ Answer: c) 2–3 years
Q358. A child speaks in short sentences (“Me want toy”). Likely age:
a) 12 months
b) 18 months
c) 2 years
d) 4 years
✅ Answer: c) 2 years
Q359. A 5-year-old can:
a) Hop on one foot
b) Ride tricycle
c) Build tower of 2 cubes
d) Scribble only
✅ Answer: a) Hop on one foot
Q360. The pincer grasp (thumb & finger) develops at:
a) 4 months
b) 6 months
c) 9 months
d) 12 months
✅ Answer: c) 9 months
Q361. According to Freud, toilet training conflicts occur in:
a) Oral stage
b) Anal stage
c) Phallic stage
d) Latency stage
✅ Answer: b) Anal stage
Q362. A 7-year-old developing peer relationships is in Erikson’s stage of:
a) Trust vs mistrust
b) Autonomy vs shame
c) Industry vs inferiority
d) Initiative vs guilt
✅ Answer: c) Industry vs inferiority
Q363. Piaget’s sensorimotor stage is characterized by:
a) Reflexes & object permanence
b) Logical reasoning
c) Conservation of mass
d) Abstract thought
✅ Answer: a) Reflexes & object permanence
Q364. Kohlberg’s conventional morality emphasizes:
a) Peer approval, law & order
b) Avoidance of punishment only
c) Universal ethical principles
d) Obedience to parents only
✅ Answer: a) Peer approval, law & order
Q365. A teenager begins abstract reasoning. Piaget stage:
a) Pre-operational
b) Concrete operational
c) Formal operational
d) Sensorimotor
✅ Answer: c) Formal operational
Q366. Colostrum is rich in:
a) Protein & antibodies
b) Fat only
c) Water only
d) Sugar only
✅ Answer: a) Protein & antibodies
Q367. Exclusive breastfeeding is protective against:
a) Diarrhea & respiratory infections
b) Tuberculosis
c) Malaria
d) Genetic diseases
✅ Answer: a) Diarrhea & respiratory infections
Q368. A 9-month-old needs complementary foods because:
a) Milk supply decreases
b) Energy & iron needs exceed breast milk alone
c) Mother works outside
d) Tradition
✅ Answer: b) Energy & iron needs exceed breast milk alone
Q369. The best position for breastfeeding:
a) Baby’s abdomen facing mother’s abdomen
b) Baby kept sideways
c) Mother lying on stomach
d) Baby lying supine away from mother
✅ Answer: a) Baby’s abdomen facing mother’s abdomen
Q370. Early initiation of breastfeeding (within 1 hour) prevents:
a) Hypothermia & hypoglycemia
b) Obesity
c) Vitamin C deficiency
d) Dehydration
✅ Answer: a) Hypothermia & hypoglycemia
Q371. BFHI discourages:
a) Rooming-in
b) Pacifiers & bottles
c) Exclusive breastfeeding
d) Skin-to-skin contact
✅ Answer: b) Pacifiers & bottles
Q372. Baby-Friendly Hospital Initiative was launched by:
a) WHO & UNICEF
b) ICMR
c) Indian Red Cross
d) UNESCO
✅ Answer: a) WHO & UNICEF
Q373. Step 10 of BFHI includes:
a) Support groups for breastfeeding mothers
b) Discharge without education
c) Free formula samples
d) Separation of baby
✅ Answer: a) Support groups for breastfeeding mothers
Q374. Kangaroo mother care is contraindicated in:
a) Stable preterm infants
b) Very sick or unstable babies
c) Low-birth-weight babies
d) Breastfeeding babies
✅ Answer: b) Very sick or unstable babies
Q375. Pre-lacteal feeds should be avoided because:
a) Delay initiation of breastfeeding
b) Increase risk of infection
c) Reduce milk production
d) All of the above
✅ Answer: d) All of the above
Q376. Play in infancy is mostly:
a) Solitary play
b) Associative play
c) Cooperative play
d) Competitive play
✅ Answer: a) Solitary play
Q377. Parallel play is seen in:
a) 1–2 years
b) 3–4 years
c) 5–6 years
d) Adolescence
✅ Answer: a) 1–2 years
Q378. Therapeutic play is useful in:
a) Expressing fear before surgery
b) Only entertainment
c) Academic development
d) Nutrition counseling
✅ Answer: a) Expressing fear before surgery
Q379. A hospitalized 6-year-old wants to play cricket. Nurse suggests:
a) Board games/cards
b) Hospital playroom with group games
c) Outdoor cricket match
d) Isolation only
✅ Answer: b) Hospital playroom with group games
Q380. Which play fosters teamwork in school-age children?
