Which observation in a health supervision visit leads the nurse to have concerns about the infant's mental health?
1. A 1-month-old is swaddled by the parent because of crying after an immunization.
2. A 7-month-old infant grabs her mother and cries when the nurse attempts touch.
3. A 9-month-old avoids eye contact with parents and the nurse.
4. A 10-month-old reportedly sleeps about 12 hours total per night.
3
Explanation:
1. Crying after a painful procedure, such as an immunization, is a normal reaction by the 1-month-old infant. Swaddling the infant for comfort is a normal reaction by the parent.
2. Grabbing for her mother and crying when the nurse attempts touch is a normal reaction for a 7-month-old infant.
3. The nurse should expect the 9-month-old to have eye contact with the parents and the nurse. If no eye contact is made, the nurse should implement a more detailed assessment of the infant's mental health.
4. Sleeping 12 total hours per night is considered normal behavior for a 10-month-old infant.
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