HESI Health
assessment latest
update 2024 / 2025
PASS A+
When performing a physical assessment on a 7-month-old
infant, the nurse notes that the
... [Show More] child is able to smile
responsively and unable to roll from the prone to the supine
position. What is the most appropriate action for this nurse?
a. Reassure the parents that the infant is "performing like an
8-month-old."
b. Document the infant's growth and development as "within
normal limits."
c. Continue to assess the infant for other signs of
developmental delay.
d. Give the caretaker specific directions for specialized
exercises. - CORRECT ANSWER-ANS: C
Feedback
A This would be an incorrect statement because this infant
has delayed development.
B This would be an incorrect statement because this infant
has delayed development.
C An infant should be able to roll from prone to supine at 4
months.
D This infant needs to be referred for additional evaluation.
A 7-month-old infant weighs 11.6 lb compared with a birth
weight of 7.1 lb and has a head circumference of 19 inches.
What does the nurse document about this infant?
a. Underweight and normal head circumference
b. Underweight and larger-than-normal head circumference
c. Overweight and smaller-than-normal head circumference
d. Normal weight and larger-than-normal head
circumference - CORRECT ANSWER-ANS: B
Feedback
A This 7-month-old infant should weigh more than 14 lb and
have a head circumference of 16.5 to 17.5 inches.
B This 7-month-old infant should weigh more than 14 lb and
have a head circumference of 16.5 to 17.5 inches. In general,
infants double their birth weight by 4 to 5 months of age.
Expected head circumference for term newborns averages
from 13 to 14 inches (33 to 36 cm) and increases 0.5 inch
(1.3 cm) monthly for the first six months.
C This 7-month-old infant should weigh more than 14 lb and
have a head circumference of 16.5 to 17.5 inches.
D This 7-month-old infant should weigh more than 14 lb and
have a head circumference of 16.5 to 17.5 inches. [Show Less]