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