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

A.

Step

B.

Plantar grasp

C.

Neck righting

D.

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 


 


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Related Questions

Correct Answer is C

Explanation

A. Inability to push a toy lawnmower might indicate strength or coordination issues but might not necessarily point to delayed motor development.
B. Having trouble undressing himself could relate to coordination or dexterity but doesn't directly reflect delayed motor development.
C. The inability to unscrew a jar lid suggests delayed fine motor skills, which could indicate delayed motor development at this age.
D. Falling when bending over might indicate balance or coordination concerns but might not solely indicate delayed motor development.

Correct Answer is A

Explanation

A. In the case of a fever, the body's response often includes an increase in heart rate to help distribute heat and manage the fever.
B. While the body might attempt to regulate temperature through various means, the increased heart rate is primarily due to the fever itself.
C. A heart rate of 190/min is higher than normal for a 2-month-old infant and is likely elevated due to the fever.
D. Heart rate tends to decrease during sleep but doesn't explain the elevated heart rate specifically in response to the fever.

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