Which reflex, if found in a 4-month-old infant, would cause the nurse to be concerned?

Step

Plantar grasp

Neck righting

Babinski

Answer and Explanation

The Correct Answer is A

A.   The step reflex is an expected primitive reflex in infants, disappearing around 2 months of age.Therefore, if ounf in a 4 month old baby, the nurse should be concerned.
B.   The plantar grasp reflex should be present in infants and typically disappears by 9 to 12 months of age.
C.   Neck righting reflex is a normal response in infants, allowing them to orient their heads in relation to their body movements.
D.   The Babinski reflex is typically present in infants but should disappear by around 12 months of age. If it persists beyond this age, it could indicate neurological concerns and warrant further evaluation. therefore, the reflex is normal in a 44 month old baby

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Acting bossy with friends might not necessarily raise immediate concerns regarding health or development.
B. The statement indicating the child has to squint to see the board might suggest a potential vision problem, which should be further evaluated to ensure proper eye health and vision correction if necessary.
C. Losing baby teeth around age 6 is a normal developmental process.
D. Playing board games and cheating is a common behavior in children but doesn't raise immediate health or developmental concerns.

A. Speech and language delays B. Fine motor skills delay C. Stuttering D. Lack of social and emotional readiness for school

Correct Answer is D

Explanation

A. Speech and language delays could occur but might not be the primary developmental problem given the circumstances.
B. Fine motor skills delays could also occur but might not be the primary developmental problem considering the caregiver's situation.
C. Stuttering might arise but might not be the primary developmental problem given the context of the caregiving environment.
D. Children in environments affected by parental depression and substance abuse may face challenges in developing social and emotional readiness for school due to inconsistent caregiving and potential emotional stressors.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which reflex, if found in a 4-month-old infant, would cause the nurse to be concerned?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

Ceclor oral suspension 375 mg g. 8h, is ordered for a patient on discharge. The pharmacy gives the patient Ceclor 125 mg/5 ml oral suspension. How many teaspoons will the nurse instruct the patient to take per dose? Record numbers only.

The order is Solumedrol 3 mg/kg for a child weighing 20 kg. Solumedrol is available as 125 mg/2mL. How many ml(s) must the nurse administer?

A nurse is caring for a client who is scheduled to have a magnetic resonance imaging (MRI) scan. The client asks the nurse what to expect during the procedure. Which of the following statements should the nurse make?

A nurse is assessing a 15-month-old toddler. Which of the following findings should the nurse report to the provider?

The school nurse is teaching parents risk factors for suicide in adolescents. What would the nurse discuss? Select all that apply.

A nurse is obtaining vital signs from 2-month-old infant. The infant's heart rate is 190/min and his temperature is 40° C (104° F). The father asks the nurse why the infant's heart is beating so fast. Which of the following responses by the nurse is appropriate

The nurse is assessing a 12-month-old boy with an English-speaking father and a Spanish- speaking mother. The boy does not say "mama" or "dada" yet. What is the priority intervention?

The nurse is conducting a well-child examination of a 5-year-old girl, who was 40 inches tall at her last examination at age 4. Which height measurement would be within the normal range of growth expected for a preschooler?