A nurse in a clinic is assessing a 9-month-old infant. Which of the following findings requires further intervention?
Negative Doll's eye reflex
Positive Moro reflex
Positive Babinski reflex
Negative Crawl reflex
The Correct Answer is B
A. The negative Doll's eye reflex is normal in infants after a few weeks of life as the reflex should disappear by 2-3 months.
B. The Moro reflex typically disappears by 4-6 months of age. Persistence beyond this age may indicate neurological issues and requires further intervention.
C. The Babinski reflex is normal in infants up to 2 years of age.
D. The crawl reflex may not be consistently present at 9 months, but it is not as concerning as the persistence of the Moro reflex.
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Related Questions
Correct Answer is D
Explanation
A. The car seat should not be placed in the front passenger seat due to the risk of injury from airbags.
B. At 6 months old, the car seat should still be rear-facing in the back seat.
C. There should be no gaps; the harness should be snug enough that you cannot fit more than one finger between the harness and the child’s chest.
D. Using an infant car seat model and ensuring it is properly anchored in the car indicates the parent understands car seat safety for an infant.
Correct Answer is D
Explanation
A. Obtaining blood culture specimens is important for diagnosing the cause of the infection but is not the immediate priority.
B. Inserting an IV catheter is necessary for medication administration but should follow securing the airway.
C. Administering an antipyretic can help reduce the fever but does not address the immediate threat to the airway.
D. Preparing for nasotracheal intubation is the priority as severe dyspnea and drooling suggest a possible airway obstruction, likely due to epiglottitis. Securing the airway is critical in this situation.
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