Question

During a routine health assessment, the nurse notes that an 8-month-old infant has a significant head lag. Which is the most appropriate action?

a. Document the finding as normal for this age.
b. Refer the infant for developmental testing.
c. Report the finding to the healthcare provider.
d. Instruct the parent to practice neck exercises with the infant.

Answer 1

The most appropriate action would be to report the finding to the healthcare provider.

Step-by-step explanation:

When a nurse notices that an 8-month-old infant has significant head lag during a routine health assessment, the most appropriate action would be to report the finding to the healthcare provider (option c). Head lag at this age is a developmental delay and may indicate muscle weakness or poor muscle tone. The healthcare provider can further evaluate the infant's development and determine if any intervention or further testing is necessary.