During a routine health assessment, the nurse notes that an 8-month-old infant has a significant head lag. Which is the most appropriate action?
a. Recheck head control at next visit.
b. Teach the parents appropriate exercises.
c. Schedule the child for further evaluation.
d. Refer the child for further evaluation if the anterior fontanel is still open.
ANS: C
Significant head lag after age 6 months strongly indicates cerebral injury and is referred for further evaluation. Head control is part of normal development. Exercises will not be effective. The lack of achievement of this developmental milestone must be evaluated.
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