NCLEX-RN Exam Dumps | A 9-month-old infant is being examined in the general pediatric clinic for a routine well-child checkup.

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Question 209/302

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?

A. Hyperextension of the neck with evidence of pain on flexion

B. Holding the head to one side and pointing the chin toward the other side

C. Holding the head erect and in the midline when in a vertical position

D. Significant head lag when raised to a sitting position

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