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A nurse in a clinic is assessing a 9-month-old infant. Which of the following findings requires further intervention?

A.

Negative Doll's eye reflex

B.

Positive Moro reflex

C.

Positive Babinski reflex

D.

Negative Crawl reflex

Answer and Explanation

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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Related Questions

Correct Answer is C

Explanation

A. Toddlers often experience decreased appetites compared to infancy due to slower growth rates.
B. The average daily caloric intake for a toddler should be around 1,000-1,400 calories, not 3,000.
C. Ensuring the child receives nutrient-dense foods is more important than focusing solely on quantity.
D. Giving adult vitamins to a child is not recommended without consulting a healthcare provider.

Correct Answer is A

Explanation

A. Explaining that it is a legal requirement for nurses to report suspected child abuse is appropriate and provides a clear and factual reason for the nurse's actions.
B. Deferring to the provider may delay addressing the parent's concerns and does not directly answer the question.
C. Shifting responsibility to the supervisor is not appropriate and can confuse the parent about the process.
D. Saying that the nurse is unable to discuss the matter without further explanation can increase the parent's frustration and does not provide clarity.

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