The nurse pulls the 5-month-old to sitting position from supine and notes head lag. The nurse's response is to:
a) conclude the earlier assessments carried out fatigued the infant.
b) refer the infant for developmental and/or neurologic evaluation.
c) consider this a normal response for the age.
d) suggest more awake tummy time for the child.
Answer: refer the infant for developmental and/or neurologic evaluation.