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The Nurse Is Assessing an 8-Month-Old Infant for Head Lag

Question 37

Multiple Choice

The nurse is assessing an 8-month-old infant for head lag, pulling the infant by the hands from a supine to a sitting position. The head does not stay in line with the body then being pulled forward. Which of the following statements best represents the significance of this finding?


A) This is a normal finding, as the infant's head will not stay in line until after 8 months of age.
B) The nurse has not conducted the test correctly and must do it again using proper technique.
C) Significant head lag after the age of 6 months may indicate brain injury and needs further investigations.
D) Head lag should not be tested until the child is over 1 year of age.

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