CCRN Critical Care Nursing

Category - Pediatrics

A 5-week-old infant tightly grasps a little toy placed in his hands. The mother was impressed with this ability. The nurse on duty should explain that this is:
  1. a behavior that is usually observed in an older infant.
  2. a palmar grasp reflex that is expected at this age group.
  3. an unusual behavior that needs further evaluation.
  4. a pincer grasp reflex which will disappear in about 3-4 months of life.
Explanation
Answer: B - In a case when the infant tightly grasps a toy in his hands, the nurse should explain to the mother that this is an involuntary behavior termed as the palmar grasp reflex is at its peak at 4 weeks of age and normally disappears at 3-4 months of age. Pincer grasp is a fine motor behavior which begins at 8 month of age.
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