Asked by Jaden knight on Jul 26, 2024

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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) Absent tonic neck reflex
B) Nonpalpable cervical lymph nodes
C) Fontanels firm and slightly concave
D) Head circumference equal to chest circumference
E) Head circumference less than chest circumference
F) Head circumference greater than chest circumference

Fontanels

Soft spots on an infant's skull that allows for growth of the head during the first year.

Tonic Neck Reflex

An infant reflex where turning the head to one side causes the arm on that side to stretch out and the opposite arm to bend at the elbow.

Head Circumference

A measurement around the largest part of the skull, used in medical contexts to assess brain growth and development, especially in infants and young children.

  • Conduct and understand the results of an extensive physical examination across different age groups of patients.
  • Apply knowledge of normal developmental milestones when assessing pediatric patients.
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MA
Maria AnagnostopoulosJul 26, 2024
Final Answer :
B, C, F
Explanation :
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.