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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Managing tantrums is an important aspect of toddler behavior management.
B. Cooperative play typically begins around age 3, so it is not as relevant for toddlers who engage more in parallel play.
C. Dental care is essential to prevent early childhood caries and establish good oral hygiene habits.
D. Toddlers do not necessarily need increased caloric intake compared to their infancy period. The focus should be on balanced nutrition.
E. Establishing trust is crucial for healthy emotional development and secure attachment in toddlers.
Correct Answer is A
Explanation
A. Shaking the inhaler for 3 to 5 seconds ensures the medication is properly mixed for an accurate dose.
B. For most medications delivered by MDI, waiting a few seconds between inhalations is sufficient, not 2 minutes.
C. Pressing down twice on the MDI canister is incorrect. The correct technique involves pressing the canister once while inhaling deeply.
D. Rinsing the mouth with mouthwash after inhaling the medication is not necessary. However, it is important to rinse the mouth with water, especially after using corticosteroid inhalers, to prevent oral thrush.
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