A nurse is assessing an infant who has acute otitis media.

Which of the following findings should the nurse expect? (Select all that apply.).

Your child should walk the bicycle through intersections.

Walking the bicycle through intersections can help increase the child’s visibility and reduce the risk of accidents.

Choice A is wrong because it’s important for the child to ride as far to the right as possible, not 3 feet from the curb.

Choice C is wrong because the child should always ride with the flow of traffic, not against it.

Choice D is wrong because when seated on the bicycle, the child’s feet should be able to touch the ground.

The correct answer is d. Exhibits head lag when pulled to a sitting position.

Choice A: Unable to hold a bottle At around 6 months of age, some babies can hold their own bottle. This is not a concerning finding for a 5-month-old infant. Therefore, this is not the correct answer.

Choice B: Unable to roll from back to abdomen Rolling over often starts around 4-6 months, so it’s not unusual for a 5-month-old to still be developing this skill. Therefore, this is not the correct answer.

Choice C: Absent grasp reflex The grasp reflex is an involuntary movement that your baby starts making in utero and continues doing until around 6 months of age. The grasp reflex lasts until the baby is about 5 to 6 months old. Therefore, this is not the correct answer.

Choice D: Exhibits head lag when pulled to a sitting position By the age of 5 months, most infants have developed enough strength in their neck and upper body to control their head movement. This means they should not exhibit a significant head lag when pulled to a sitting position1. If this is not the case, it could indicate a delay in motor development or a potential neurological issue, which should be reported to the healthcare provider for further evaluation. Therefore, this is the correct answer.