A nurse is performing a neurologic assessment on a 9-year-old child who has displayed unexplained changes in behavior. Which assessment finding is consistent with a neurologic deficit?

Question

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A)Children should be able to walk backward by 2 years of age, balance on one foot for 5 seconds by 4 years of age, heel-toe walk by 5 years of age, and heel-toe walk backward by 6 years of age. A positive Babinski reflex is abnormal after the child ambulates or reaches 2 years of age. Ability to recall names of well-known cartoon characters would show a normal level of recall.
B)Children should be able to walk backward by 2 years of age, balance on one foot for 5 seconds by 4 years of age, heel-toe walk by 5 years of age, and heel-toe walk backward by 6 years of age. A positive Babinski reflex is abnormal after the child ambulates or reaches 2 years of age. Ability to recall names of well-known cartoon characters would show a normal level of recall.
C)Children should be able to walk backward by 2 years of age, balance on one foot for 5 seconds by 4 years of age, heel-toe walk by 5 years of age, and heel-toe walk backward by 6 years of age. A positive Babinski reflex is abnormal after the child ambulates or reaches 2 years of age. Ability to recall names of well-known cartoon characters would show a normal level of recall.
D)Children should be able to walk backward by 2 years of age, balance on one foot for 5 seconds by 4 years of age, heel-toe walk by 5 years of age, and heel-toe walk backward by 6 years of age. A positive Babinski reflex is abnormal after the child ambulates or reaches 2 years of age. Ability to recall names of well-known cartoon characters would show a normal level of recall.

A Nurse Is Performing a Neurologic Assessment on a 9-Year-Old