Examkin

Soru

Zorluk: OrtaDevelopmental Stages and Transitions

A pediatric nurse is conducting a developmental assessment on a 6-month-old infant during a well-child visit. The infant was born at term with no prenatal complications. Which observation should the nurse identify as a potential developmental delay requiring further evaluation?

  1. A
    The infant's current weight is exactly double their documented birth weight.
  2. B
    The infant begins to cry and turns toward the parent when the nurse approaches.
  3. The infant exhibits a pronounced head lag when pulled from a lying to a sitting position.Cevap
  4. D
    The infant successfully transfers a small rattle from the right hand to the left hand.

Cevap

The infant exhibiting a pronounced head lag when pulled from a lying to a sitting position.
At 6 months of age, an infant should demonstrate strong head control. Head lag typically disappears by 4 months of age as neck and shoulder muscles strengthen. A pronounced head lag at 6 months is a significant developmental red flag that may suggest hypotonia, cerebral palsy, or other neurological conditions, warranting a prompt referral for further evaluation.

Adım Adım Çözüm

1
Analyze the client's age and context in the scenario.
The client is a 6-month-old infant at a well-child visit.
Developmental milestones are strictly age-dependent and must be evaluated against the infant's specific age.
2
Evaluate each assessment finding against normal 6-month developmental milestones.
Doubling birth weight, transferring objects hand-to-hand, and stranger anxiety are normal at 6 months. Head lag is an abnormal finding at this age.
Distinguishing normal anticipatory guidance from pathological delays is critical in pediatric nursing to ensure early intervention.
3
Identify the finding that represents a developmental red flag.
Pronounced head lag at 6 months is selected because head control should be well established by 4 months.
Missing early signs of neurological or motor impairment can delay crucial referrals and therapeutic interventions.

Anahtar Kavram

By 4 months of age, an infant should have established head control. The presence of a head lag at 6 months is a developmental red flag that requires further neurological and motor evaluation.
Bu soruyu puanla

Konular

Developmental Stages and Transitions

Bu konudan daha fazla soru