A nurse is using the proximodistal pattern to assess an infant's growth and development as normal. Which assessment finding will the nurse determine as normal?
a. Bangs objects before turns
b. Lifts head before grasps
c. Walks before crawls
d. Laughs before coos
ANS: B
Lifting the head before grasping is a normal finding according to proximodistal growth. The proximodistal growth pattern starts at the center of the body and moves toward the extremities (e.g., organ systems in the trunk of the body develop before arms and legs). The infant should turn before banging objects and crawl before walking according to the proximodistal pattern of growth. The infant should coo before laughing, but this is not an example of proximodistal; this is an example of language development.
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