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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Airborne precautions are not necessary for RSV. Contact and droplet precautions are recommended.
B. Keeping the thermometer in the toddler's room helps prevent cross-contamination and the spread of infection to other patients.
C. Negative air pressure rooms are typically used for airborne pathogens, which are not required for RSV.
D. Allowing the toddler to play in the common room could expose other children to the virus, which is highly contagious.
Correct Answer is B
Explanation
A. Croup typically presents with a barking cough, stridor, and hoarseness.
B. Bronchiolitis is commonly caused by RSV and presents with symptoms such as sneezing, coughing, nasal congestion, intermittent fever, and apneic spells in infants.
C. Influenza often includes high fever, body aches, and cough, but not typically apneic spells in infants.
D. Epiglottitis is characterized by sudden onset of fever, sore throat, dysphagia, and drooling, and is a medical emergency.
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