Difficulty: Medium
Average Score: 88%
Simulated
A nurse is collecting data on a 1-month-old infant during a well-child visit. Which of the following findings should the nurse expect?
Correct answer
B
Rationale
A respiratory rate of 64/min is normal for a 1-month-old (30-60 breaths/min). Rooting reflex should be present, head lag is expected but not primary, and yellow sclera suggests jaundice needing evaluation.