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    Hesi rn pediatric and women health (wgu) proctored exam

    A nurse is assessing a 15-month-old toddler during a well-child visit. Which of the following findings should the nurse report to the provider?

    Explanation & Rationale

    Choice A reason: A positive Babinski reflex beyond 12 to 18 months is abnormal and indicates possible neurological dysfunction. At 15 months, the reflex should have disappeared as the nervous system matures. Persistence of this reflex suggests an upper motor neuron lesion or developmental delay, making it a reportable finding. Choice B reason: The Moro reflex normally disappears by 4 months of age. Its absence at 15 months is expected and does not indicate abnormality. Choice C reason: Referring to self by name is an appropriate developmental milestone for toddlers around 15 months. It reflects normal language and self-awareness development. Choice D reason: Pointing to common objects when asked is a normal developmental milestone at this age, showing receptive language and cognitive development.

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