Practice Quiz

NCLEX-RN

Category - Psychosocial

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A nurse is assessing a six-month-old female infant, who is scheduled to receive her immunizations. During growth and development assessment, which of the following findings should alert the nurse to refer the infant to the physician for further examination?
  1. The infant can hold her arms out.
  2. The infant exhibits fear of strangers.
  3. The infant cannot turn head from side to side.
  4. The infant cannot sit steadily without support.
Explanation
Answer: C - If a six-month-old infant cannot turn her head from side to side, the infant may be referred to the physician for further examination. This skill is usually demonstrated by two to three months of age. A six-month-old infant can hold her arms out and may start exhibiting fear of strangers. Being able to sit steadily without support is usually seen in infants aged eight to nine months old.
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