You're assessing a 4-month-old infant. Which finding below is a normal milestone that should be reached by this infant at this age?

Pincer grasp

Rolls from tummy to back

Walks with support

Rolls from back to tummy

Answer and Explanation

The Correct Answer is B

A. Pincer grasp: The pincer grasp, which involves using the thumb and forefinger to pick up small objects, typically develops around 8 to 12 months of age, not at 4 months.

B. Rolls from tummy to back: At 4 months, many infants start to develop the ability to roll from their tummy to their back. This is a typical milestone for this age and reflects developing motor skills.

C. Walks with support: Walking with support usually begins around 9 to 12 months of age, much later than 4 months.

D. Rolls from back to tummy: Rolling from back to tummy typically occurs a bit later, often around 5 to 6 months. At 4 months, rolling from tummy to back is the more expected milestone.

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Correct Answer is C

Explanation

A. Percussion: Percussion is typically performed before palpation. It helps to detect differences in density of abdominal contents, fluid presence, and gas patterns.

B. Auscultation: Auscultation is performed before any palpation or percussion to prevent altering bowel sounds. It is typically the second step after inspection.

C. Palpation: Palpation is used last during an abdominal assessment to prevent altering the characteristics of bowel sounds and to ensure that any tenderness or abnormal masses are identified after a thorough initial assessment. Palpation can cause changes in bowel sounds and tenderness.

D. Inspection: Inspection is always the first step in any physical examination. It allows for a visual assessment of the abdomen, looking for distension, asymmetry, and skin changes.

A. Bend at the knees when picking up an object. B. Relax her abdominal muscles when she lifts an object. C. Twist at the waist when she moves an object to one side. D. Hold an object away from her body as she lifts it.

Correct Answer is A

Explanation

A. Bend at the knees when picking up an object: This technique helps distribute the weight of the object and reduces strain on the back muscles.

B. Relax her abdominal muscles when she lifts an object: Tensing the abdominal muscles can provide core support, but relaxing them while lifting can increase the risk of injury.

C. Twist at the waist when she moves an object to one side: Twisting at the waist can strain the back muscles and should be avoided.

D. Hold an object away from her body as she lifts it: Holding objects close to the body reduces strain on the back muscles and is a good technique to prevent injury.

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You're assessing a 4-month-old infant. Which finding below is a normal milestone that should be reached by this infant at this age?

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