NUR 446 COMPLETED EXAM QNS & ANS 2026/2027 (7pages)

1. Discuss the physical, gross motor, fine motor, vocalization, socialization and cognition characteristics of a : a) 1 Month Old  Physical: weight gain of 5-7 oz weekly for the first 6 months o Height gain of 1 inch monthly for the first 6 months o Head circumference increases by 0.5 cm monthly for the first 6 months o Primitive reflexes present and strong o Doll’s eye reflex and dance reflex fading o Obligatory nose breathing (most infants)  Gross Motor: assumes flexed position with pelvis high but knees not under abdomen when prone (at birth, knees flexed under abdomen) o Can turn head from side to side when prone; lifts head momentarily from bed o Has marked head lag, especially when pulled from lying to sitting position o Holds head momentarily parallel & in midline when suspended in prone position o Assumes asymmetric tonic neck reflex when positioned supine o When held in standing position, body is limp at knees and hips o In sitting position, back is uniformly rounded, with absence of head control  Fine Motor: hands predominantly closed o Grasp reflex strong o Hand clenches on contact with rattle  Vocalization: cries to express displeasure o Makes small, throaty sounds o Makes comfort sounds during feeding  Socialization & Cognition: sensorimotor phase (stage I), use of reflexes (birth-1- month-old) o Watches parent’s face intently as she or he talks to infant