[
  {
    "Question": "At what age do most infants typically begin to sit without support?",
    "Answer": "B",
    "Explanation": "Most infants develop the ability to sit without support around 6 months of age as part of their gross motor milestones.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/3/3d/Baby_sitting_6_months_old.jpg",
    "OptionA": "2 months",
    "OptionB": "6 months",
    "OptionC": "9 months",
    "OptionD": "12 months",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pediatric Nursing Growth Milestones",
    "Content Type": "multiple choice",
    "Title": "Infant Motor Development",
    "Item": 1,
    "Type": "multiple choice",
    "Path": "Pediatric nursing – growth milestones"
  },
  {
    "Question": "Which of the following is a common symptom of croup in children?",
    "Answer": "C",
    "Explanation": "Croup typically presents with a barking cough, hoarseness, and inspiratory stridor due to upper airway inflammation.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/9/9a/Croup_infant.jpg",
    "OptionA": "High-pitched wheezing on expiration",
    "OptionB": "Persistent diarrhea",
    "OptionC": "Barking cough",
    "OptionD": "Severe abdominal pain",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Common Pediatric Conditions",
    "Content Type": "multiple choice",
    "Title": "Croup Symptoms",
    "Item": 2,
    "Type": "multiple choice",
    "Path": "Pediatric nursing – common pediatric conditions"
  },
  {
    "Question": "At what age do most children begin to walk independently?",
    "Answer": "C",
    "Explanation": "Most children start walking independently between 12 and 15 months of age as part of normal gross motor development.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/5/5d/Baby_walking_around_1_year_old.jpg",
    "OptionA": "6 months",
    "OptionB": "9 months",
    "OptionC": "12 months",
    "OptionD": "18 months",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pediatric Nursing Growth Milestones",
    "Content Type": "multiple choice",
    "Title": "Walking Milestone",
    "Item": 3,
    "Type": "multiple choice",
    "Path": "Pediatric nursing – growth milestones"
  },
  {
    "Question": "Which pediatric condition is characterized by a 'slapped cheek' rash on the face?",
    "Answer": "A",
    "Explanation": "Fifth disease, caused by parvovirus B19, presents with a distinctive bright red rash on the cheeks, often called 'slapped cheek' appearance.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/6/6f/Fifth_disease_Parvovirus_B19.jpg",
    "OptionA": "Fifth disease",
    "OptionB": "Measles",
    "OptionC": "Chickenpox",
    "OptionD": "Scarlet fever",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Common Pediatric Conditions",
    "Content Type": "multiple choice",
    "Title": "Fifth Disease Rash",
    "Item": 4,
    "Type": "multiple choice",
    "Path": "Pediatric nursing – common pediatric conditions"
  },
  {
    "Question": "When do most infants typically begin to babble?",
    "Answer": "B",
    "Explanation": "Babbling usually begins around 4 to 6 months of age and is an important early speech milestone.",
    "PictureURL": "",
    "OptionA": "1 month",
    "OptionB": "4 months",
    "OptionC": "9 months",
    "OptionD": "12 months",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pediatric Nursing Growth Milestones",
    "Content Type": "multiple choice",
    "Title": "Speech Development",
    "Item": 5,
    "Type": "multiple choice",
    "Path": "Pediatric nursing – growth milestones"
  },
  {
    "Question": "Which of the following is a common cause of bronchiolitis in infants?",
    "Answer": "D",
    "Explanation": "Respiratory syncytial virus (RSV) is the most common cause of bronchiolitis, an infection of the small airways in infants.",
    "PictureURL": "",
    "OptionA": "Influenza virus",
    "OptionB": "Adenovirus",
    "OptionC": "Parainfluenza virus",
    "OptionD": "Respiratory syncytial virus (RSV)",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Common Pediatric Conditions",
    "Content Type": "multiple choice",
    "Title": "Bronchiolitis Etiology",
    "Item": 6,
    "Type": "multiple choice",
    "Path": "Pediatric nursing – common pediatric conditions"
  },
  {
    "Question": "At what age do most infants develop a pincer grasp (using thumb and forefinger)?",
    "Answer": "C",
    "Explanation": "The pincer grasp typically develops around 9 to 12 months and is a fine motor milestone indicating improved hand coordination.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/7/7d/Pincer_grasp.jpg",
    "OptionA": "3 months",
    "OptionB": "6 months",
    "OptionC": "9 months",
    "OptionD": "15 months",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pediatric Nursing Growth Milestones",
    "Content Type": "multiple choice",
    "Title": "Fine Motor Development",
    "Item": 7,
    "Type": "multiple choice",
    "Path": "Pediatric nursing – growth milestones"
  },
  {
    "Question": "Which pediatric condition is commonly associated with a 'strawberry tongue'?",
    "Answer": "B",
    "Explanation": "Scarlet fever, caused by group A Streptococcus, often presents with a red, bumpy 'strawberry tongue' along with a fine rash.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/9/9a/Scarlet_fever_strawberry_tongue.jpg",
