Practice Quiz

CRNE Exam Prep

Category - Changes in Health

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As the nurse assesses a six-month-old female infant, the nurse notices that when the infant’s feet are placed on a firm surface, she pushes down with her legs. Which of the following is the nurse’s initial action?
  1. Document the finding as normal.
  2. Instruct the parents to stretch the infant’s legs when lying on her stomach.
  3. Inform the parents about possible treatment options for cerebral palsy.
  4. Notify the physician.
Explanation
Answer: D - Stepping reflex should be resolved by about 4 months of age. A developmental or neurological evaluation is necessary with continued stepping reflex at 6 months; therefore, notifying the doctor is the best initial action. Cerebral palsy is a possible cause, but it is necessary to refer the child to a specialist.
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