RN HESI Paediatrics Exam 2

RN HESI Paediatrics Exam 2 ( 53 Questions)

The nurse is assessing a 6-month-old infant. Which response requires further evaluation by the nurse?



Correct Answer: D

A. Plays "peek-a-boo."

This is a social and cognitive milestone. Infants typically develop social interactions like peek-a-boo around 6-9 months of age. This behavior is normal for a 6-month-old and demonstrates social engagement.

 

B. Has doubled birth weight.

Infants generally double their birth weight by around 6 months of age. This is a typical growth and developmental milestone, indicating adequate nutrition and growth.

 

C. Turns head to locate sound.

This is a normal developmental milestone for an infant. By 6 months of age, infants should demonstrate localization of sounds, indicating appropriate auditory and neurological development.

 

D. Demonstrates startle reflex.

The startle reflex, also known as the Moro reflex, is normal in newborns but typically disappears by 3-6 months of age. If a 6-month-old still exhibits this reflex, it could be a sign of delayed neurological development and might require further evaluation.




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