CRNE Exam Prep

Category - Changes in Health

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A nurse is assessing a six-month-old infant during a routine well-baby check up. Observing which of the following symptoms should alert the nurse to refer the child for further evaluation?

The infant speaks single consonants.
Moro’s reflex is present.
The infant rolls from front to back and back to front.
Tonic neck reflex is absent.

Explanation

Answer: B - Moro’s reflex should not be observed at sixmonths of age; therefore, further evaluation is necessary. A six-month-old child can speak in single consonants, such as “ba-ba” or “da-da,” and roll over both ways. Tonic neck reflex disappears at fourmonths.

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