A nurse is collecting data from a 9-month-old infant. Which of the following findings would require further intervention? Rationale: The Babinski reflex disappears after 1 year of age. Therefore, a 9-month-old infant with a positive Babinski reflex is a finding that does not require further intervention. A. Positive Babinski reflex Rationale: The Moro reflex disappears approximately at 3-4 months of age. Therefore, a 9- month-old infant with a positive Moro reflex is a finding that requires further intervention B. Positive Moro reflex Rationale: A negative Doll’s eye reflex is a normal finding. Therefore, a 9-month-old infant with a negative Doll’s eye reflex is a finding that does not require further intervention. C. Negative Doll’s eye reflex Rationale: A negative Crawl reflex disappears after 6 months of age. Therefore, a 9-month-old infant with a negative Crawl reflex is a finding that does not require further intervention. D. Negative Crawl reflex 1. A nurse is reinforcing teaching a parent of a child who has a fracture of the epiphyseal plate. Which of the following is an appropriate statement by the nurse? Rationale: Children heal fractures in less time than adults because of the generous blood supply to the bone and the epiphyseal plate. A. “The blood supply to the bone is disrupted.†Rationale: A fracture of the epiphyseal plate can affect growth in a child. Therefore, it needs to be detected and treated rapidly. B. “Normal bone growth can be affected.†Rationale: The epiphyseal plate is the cartilage growth plate. Therefore, bone marrow is not lost through this type of fracture. C. “Bone marrow can be lost though the fracture.†Rationale: Children heal fractures in less time than adults because of the generous blood supply to the bone and the epiphyseal plate. D. “The healing process will take longer.â€
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