Examkin

Soru

Zorluk: ZorDevelopmental Stages and Transitions

During a community health visit, a practical nurse (PN) is evaluating an infant who has just reached 6 months of age. The parents are anxious to know if their baby's physical and social progress is on track. Which finding should the PN recognize as a significant deviation from expected developmental milestones that warrants a referral?

  1. The infant's head falls backward when pulled by the arms into a sitting posture.Cevap
  2. B
    The infant uses an open hand with a sweeping motion to pull objects closer.
  3. C
    The infant requires the use of both hands leaning forward to maintain a seated position.
  4. D
    The infant cries inconsolably when approached by the nurse for the physical examination.

Cevap

The infant's head falling backward (head lag) when pulled to a sitting position.
By 4 months of age, an infant should have sufficient neck strength and head control so that there is no head lag when pulled to a sitting position. The presence of significant head lag at 6 months is an abnormal finding that indicates poor muscle tone or a potential neurological deficit (such as cerebral palsy) and requires prompt reporting for further medical evaluation.

Adım Adım Çözüm

1
Analyze the client's age and the developmental domains being assessed.
The client is a 6-month-old infant. The observations cover gross motor, fine motor, and psychosocial development.
Accurate assessment requires matching the infant's chronological age with expected milestone timelines.
2
Evaluate the fine motor, gross motor, and psychosocial findings against 6-month developmental expectations.
Tripod sitting (leaning on hands), the raking grasp (sweeping motion), and stranger anxiety (crying when approached) are all normal and expected findings for a 6-month-old.
Identifying expected behaviors eliminates normal variations from the list of concerns.
3
Identify the finding that falls outside the normal timeline for milestone achievement.
Head lag when pulled to a sitting position is observed. This reflex should completely disappear by 4 months of age.
Persistent head lag at 6 months suggests abnormal hypotonia or a neurological deficit, requiring immediate provider notification.

Anahtar Kavram

Infant Developmental Milestones and Red Flags
Bu soruyu puanla

Konular

Developmental Stages and Transitions

Bu konudan daha fazla soru