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NCLEX-RN · Question #380
NCLEX-RN Question #380: Real Exam Question with Answer & Explanation
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Question
A 9-month-old infant is being examined in the general pediatric clinic for a routine well-child checkup. His immunizations are up to date, and his mother reports that he has had no significant illnesses or injuries. Which of the following signs would lead the nurse to believe that he has had a cerebral injury?
Options
- AHyperextension of the neck with evidence of pain on flexion
- BHolding the head to one side and pointing the chin toward the other side
- CHolding the head erect and in the midline when in a vertical position
- DSignificant head lag when raised to a sitting position
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