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

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Correct Answer is A

Explanation

A. Understanding the family environment and potential stressors at home is essential to grasp the underlying reasons for the child's behavior.
B. Having the child return the property in front of the class might be a consequence but doesn't address the root cause or prevent future occurrences.
C. Reminding the child daily that stealing is wrong could be part of a solution but might not address the root cause or provide alternative coping strategies.
D. Discussing ways for the child to save face might be helpful but should not be the primary focus when addressing stealing behavior.

A. The child does not point to named body parts. B. The child cannot say name, age, and gender. C. The child cannot follow a series of two independent commands. D. The child has a vocabulary of 40 to 50 words.

Correct Answer is A

Explanation

A. The child does not point to named body parts. By the age of 2, most children can point to at least two body parts when asked. This ability indicates that the child understands and can process verbal instructions, which is a key cognitive milestone.

B. The child cannot say name, age, and gender. While knowing their name, age, and gender is important, it is more typical for children to achieve this milestone closer to 3 years old. Therefore, this would not necessarily indicate a developmental delay at 2 years.

C. The child cannot follow a series of two independent commands. By 2 years old, children should be able to follow simple two-step commands, such as "Pick up the toy and give it to me." This ability demonstrates their understanding and processing of sequential instructions.

D. The child has a vocabulary of 40 to 50 words. A vocabulary of 40 to 50 words is within the normal range for a 2-year-old. Most children at this age are expected to have a vocabulary of at least 50 words and start combining them into simple sentences.

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

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