You are assessing a 7-month-old infant. Which of the following findings would be considered the most significant red flag for neurological dysfunction?
Persistence of the palmar grasp reflex
Primitive reflexes disappear on a predictable schedule as the brain matures: palmar grasp by about 3–4 (up to 6) months; Moro by about 4–6 months.
At 7 months, a persisting palmar grasp reflex means the reflex has not been integrated and is a red flag for neurological dysfunction such as cerebral palsy.
Absence of the Moro reflex at 7 months is normal; a positive Babinski sign is normal until 12–24 months; the gag reflex is protective and present throughout life.
Hence, Persistence of the palmar grasp reflex.
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Important Questions from Child Health Nursing
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A nurse at an under five clinic observes a child with below-average growth and missed immunizations. What should be the nurse’s most appropriate intervention?
A healthy newborn is found with mild jaundice 24 hours after birth. What is the best initial nursing action?
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