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The Clinic Nurse Performs Assessments on Four Infants

Question 144

Multiple Choice

The clinic nurse performs assessments on four infants.  The nurse should alert the health care provider to see which client first?


A) 3-month-old whose posterior occiput appears flattened
B) 4-month-old who has sclera visible above the iris (sunset eyes)
C) 6-month-old who has vomited twice and has had 8 wet diapers in the last 24 hours
D) 9-month-old whose toes fan out and big toe dorsiflexes when plantar surface is stroked

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