The nurse caring for newborns knows that infants exhibit phenomenal increases in their gross motor skills over the first 12 months of life. Which statements accurately describe the typical infant's achievement of these milestones? Select all that apply.
At 12 months, the infant walks independently.
At 7 months, the infant sits alone with some use of hands for support.
At 9 months, the infant crawls with the abdomen off the floor.
At 1 month, the infant lifts and turns the head to the side in the prone position.
At 2 months, the infant rolls from supine to prone to back again.
Correct Answer : B,D
A. At 12 months, the infant walks independently: Most infants begin walking independently between 12 and 15 months of age, but it's not typically achieved by 12 months.
B. At 7 months, the infant sits alone with some use of hands for support: This is an accurate statement. By around 6 to 8 months, infants develop the ability to sit unsupported, although they may still use their hands for balance.
C. At 9 months, the infant crawls with the abdomen off the floor: Crawling typically begins between 7 and 10 months, but the abdomen may still be close to the floor initially.
D. At 1 month, the infant lifts and turns the head to the side in the prone position: This is an accurate statement. Newborns typically exhibit head control and turning movements when placed on their stomachs (prone position) by around 1 month of age.
E. At 2 months, the infant rolls from supine to prone to back again: Rolling from supine to prone and back may begin around 4 to 6 months, but it's less likely to occur at 2 months.
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Related Questions
Correct Answer is C
Explanation
A. Developmental age is an important aspect of the child's health but is not the primary focus of a physical examination following a health history.
B. While the parents' information is valuable, the focus of the physical examination is on the child, not the parents.
C. The child should be the focus of the physical examination to assess their current health status and to identify any immediate care needs.
D. The chief complaint is a critical component of the health history, but the physical examination should be comprehensive and focused on the child as a whole
Correct Answer is D
Explanation
A. Increased intracranial pressurE. Pulsation and bulging of the fontanel may be signs of
increased intracranial pressure in infants. However, it is important to differentiate between normal fontanel characteristics and abnormal signs of elevated intracranial pressure. In this case, the pulsation and bulging are likely normal responses to crying and changes in intracranial pressure during the newborn period.
B. Dehydration: Dehydration typically presents with sunken fontanels rather than pulsation and bulging. Dehydration is a serious condition that requires prompt assessment and intervention, but it is not indicated by the findings described in the scenario.
C. Overhydration: Overhydration is not typically associated with pulsation and bulging of the fontanel. Overhydration may lead to fluid overload and edema but does not directly affect fontanel characteristics.
D. These are normal findings: Pulsation and brief bulging of the fontanel in response to crying are considered normal findings in newborns. Fontanels allow for the flexibility of the skull bones during childbirth and provide space for brain growth during infancy. Pulsation and bulging may occur temporarily during crying or changes in intracranial pressure and are not necessarily
indicative of pathology.
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