You're assessing a 4-month-old infant. Which finding below is a normal milestone that should be reached by this infant at this age?
Pincer grasp
Rolls from tummy to back
Walks with support
Rolls from back to tummy
The Correct Answer is B
A. Pincer grasp: The pincer grasp, which involves using the thumb and forefinger to pick up small objects, typically develops around 8 to 12 months of age, not at 4 months.
B. Rolls from tummy to back: At 4 months, many infants start to develop the ability to roll from their tummy to their back. This is a typical milestone for this age and reflects developing motor skills.
C. Walks with support: Walking with support usually begins around 9 to 12 months of age, much later than 4 months.
D. Rolls from back to tummy: Rolling from back to tummy typically occurs a bit later, often around 5 to 6 months. At 4 months, rolling from tummy to back is the more expected milestone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Obtain a bedside commode for the client's use: While helpful, this might not address the client's fear of walking in a dark room, and it requires transferring, which could still pose a fall risk.
B. Limit the client's fluid intake in the evening: This can prevent nocturnal trips to the bathroom but doesn't directly address safety if the client needs to get up at night.
C. Put the side rails up and tell the client to call the nurse before voiding: Side rails can sometimes increase fall risk if the client attempts to climb over them. It's more beneficial to ensure a safe environment.
D. Leave a nightlight on in the client's room: This provides adequate lighting, reducing the risk of tripping or falling in the dark, which directly addresses the client's concern about safety while walking to the bathroom.
Correct Answer is C
Explanation
A. Obesity: While obesity can be linked to a negative self-concept, it is not as closely associated with a "skeletal appearance" as anorexia nervosa.
B. Fad dieting: Fad dieting may indicate concerns about body image, but it does not typically lead to a skeletal appearance and may not necessarily be tied to a deeply negative self-concept.
C. Anorexia nervosa: Anorexia nervosa is characterized by extreme weight loss and a skeletal appearance. It is often associated with a severely negative self-concept and distorted body image, where individuals see themselves as overweight even when they are underweight.
D. Eating fast foods: While this can lead to poor nutritional habits and weight issues, it does not typically lead to a skeletal appearance and is not directly associated with a negative self-concept.
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