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The Nurse Is Assessing a 4-Month-Old Infant During a Routine

Question 5

Multiple Choice

The nurse is assessing a 4-month-old infant during a routine well-baby visit. During the neurological assessment, which finding is a reason for concern?


A) When the cheek is brushed, the head is turned toward the stimuli.
B) Toes fan out when the sole of the food is stroked upward.
C) Placing a small object in the palm inconsistently elicits a grasp.
D) A light puff of air in the face causes the eyes to close.

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