Which assessment finding for a 4-month-old infant would require further action by the nurse?
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
Explanation:
1. The posterior fontanel closes between 2 and 3 months of age.
2. Good head control is expected at 4 months of age.
3. Rolling from abdomen to back is a skill the 4-month-old infant should be learning.
4. An open anterior fontanel, which is soft, is a normal finding at 4 months.
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