The nurse is caring for a 9-month-old child.
The nurse assesses the baby and finds all of the following data.
Which finding is of MOST concern and leads the nurse to consider a possible referral to Early intervention for developmental delay?
Inability to pick up crackers with thumb and forefinger.
Playing with a toy for only a few minutes.
Ability to crawl on all fours supported on hands and knees.
Inability to pull self to a standing position.
The Correct Answer is A
Choice A rationale
By 9 months, most babies have developed the fine motor skills necessary to pick up small objects, like crackers, with their thumb and forefinger. This is known as the pincer grasp. If a 9- month-old child is unable to do this, it could be a sign of a developmental delay.
Choice B rationale
It’s normal for babies at this age to have a short attention span. They often play with a toy for only a few minutes before moving on to something else. Therefore, this behavior is not typically a cause for concern.
Choice C rationale
The ability to crawl on all fours supported on hands and knees is a typical developmental milestone for a 9-month-old child. Therefore, this behavior is expected and does not indicate a developmental delay.
Choice D rationale
While some 9-month-old babies may be able to pull themselves to a standing position, not all babies develop this skill at the same time. Therefore, the inability to do this is not necessarily a cause for concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Adequate intake is crucial for hydration, but the information provided does not specify the infant’s intake.
Choice B rationale
Adequate output is a good sign of hydration, but the information provided does not specify the infant’s output.
Choice C rationale
Normal lab results could indicate adequate hydration, but the information provided does not specify the infant’s lab results.
Choice D rationale
The infant was admitted with dehydration, and without information on improved intake or output, it is reasonable to conclude that the infant’s lab results indicated dehydration.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
At one month of age, infants are not expected to sit without support. Therefore, an inability to do so would not be a cause for concern at this age.
Choice B rationale
By one month, infants should be able to briefly raise their head when placed in a prone (on their stomach) position. If an infant is unable to do this, it could indicate a potential developmental delay or muscle weakness.
Choice C rationale
At one month, infants typically have not yet developed the coordination to bring an object to their mouth. Therefore, an inability to do so at this age would not be a cause for concern.
Choice D rationale
By one month, infants are not expected to have the fine motor skills necessary to pick up an object with their fingers. Therefore, an inability to do so would not be a cause for concern at this age.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.