The nurse is conducting a physical examination of a 5-month-old boy. Which observation may be cause for concern about the infant's neurologic development?

The nurse is conducting a physical examination of a 5-month-old boy. Which observation may be cause for concern about the infant's neurologic development?


a) His toes hyperextend when the bottom of the foot is stroked.

b) The infant grasps a finger when it is placed in his palm.

c) The infant displays an asymmetric tonic neck reflex (fencing reflex).

d) The anterior fontanel is open and easily palpated



Answer: The infant displays an asymmetric tonic neck reflex (fencing reflex).


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