A three-month-old developmentally delayed infant is admitted to the pediatrics unit. The nurse evaluates the infant for manifestations of cerebral palsy (CP). Which of the following would the nurse note as a sign of CP?

The infant demonstrates poor head control.
The infant demonstrates hyperactive reflexes.
The infant shows exaggerated arching of the neck.
When lifted, the infant''s legs are stiff and cross each other.

Explanation

• A child with CP may show opisthotonic posturing (exaggerated arching of the neck and back) and rigidity.

• When the child is lifted, the arms and legs may be spastic and the legs may cross.

• Slight head lag is expected in a three-month-old infant, but with CP head control remains poor.

• Children with CP often have exaggerated reflexes due to an upper motor neuron lesion.

• Head circumference measurement less than the 50th percentile is a normal finding for a three-month-old infant.

Visit our website for other NCLEX topics now!
Related questions

A teenager is seen in the clinic due to a mild respiratory infection. The nurse observes Koplik's spots on the oral mucosa. After seeing this, the nurse next inspects:

A nurse is making a plan of care for a patient with an atrial septal defect. Upon assessment, the nurse expected to find

An 8-month-old with phenylketonuria (PKU) is to be discharged, and the nurse is writing discharge instructions. According to those instructions, which foods should be avoided?

A 6-month-old infant is found to have mild diarrhea accompanied by cramping at the lower abdomen after being breastfed. Based on these findings, what is the most likely cause?

An 8-year-old with hemophilia has a leg splinted following a traumatic injury to the knee joint. The child complains of increased pain in the affected knee. Based on these findings, the cause of the pain is most likely due to:

A 6-month-old boy is diagnosed with cryptorchidism. He is scheduled for surgery. What surgical intervention will the nurse prepare the child for to correct the condition?

Another RN has called in sick, leaving 10 pediatric cancer patients to be cared for by one RN and 3 nursing assistants. What should the nurse do?

Which of the following immunizations would the nurse expect to administer to a child who is HIV positive and severely immunocompromised?

A pediatric nurse is assessing children in a community outreach clinic. The nurse would expect an infant's first primary teeth to erupt at age:

A 4-year-old is admitted to the emergency room after accidentally ingesting a bottle of her mother's iron supplements five hours earlier. Which of the following medications can the nurse expect the physician to order?

The nurse is caring for a toddler diagnosed with intussusception. When assessing a child for possible intussusception, which of the following would be least likely to provide valuable information?

A nurse is performing a developmental assessment on an 11-month-old. Which of the following findings is of the most concern?

When developing a plan of care for a patient with cystic fibrosis, which of the following must the nurse keep in mind?

While caring for a child after undergoing a tonsillectomy, the child should be placed in what position to help facilitate drainage of secretions?