Author Question: The mother of a toddler-age client expresses concern about the child's lower back curving in and the ... (Read 103 times)

jrubin · **on:** Jun 25, 2018

The mother of a toddler-age client expresses concern about the child's lower back curving in and the child's belly sticking out.

Which action by the nurse is appropriate?

1. Suggest that the mother to buy the child bigger clothes.
2. Give the mother the first available appointment to see the health care provider.
3. Contact the health care provider to see if an orthopedic referral is necessary.
4. Reassure the mother that this is normal for a toddler.

Question 2

When reviewing the developmental behaviors of an 8-month-old infant, which behaviors are considered age-appropriate?

Select all that apply.

1. Unable to sit for brief periods of time without support.
2. Moro reflex present.
3. Crawling on abdomen.
4. Pulls self to standing position.
5. Positive Babinski reflex.

iceage · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 4

Young toddlers have pronounced lordosis, which makes their abdomens protrude. This is a normal finding, and the mother should be reassured of this. Suggesting that the mother buy her child larger clothes does not address her concern that there is something abnormal with her child. The mother is describing a normal finding in a toddler; therefore a visit with the health care provider is not needed. There is no need for the nurse to consult with the health care provider or consider orthopedic referral since this is a normal finding in a toddler.

Answer to Question 2

Correct Answer: 3, 4, 5

By the age of 8 months the child should be able to sit for brief periods without support. Some children can sit alone well at this age. The child who is unable to sit for short periods alone needs further testing and evaluation. The Moro (startle) reflex should disappear between the ages of 4-6 months. The presence of this reflex beyond that age warrants follow-up. Around 6 months of age infants begin to crawl on their abdomens, so it is expected that an 8-month-old will do this. Some 8-month-old babies may also be able to pull themselves up to a standing position. This is more typical of a 9-month-old. The Babinski reflex doesn't begin to fade until 12 months, and is absent by the age of 2 years.