Which reflex, if found in a 4-month-old infant, would cause the nurse to be concerned?

Step

Plantar grasp

Neck righting

Babinski

Answer and Explanation

The Correct Answer is A

A.   The step reflex is an expected primitive reflex in infants, disappearing around 2 months of age.Therefore, if ounf in a 4 month old baby, the nurse should be concerned.
B.   The plantar grasp reflex should be present in infants and typically disappears by 9 to 12 months of age.
C.   Neck righting reflex is a normal response in infants, allowing them to orient their heads in relation to their body movements.
D.   The Babinski reflex is typically present in infants but should disappear by around 12 months of age. If it persists beyond this age, it could indicate neurological concerns and warrant further evaluation. therefore, the reflex is normal in a 44 month old baby

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Correct Answer is B

Explanation

A. This statement assumes without addressing the effects of peer influence on the child's behavior.
B. Acceptance and validation by peers, particularly those of the same gender, often hold significant importance during middle childhood, influencing interests and activities.
C. While camaraderie among children playing different sports is positive, it doesn't address the primary concern about peer influence on the child's choice.
D. Assuming the child's best friends will continue playing soccer doesn't explain the influence peers have on a child's preferences and decisions.

A. Discussing the influence of peers on the child's diet. B. Asking the parents who they want to work with the child. C. Determining the need for additional caloric intake. D. Interviewing the parents about their eating habits.

Correct Answer is A

Explanation

A. Discussing the influence of peers on the child's diet can help identify potential social factors contributing to unhealthy eating habits and enable strategies to counteract them.
B. While involving the parents in the care plan is important, asking who they want to work with might not directly address the child's risk of being overweight.
C. Determining the need for additional caloric intake might not be the primary concern for a child at risk for being overweight; rather, it's about healthy eating habits and portion control.
D. Interviewing the parents about their eating habits could be beneficial for understanding the family's overall approach to nutrition but may not directly address the child's weight risk and potential interventions.

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Which reflex, if found in a 4-month-old infant, would cause the nurse to be concerned?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a well-child check-up, the parents of a 9-year-old boy tell the nurse that their son's friends told him that soccer is a stupid game, and now he wants to play baseball. Which comment by the nurse best explains the effects of peer groups?

Correct Answer is B

Explanation

The nurse has determined that an 8-year-old girl is at risk for being overweight. Which intervention should the nurse include in the care plan?

Correct Answer is A

Explanation

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