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USMLE
Nursing Care of Toddlers
The nurse observes that a 6-month-old infant is startled by a loud noise but does not turn in the direction of the sound. How should the nurse interpret this response?
Explanation
ExplanationB. By 3 to 4 months of age, an infant should localize sound by looking in the direction of the sound. A. The nurse’s observation does not provide information about the infant’s ability to see. C. This response is not within the norm for this age group. D. This response indicates that that the infant’s hearing is not developmentally appropriate.
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