A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse report to the provider?
Exhibits head lag when pulled to a sitting position
Unable to hold a bottle
Unable to roll from back to abdomen
Absent grasp reflex
The Correct Answer is A
Choice A Reason:
Exhibits head lag when pulled to a sitting position is correct. At 5 months old, infants typically show improvement in head control, and head lag (where the infant's head falls back when pulled to a sitting position) should be diminishing. Persistent head lag might indicate potential developmental concerns or issues with muscle tone that warrant further evaluation by the healthcare provider.
Choice B Reason:
Unable to hold a bottle is incorrect. At 5 months old, some infants might not have developed the ability to hold a bottle independently yet. This skill can vary among infants and might not be a significant concern at this stage.
Choice C Reason:
Unable to roll from back to abdomen is incorrect. Rolling from back to abdomen might not be fully developed in all infants at 5 months old. It's a milestone that some infants achieve later within the 5 to 6-month range, so it might not be an immediate concern unless it persists significantly beyond that range.
Choice D Reason:
Absent grasp reflex is incorrect. By 5 months old, the typical infant's grasp reflex usually starts to diminish as voluntary grasping begins to develop. However, the absence of the grasp reflex might not be an immediate concern unless it's accompanied by other signs of developmental delay or regression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
"I should dress my child in loose-weave clothing." While wearing clothing that covers the skin is important, loose-weave clothing might not offer adequate protection from UV rays. Tighter weaves and darker colors typically provide better protection.
Choice B Reason:
"I should apply a 10 SPF sunscreen to my child's entire body." SPF 10 sunscreen might not offer sufficient protection, especially for toddlers who are more sensitive to the sun. Sunscreens with a higher SPF (ideally SPF 30 or higher) are recommended for better protection.
Choice C Reason:
"My child should wear a wide-brimmed hat." Wearing a wide-brimmed hat helps protect a toddler's face, neck, and ears from the sun's harmful rays, contributing to sun safety.
Choice D Reason:
"My child should remain under a beach umbrella during morning hours. “While seeking shade under an umbrella is a good practice, it might not offer complete protection, especially during peak sun hours. Additionally, the specific time mentioned (morning hours) doesn't guarantee complete protection from UV exposure.
Correct Answer is C
Explanation
Choice AReason:
Exposure to secondhand smoke is incorrect. While exposure to secondhand smoke isn't healthy for anyone, it might not be a primary trigger for seizures in most cases. However, for some individuals, exposure to certain environmental toxins or irritants might exacerbate their condition, though this varies from person to person.
Choice BReason:
Decreased temperature is incorrect. While extreme temperatures (both hot and cold) can potentially trigger seizures in some individuals, decreased temperature alone might not be a common trigger compared to other factors.
Choice C Reason:
Lack of sleep is correct. Sleep deprivation can be a significant trigger for seizures in people with epilepsy or seizure disorders. Maintaining a regular sleep schedule and ensuring adequate sleep is an important aspect of managing seizures in these individuals.
Choice D Reason:
Prolonged headache is incorrect. Headaches can sometimes be a warning sign or an aura before a seizure for some individuals, but having a headache alone might not directly trigger a seizure for most people with a seizure disorder. However, there can be a relationship between headaches and certain types of seizures in specific cases.
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