Asked by savion davis on Jun 17, 2024
Verified
During a routine health assessment, the nurse notes that an 8-month-old infant has significant head lag. Which is the nurse's most appropriate action?
A) Teach parents appropriate exercises.
B) Recheck head control at next visit.
C) Refer child for further evaluation.
D) Refer child for further evaluation if anterior fontanel is still open.
Significant Head Lag
The condition in which a baby's head falls backward when pulled to a sitting position, indicating possible developmental delays or muscle weakness.
- Discern apt mechanisms for assessing the health condition of children, including aspects of nutrition.
- Identify and make sense of physical assessment data in children, covering vital signs and measurements of growth.
Verified Answer
PK
Pratima KandelJun 20, 2024
Final Answer :
C
Explanation :
Significant head lag after age 6 months strongly indicates cerebral injury and is referred for further evaluation. Reduction of head lag is part of normal development. Exercises will not be effective. The lack of achievement of this developmental milestone must be evaluated.
Learning Objectives
- Discern apt mechanisms for assessing the health condition of children, including aspects of nutrition.
- Identify and make sense of physical assessment data in children, covering vital signs and measurements of growth.
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