A mother asks which developmental milestones she can expect when ...

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A mother asks which developmental milestones she can expect when her baby is 6 months old. Which response by the nurse is the most appropriate?
 
  1. Lifts head momentarily when prone
  2. Has well-developed pincer grasp
  3. Transfers objects from one hand to the other
  4. Rolls from front to back

Question 2

A mother who is bottle feeding her newborn asks to be discharged 24 hours post delivery, because she also has twin 2-year-old children at home. When should the nurse schedule the first office visit for this newborn?
 
  1. Within 48 hours of discharge
  2. Within one week of discharge
  3. Within two weeks of discharge
  4. When the infant is 1 month old

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Answer to Question 1

Correct Answer: 3
Rationale: Lifting head when prone is a milestone at 1 month. A well-developed pincer grasp is a milestone at 12 months. Transferring objects from one hand to the other is a milestone at 6 months. Rolling from front to back is a milestone at 4 months.

Answer to Question 2

Correct Answer: 1
Rationale: Newborns discharged before 48 hours old should be seen within 48 hours of discharge. Waiting one week and/or two weeks after discharge of a 24-hour-old infant increases the chance that several common newborn conditions can go undiagnosed (e.g., jaundice, failure to gain weight). Waiting one month is too long for any infant who is discharged at 24 hours old.

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Correct answers!

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