a) Competitive play
b) Solitary play
c) Parallel play
d) Onlooker play
✅ Answer: a) Competitive play
Q381. A 4-month-old with poor head control is:
a) Normal
b) Delayed milestone
c) Precocious
d) Ready for sitting
✅ Answer: b) Delayed milestone
Q382. A 2-year-old hospitalized child begins bedwetting again. This is:
a) Regression due to stress
b) Bladder disease
c) Psychological disorder
d) Abuse
✅ Answer: a) Regression due to stress
Q383. A mother asks why her 9-month-old refuses strangers. Nurse replies:
a) Stranger anxiety is normal at this age
b) Child has autism
c) Child is spoiled
d) Needs psychotherapy
✅ Answer: a) Stranger anxiety is normal
Q384. A 3-year-old with kwashiorkor shows:
a) Edema, moon face, hair changes
b) Severe wasting only
c) Obesity
d) Tall stature
✅ Answer: a) Edema, moon face, hair changes
Q385. A 7-year-old hospitalized for surgery is anxious. Best intervention:
a) Role play with dolls explaining surgery
b) Ignore child’s anxiety
c) Restrain child
d) Sedation only
✅ Answer: a) Role play with dolls explaining surgery
Q386. Marasmus is due to deficiency of:
a) Protein only
b) Carbohydrate only
c) Total calorie deficiency
d) Vitamin C deficiency
✅ Answer: c) Total calorie deficiency
Q387. Vitamin D deficiency causes:
a) Rickets
b) Scurvy
c) Pellagra
d) Beriberi
✅ Answer: a) Rickets
Q388. A child with bowed legs and widened wrists likely has:
a) Rickets
b) Kwashiorkor
c) Marasmus
d) Beriberi
✅ Answer: a) Rickets
Q389. A 12-year-old with height <3rd percentile for age is classified as:
a) Normal
b) Stunted growth
c) Wasted
d) Obese
✅ Answer: b) Stunted growth
Q390. Severe wasting in a child is best detected by:
a) Weight-for-height
b) Head circumference
c) MUAC
d) Birth weight
✅ Answer: a) Weight-for-height
Q391. Vitamin K at birth prevents:
a) Hemorrhagic disease of newborn
b) Scurvy
c) Night blindness
d) Marasmus
✅ Answer: a) Hemorrhagic disease of newborn
Q392. A 5-year-old boy with swollen gums & bleeding has deficiency of:
a) Vitamin C
b) Vitamin A
c) Vitamin D
d) Vitamin B12
✅ Answer: a) Vitamin C (Scurvy)
Q393. A 3-year-old with protruding abdomen, wasted buttocks likely has:
a) Kwashiorkor
b) Marasmus
c) Worm infestation
d) Obesity
✅ Answer: b) Marasmus
Q394. Primary dentition (milk teeth) is complete by:
a) 1 year
b) 2 years
c) 2.5 years
d) 5 years
✅ Answer: c) 2.5 years
Q395. A nurse teaches mother that “play is a child’s work.” This means:
a) Play promotes learning & development
b) Only entertainment
c) Waste of time
d) Avoid in illness
✅ Answer: a) Play promotes learning & development
Q396. A 9-year-old admitted with fracture asks many questions. This reflects:
a) Industry vs inferiority stage curiosity
b) Anxiety
c) Regression
d) Aggression
✅ Answer: a) Industry vs inferiority
Q397. A 13-year-old girl distressed about appearance is in Erikson’s stage of:
a) Identity vs role confusion
b) Autonomy vs shame
c) Initiative vs guilt
d) Trust vs mistrust
✅ Answer: a) Identity vs role confusion
Q398. A malnourished child’s MUAC = 10 cm. Diagnosis:
a) Severe acute malnutrition
b) Moderate malnutrition
c) Normal
d) Obesity
✅ Answer: a) Severe acute malnutrition
Q399. A newborn is given honey as pre-lacteal feed. Nurse should:
a) Educate mother about risks (infection, botulism)
b) Encourage practice
c) Ignore it
d) Replace with sugar water
✅ Answer: a) Educate mother about risks
Q400. The nurse’s role in growth & development includes:
a) Growth monitoring, parental guidance, nutrition counseling
b) Only immunization
c) Only measuring height
d) Restricting play
✅ Answer: a) Growth monitoring, parental guidance, nutrition counseling
Frequently Asked Questions (FAQs)
Q1. Which nursing exams are covered by these MCQs?These MCQs are relevant for GNM, BSc Nursing, Post Basic Nursing, ANM, and competitive exams such as AIIMS NORCET, RRB Nursing, ESIC, DSSSB, and other state and central recruitment exams.
Q2. Are questions from child growth and development frequently repeated?
Yes. Questions from growth and development are highly repetitive, often appearing directly or in modified forms in most nursing examinations.
Q3. Is practicing MCQs sufficient for this subject?
MCQs are essential for exam preparation; however, they should be supplemented with theoretical concepts, growth charts, and milestone tables for comprehensive understanding.
Q4. Are downloadable PDF resources available?
PDF notes and MCQ compilations can be provided based on learner demand. Updates will be shared through the blog.
Q5. How can I access more nursing MCQs regularly?
You can follow this blog and related platforms to receive topic-wise MCQs, explanations, and exam-oriented content on a regular basis.
📝 More MCQs for Practice
UPNURSINGNOTES Teams,
A thorough understanding of child growth and development is essential for effective nursing practice, particularly in pediatric, community health, and mental health nursing.
This MCQ set (301–400) is designed to assist students in consolidating key concepts, identifying knowledge gaps, and improving examination performance.
Consistent practice of such MCQs, combined with conceptual clarity, significantly increases success in both academic and competitive nursing examinations.
This MCQ set (301–400) is designed to assist students in consolidating key concepts, identifying knowledge gaps, and improving examination performance.
Consistent practice of such MCQs, combined with conceptual clarity, significantly increases success in both academic and competitive nursing examinations.
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