The nurse is doing an assessment on a four-month-old infant. Which assessment finding would the nurse consider abnormal?
1. The posterior fontanel is open.
2. The infant has good head control when held upright.
3. The infant is able to roll only from abdomen to back.
4. The anterior fontanel is open and soft.
1
Rationale 1: The posterior fontanel closes between two and three months of age.
Rationale 2: Good head control is expected at four months of age.
Rationale 3: Rolling from abdomen to back is a skill the four-month-old should be learning.
Rationale 4: An open anterior fontanel, which is soft, is a normal finding at four months.
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