A nurse is caring for a school-age child who has cystic fibrosis.

Exhibits

A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.

 

Rationale:

A. Rolling over from back to abdomen typically occurs around 4 to 6 months of age.

While it may be slightly delayed, it is not usually concerning at 5 months.

B. Head lag at 5 months is abnormal and may indicate weakness or poor muscle tone, warranting further evaluation by the healthcare provider.

C. Not all infants are able to hold a bottle at 5 months, and this finding alone may not be concerning.

D. The grasp reflex typically diminishes by 3 to 4 months of age, so it may not be present at 5 months. While it's a developmental milestone, its absence alone may not warrant immediate concern at this age.

Rationale:

A. Placing an infant who is 5 months old in a high chair to feed is unsafe because the infant might fall or choke.

B. Positioning a 1-month-old infant supine on a soft mattress increases the risk of sudden infant death syndrome (SIDS).

C. Providing a one-piece pacifier is a safe practice since it prevents the pacifier from breaking apart and causing a choking hazard.

D. Infants should be secured in car seats that are away from airbags. Securing the infant's car seat behind an airbag is dangerous because the airbag could injure or kill the infant in a crash.