The clinic nurse is assessing infant reflexes. What assessment indicates a persistence of primitive reflexes?
a. Tonic neck reflex at 8 months of age
b. Palmar grasp at 4 months of age
c. Plantar grasp at 9 months of age
d. Rooting reflex at 3 months of age
ANS: A
Persistence of primitive reflexes is one of the earliest clues to CP (e.g., obligatory tonic neck reflex at any age or nonobligatory persistence beyond 6 months of age and the persistence or even hyperactivity of the Moro, plantar, and palmar grasp reflexes). The palmar grasp disappears by 6 months, the plantar grasp disappears by 12 months, and the rooting reflex disappears at 4 months, so these are normal findings.
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