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.”

 

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