A nurse is collecting data from a 9-month-old infant. Which of the following developmental findings should the nurse expect?

Crude pincer grasp

Shakes head for "no"

Uses two-word phrases

Builds a four-block tower

Answer and Explanation

The Correct Answer is A

A. A 9-month-old infant is expected to demonstrate a crude pincer grasp, which involves picking up small objects between the thumb and forefinger. This is a developmental milestone for this age.

B. While infants may shake their heads by this age, it is typically not used in the context of saying "no." This action is usually a sign of exploration or reaction to stimulation.

C. A 9-month-old typically does not use two-word phrases. By this age, infants are usually babbling and may say single words like "mama" or "dada."

D. A 9-month-old is not expected to build a tower of four blocks. By 12-15 months, infants may begin to stack blocks.

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Correct Answer is C

Explanation

A. Weight above the 10th percentile would not be expected in an infant with failure to thrive. Infants with failure to thrive typically exhibit weight below the 5th percentile due to insufficient caloric intake or absorption.

B. Making eye contact with others is a normal developmental milestone at 11 months and would not be expected to be impaired in a child with failure to thrive.

C. Poor muscle tone is a common finding in infants with failure to thrive, as malnutrition and inadequate nourishment can affect the development of muscle strength and coordination.

D. Stranger anxiety is a typical developmental stage at 11 months, but it is not associated with failure to thrive. Infants with failure to thrive may exhibit developmental delays, but stranger anxiety is not a primary concern.

A. Place the child in a semiprivate room. B. Maintain eye contact if the child is agitated. C. Minimize physical contact with the child. D. Leave the television on for the child during the night.

Correct Answer is C

Explanation

A. Children with autism may have difficulty with social interactions and sensory processing. Placing them in a semiprivate room could cause distress due to the lack of control over the environment and may increase anxiety.

B. Maintaining eye contact with a child with autism, especially when agitated, may increase stress and exacerbate agitation. Many children with autism avoid eye contact and may find it uncomfortable.

C. Children with autism can be very sensitive to sensory input, including physical touch. Minimizing physical contact helps reduce sensory overload and the child’s anxiety.

D. While providing comforting stimuli can be beneficial, leaving the television on at night may disturb the child’s sleep or increase sensory overload, especially if they are sensitive to sounds or visual stimuli.

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A nurse is collecting data from a 9-month-old infant. Which of the following developmental findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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