A nurse in a clinic is assessing a 9-month-old infant. Which of the following findings requires further intervention?
Negative Doll's eye reflex
Positive Moro reflex
Positive Babinski reflex
Negative Crawl reflex
The Correct Answer is B
A. The negative Doll's eye reflex is normal in infants after a few weeks of life as the reflex should disappear by 2-3 months.
B. The Moro reflex typically disappears by 4-6 months of age. Persistence beyond this age may indicate neurological issues and requires further intervention.
C. The Babinski reflex is normal in infants up to 2 years of age.
D. The crawl reflex may not be consistently present at 9 months, but it is not as concerning as the persistence of the Moro reflex.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Babbling one-syllable sounds is appropriate for a 7-month-old infant and indicates typical language development.
B. Using a unidextrous grasp (using only one hand) could indicate a preference that needs further evaluation. At this age, infants should use both hands equally, and a strong preference for one hand might signal neurological concerns.
C. Fear of strangers is a normal developmental milestone that typically appears around 6-8 months of age.
D. Showing preferences towards foods is typical as infants begin to develop tastes and preferences during the introduction of solid foods.
Correct Answer is C
Explanation
A. A toy hammer and pounding board may help with frustration but might not provide the comfort and reassurance needed.
B. Building blocks can be a good distraction but may not offer the same emotional comfort.
C. A stuffed animal provides comfort, security, and familiarity, which can help alleviate the child's stress and anxiety.
D. A picture book about hospitals might be educational but might not provide immediate comfort or distraction from the absence of parents.
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