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A nurse is collecting data from an 8-month-old infant. Which of the following findings indicates expected growth and development?

A.

Inability to hold a bottle

B.

Uses palmar grasp

C.

Sits unsupported

D.

Forces tongue outward when it is touched

Answer and Explanation

The Correct Answer is C

Rationale:

A) Inability to hold a bottle is typically achieved by 4-6 months, so it might indicate a developmental delay.

B) Palmar grasp is a primitive reflex typically seen in newborns, and it should be replaced by more voluntary grasping patterns by 8 months.

C) Sitting unsupported is a milestone typically achieved by 6-8 months, indicating expected growth and development at 8 months.

D) Forcing the tongue outward when touched might indicate tongue thrust reflex, which should typically disappear around 4-6 months.


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Related Questions

Correct Answer is D

Explanation

Rationale:

A) Taking rectal temperatures may increase the risk of infection and is not typically recommended during chemotherapy.

B) Live vaccines such as MMR are generally contraindicated during chemotherapy due to the risk of vaccine-related complications in immunocompromised individuals.

C) Going to the park may expose the child to environmental pathogens and is not recommended during chemotherapy.

D) Inspecting the inside of the child's mouth for sores is important for early detection of oral mucositis, a common side effect of chemotherapy that can increase the risk of infection.

Correct Answer is C

Explanation

Rationale:

A) It's important to burp a baby mid-feed and after the feed to prevent discomfort, especially for a baby with a cleft lip.

B) Using a wide-based nipple may be more appropriate for a baby with a cleft lip to help with proper latch and feeding.

C) Holding the baby in an upright position during feedings can help prevent milk from entering the nasal passages, which is important for babies with cleft lip.

D) Encouraging the baby to maintain relaxed cheeks during feeding may not be applicable for a baby with a cleft lip, as proper positioning and latch are more critical.

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