Author Question: The nurse is assessing a 1-month-old infant at his well-baby checkup. Which assessment findings are ... (Read 125 times)

ec501234 · **on:** Jun 25, 2018

The nurse is assessing a 1-month-old infant at his well-baby checkup. Which assessment findings are appropriate for this age? Select all that apply.

a. Head circumference equal to chest circumference
b. Head circumference greater than chest circumference
c. Head circumference less than chest circumference
d. Fontanels firm and slightly concave
e. Absent tonic neck reflex
f.
Nonpalpable cervical lymph nodes

Question 2

During a well-baby checkup, a mother is concerned because her 2-month-old infant cannot hold her head up when she is pulled to a sitting position. Which response by the nurse is appropriate?

a. Head control is usually achieved by 4 months of age.
b. You shouldn't be trying to pull your baby up like that until she is older.
c. Head control should be achieved by this time.
d. This inability indicates possible nerve damage to the neck muscles.

kingdude89 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B, D, F
An infant's head circumference is larger than the chest circumference. At age 2 years, both measurements are the same. During childhood, the chest circumference grows to exceed the head circumference by 5 to 7 cm. The fontanels should feel firm and slightly concave in the infant, and they should close by age 9 months. The tonic neck reflex is present until between 3 and 4 months of age, and cervical lymph nodes are normally nonpalpable in an infant.

Answer to Question 2

ANS: A
Head control is achieved by 4 months when the baby can hold the head erect and steady when pulled to a vertical position. The other responses are not appropriate.