Question

The nurse recognizes that an assessment finding of the head and neck that does not need referral is:

a. head lag before 6 months of age.
b. hyperextension of the head with pain on flexion.
c. palpable thyroid gland including isthmus and lobes.
d. closure of the anterior fontanel at the age of 9 months.

Answer 1

c. palpable thyroid gland including isthmus and lobes. The palpable thyroid gland including isthmus and lobes is a normal finding and does not require referral.

Step-by-step explanation:

The assessment finding of the head and neck that does not need referral is c. palpable thyroid gland including isthmus and lobes.

The palpable thyroid gland is a normal finding and does not typically require further evaluation or referral. The thyroid gland is located in the neck and can often be felt during a physical examination. It is responsible for producing hormones that regulate metabolism and growth in the body.