A 7-month-old infant suspected of cerebral palsy is being assessed by the nurse. Which of the following indicates the possibility of cerebral palsy?

The infant demonstrates the Moro reflex.
The infant is unable to roll over.

Explanation

• In cerebral palsy, damage to the motor centers of the brain cause abnormal muscle tone (hypertonia or hypotonia), increased reflexes, and problems with motor skills. Increased reflexes or persistent primitive reflexes indicate the presence of an upper motor neuron lesion.

• The Moro (startle) reflex should be extinguished by 4 to 6 months of age.

• The infant should be able to roll over by 6 months of age.

• Not reacting to or recognizing the mother's face, voice, or touch is not indicative of CP. Most infants and children with CP are very intelligent and have no intellectual disabilities at all.

• A child should be able to use a spoon by 13 to 20 months of age.

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