    "OptionA": "Kawasaki disease",
    "OptionB": "Scarlet fever",
    "OptionC": "Measles",
    "OptionD": "Hand, foot, and mouth disease",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Common Pediatric Conditions",
    "Content Type": "multiple choice",
    "Title": "Strawberry Tongue",
    "Item": 8,
    "Type": "multiple choice",
    "Path": "Pediatric nursing – common pediatric conditions"
  },
  {
    "Question": "At what age do most children say their first meaningful words?",
    "Answer": "B",
    "Explanation": "Most children say their first meaningful words around 12 months of age as part of language development.",
    "PictureURL": "",
    "OptionA": "6 months",
    "OptionB": "12 months",
    "OptionC": "18 months",
    "OptionD": "24 months",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pediatric Nursing Growth Milestones",
    "Content Type": "multiple choice",
    "Title": "Language Milestone",
    "Item": 9,
    "Type": "multiple choice",
    "Path": "Pediatric nursing – growth milestones"
  },
  {
    "Question": "Which of the following is a typical sign of dehydration in an infant?",
    "Answer": "D",
    "Explanation": "Sunken fontanelle is a classic sign of dehydration in infants, indicating decreased fluid volume.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/2/2f/Fontanelle_infant.jpg",
    "OptionA": "Bulging fontanelle",
    "OptionB": "Increased urination",
    "OptionC": "Excessive drooling",
    "OptionD": "Sunken fontanelle",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Common Pediatric Conditions",
    "Content Type": "multiple choice",
    "Title": "Signs of Dehydration",
    "Item": 10,
    "Type": "multiple choice",
    "Path": "Pediatric nursing – common pediatric conditions"
  },
  {
    "Question": "When do most infants begin to develop social smiles?",
    "Answer": "A",
    "Explanation": "Social smiling typically appears around 6 to 8 weeks of age and is an important social developmental milestone.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/4/4f/Baby_smiling.jpg",
    "OptionA": "6 weeks",
    "OptionB": "3 months",
    "OptionC": "6 months",
    "OptionD": "9 months",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pediatric Nursing Growth Milestones",
    "Content Type": "multiple choice",
    "Title": "Social Development",
    "Item": 11,
    "Type": "multiple choice",
    "Path": "Pediatric nursing – growth milestones"
  },
  {
    "Question": "Which pediatric condition is characterized by a 'slapped cheek' rash and lacy body rash?",
    "Answer": "A",
    "Explanation": "Fifth disease caused by parvovirus B19 presents with a bright red 'slapped cheek' rash and a lacy, reticular rash on the body.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/6/6f/Fifth_disease_Parvovirus_B19.jpg",
    "OptionA": "Fifth disease",
    "OptionB": "Rubella",
    "OptionC": "Roseola",
    "OptionD": "Measles",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Common Pediatric Conditions",
    "Content Type": "multiple choice",
    "Title": "Fifth Disease Rash Pattern",
    "Item": 12,
    "Type": "multiple choice",
    "Path": "Pediatric nursing – common pediatric conditions"
  },
  {
    "Question": "At what age do most infants begin to roll over from front to back?",
    "Answer": "B",
    "Explanation": "Rolling over from front to back usually occurs around 4 months of age as part of gross motor development.",
    "PictureURL": "",
    "OptionA": "2 months",
    "OptionB": "4 months",
    "OptionC": "6 months",
    "OptionD": "9 months",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pediatric Nursing Growth Milestones",
    "Content Type": "multiple choice",
    "Title": "Rolling Over Milestone",
    "Item": 13,
    "Type": "multiple choice",
    "Path": "Pediatric nursing – growth milestones"
  },
  {
    "Question": "Which of the following is a common cause of acute otitis media in children?",
    "Answer": "C",
    "Explanation": "Streptococcus pneumoniae is a common bacterial cause of acute otitis media, an infection of the middle ear.",
    "PictureURL": "",
    "OptionA": "Haemophilus influenzae type b",
    "OptionB": "Mycoplasma pneumoniae",
    "OptionC": "Streptococcus pneumoniae",
    "OptionD": "Respiratory syncytial virus",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Common Pediatric Conditions",
    "Content Type": "multiple choice",
    "Title": "Otitis Media Etiology",
    "Item": 14,
    "Type": "multiple choice",
    "Path": "Pediatric nursing – common pediatric conditions"
  },
  {
    "Question": "At what age do most infants begin to develop stranger anxiety?",
    "Answer": "C",
    "Explanation": "Stranger anxiety typically begins around 7 to 9 months of age as infants start to recognize familiar versus unfamiliar people.",
    "PictureURL": "",
    "OptionA": "2 months",
    "OptionB": "4 months",
    "OptionC": "8 months",
    "OptionD": "12 months",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pediatric Nursing Growth Milestones",
    "Content Type": "multiple choice",
    "Title": "Emotional Development",
    "Item": 15,
    "Type": "multiple choice",
    "Path": "Pediatric nursing – growth milestones"
  }
]