Share This Link

The plantar grasp reflex should be present in infants and typically disappears by 9 to 12 months of age.

Neck righting reflex is a normal response in infants, allowing them to orient their heads in relation to their body movements.

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

Inability to push a toy lawnmower might indicate strength or coordination issues but might not necessarily point to delayed motor development.

Having trouble undressing himself could relate to coordination or dexterity but doesn't directly reflect delayed motor development.

Falling when bending over might indicate balance or coordination concerns but might not solely indicate delayed motor development.

While the body might attempt to regulate temperature through various means, the increased heart rate is primarily due to the fever itself.

A heart rate of 190/min is higher than normal for a 2-month-old infant and is likely elevated due to the fever.

Heart rate tends to decrease during sleep but doesn't explain the elevated heart rate specifically in response to the fever.

Clear drainage from the affected ear is not a typical finding in otitis media; instead, it might indicate other conditions such as a ruptured eardrum.

Pain when manipulating the affected ear lobe might be present but is not exclusive to otitis media.

Tugging on the affected ear lobe can be a sign of ear discomfort but isn't a specific indicator of otitis media.

Offering the client an antiemetic doesn't address the issue of refusal of treatment.

Administering a sedative to calm the client is not appropriate without further assessment and consent.

Initiating an IV per the parent's request doesn't address the ethical and legal complexities involved in a competent minor's refusal of treatment.

Speech and language delays could occur but might not be the primary developmental problem given the circumstances.

Fine motor skills delays could also occur but might not be the primary developmental problem considering the caregiver's situation.

Stuttering might arise but might not be the primary developmental problem given the context of the caregiving environment.

Acting bossy with friends might not necessarily raise immediate concerns regarding health or development.

Losing baby teeth around age 6 is a normal developmental process.

Playing board games and cheating is a common behavior in children but doesn't raise immediate health or developmental concerns.

Inability to jump with both feet might be within the range of normal development at 15 months, as jumping skills tend to develop later.

Building a tower of six to seven cubes might be challenging for some toddlers at this age due to fine motor skills still developing, so it might not necessarily raise concern.

Turning a doorknob involves more complex fine motor skills and might not be expected at this age, so it's not as critical an indicator of developmental delay.

Threatening with a shot is coercive and can cause fear and anxiety, negatively impacting cooperation and trust.

Hiding medication in food without the child's knowledge might breach trust once discovered and doesn't address the child's autonomy.

Misrepresenting medication as candy can be dangerous and erode trust between the child and the healthcare provider.

At 3 months, infants might not consistently bring objects to their mouths, and this skill might still be developing, so it might not be a cause for immediate concern.

Picking up objects with fingers is a skill that typically develops closer to 6 to 9 months; thus, it's not expected at 3 months.

Sitting without support usually begins around 6 to 7 months, so it's not an expected skill at 3 months and wouldn't necessarily be concerning yet.

The influenza vaccine is typically recommended annually but might not be specifically administered during a pre-college physical unless it's flu season.

BCG vaccine is primarily used in countries with a higher prevalence of tuberculosis and is not routinely administered in most places for college entry.

Pneumococcal vaccine might be recommended for certain health conditions or specific circumstances but is not typically administered routinely during pre-college physicals.

While maintaining confidentiality is important, in cases of suspected abuse, legal obligations override the need for confidentiality.

Involving the provider might not be immediate or necessary for explaining the situation, as the priority is reporting and ensuring the child's safety.

Directly reporting to authorities or involving supervisors is the responsibility of the nurse when faced with suspected child abuse.

Turning off the room light might aid sleep, but providing specific bedtime rituals is more effective in establishing a sleep routine and signaling to the toddler that it's time to rest.

While addressing fears is important, it might not immediately resolve the toddler's difficulty sleeping; establishing bedtime rituals helps create a calming environment.

Evening play exercises might energize the toddler rather than promoting sleep, so they might not be conducive to improving sleep during hospitalization.

Stating that being gay puts someone in an "at-risk" category can be stigmatizing and might not address the teenager's concerns or questions.

While discussing safe sex might be important, it assumes that being gay automatically implies a need for this conversation, which might not be the case.

Dismissing the teenager's statement by denying his sexual orientation can be harmful, dismissive, and invalidate the individual's feelings and identity.

This statement assumes without addressing the effects of peer influence on the child's behavior.

While camaraderie among children playing different sports is positive, it doesn't address the primary concern about peer influence on the child's choice.

Assuming the child's best friends will continue playing soccer doesn't explain the influence peers have on a child's preferences and decisions.

45 inches is significantly higher than the expected height increase for a 5-year-old based on the previous measurement; this would be an unusually high growth rate.

47 inches is a substantial increase and would be considered outside the typical range of growth for a 5-year-old compared to the previous measurement.

43 inches is closer to the higher end of the range but might be slightly higher than expected growth within a year for most children in this age group.

Adding fruit juice might contribute to increased sugar intake and may not necessarily address the nutritional concerns associated with picky eating.

Forcing a child to remain at the table after meals could create negative associations with mealtime and food, potentially exacerbating picky eating behavior.

Emphasizing quantity over quality doesn't address the nutritional concerns related to picky eating and might encourage unhealthy eating habits.

MRI scans can vary in duration and may take longer than 30 minutes, depending on the specific procedure and imaging requirements.

Movement can distort the images in an MRI scan, so it's crucial for the client to lie as still as possible during the procedure.

The contrast dye used in MRIs does not typically contain iodine and is not known to cause skin itching.

While involving the parents in the care plan is important, asking who they want to work with might not directly address the child's risk of being overweight.

Determining the need for additional caloric intake might not be the primary concern for a child at risk for being overweight; rather, it's about healthy eating habits and portion control.

Interviewing the parents about their eating habits could be beneficial for understanding the family's overall approach to nutrition but may not directly address the child's weight risk and potential interventions.

Washing bottles and nipples properly is essential, but this guideline doesn't specifically address formula preparation.

Storing ready-to-feed formula in the refrigerator is a valid guideline, but it's not related to formula preparation.

Microwaving formula can create uneven heating and hot spots, potentially burning the baby's mouth; this is not a recommended method for warming formula.

Advising about increased caloric needs might not be the primary focus unless specific growth concerns are present.

At 7 months, while introducing table foods might be on the horizon, it's not the most immediate concern during this well-child visit.

Describing the tongue extrusion reflex might be more relevant for younger infants just starting on solids, typically around 4 to 6 months, rather than at 7 months.