A 3-month-old infant, born at 38 weeks of gestation, will hold a rattle if it is put in her hands; however, she will not voluntarily grasp it. The nurse should interpret this as:

a. Normal development.
b. Significant developmental lag.
c. Slightly delayed development caused by prematurity.
d. Suggestive of a neurologic disorder such as cerebral palsy.


ANS: A
This indicates normal development. Reflexive grasping occurs during the first 2 to 3 months and then gradually becomes voluntary. No evidence of developmental lag, delayed development, or neurologic dysfunction is present.

Nursing

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