A new mother shows the nurse that her baby grasps her finger when she touches the baby's palm. How might the nurse respond to this information?
"This is a primitive reflex known as the palmar grasp."
"This is a protective reflex known as rooting."
"This is a primitive reflex known as the plantar grasp."
"This is a protective reflex known as the Moro reflex."
The Correct Answer is A
A. "This is a primitive reflex known as the palmar grasp.": The palmar grasp reflex is a primitive reflex observed in newborns where they automatically grasp onto objects (or fingers) that touch
their palms. This reflex typically disappears by around 6 months of age.
B. "This is a protective reflex known as rooting.": Rooting is a reflex where newborns turn their head and open their mouth in response to cheek or mouth stimulation, facilitating breastfeeding. It is not related to grasping objects with the hands.
C. "This is a primitive reflex known as the plantar grasp.": The plantar grasp reflex is similar to the palmar grasp but occurs when pressure is applied to the sole of the foot. It is unrelated to grasping objects with the hands.
D. "This is a protective reflex known as the Moro reflex.": The Moro reflex, also known as the startle reflex, involves the newborn's arms and legs extending and then flexing in response to a sudden movement or loud noise. It is not related to grasping objects with the hands.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B,E,C,A,D
Explanation
B. Trust vs. mistrust: This is the first stage, occurring from birth to approximately 18 months of age, where infants learn to trust or mistrust their caregivers and the world based on
whether or not their basic needs—such as food, affection, and safety—are met.
E. Autonomy vs. shame and doubt: The second stage, from roughly 18 months to 3 years, is when toddlers begin to assert their independence. If caregivers encourage self-sufficient behavior, toddlers learn to be autonomous; if not, they may develop feelings of shame and doubt about their abilities.
C. Initiative vs. guilt: During the preschool years, from about 3 to 6 years, children begin to assert power and control over their world through directing play and other social interactions.
Successful completion of this stage leads to a sense of initiative, while failure results in feelings of guilt.
A. Industry vs. inferiority: Occurring from age 6 to puberty, this stage is characterized by the child's navigation of social demands and learning to develop a sense of pride in their accomplishments and abilities. If this stage is managed well, the child will feel industrious; if not, they may feel inferior.
D. Identity vs. role confusion: The final stage in Erikson's model for adolescence, from puberty to young adulthood, involves developing a sense of self and personal identity. Success leads to an ability to stay true to oneself, while failure leads to role confusion and a weak sense of self.
Correct Answer is A
Explanation
A. Puberty might be delayed if scrotal changes have not occurred by the age of 11 years: This statement is accurate because the lack of scrotal changes by the age of 11 years may indicate delayed puberty, prompting further evaluation by a healthcare provider.
B. Growth spurts in height occur toward the end of midpuberty: Growth spurts in height typically occur during midpuberty, rather than toward the end, as adolescents experience a rapid increase
in skeletal growth.
C. Changes in the voice signal the beginning of puberty: While changes in the voice, such as voice cracking and deepening, are indeed part of puberty, they usually occur later in puberty, not necessarily at the beginning.
D. Gynecomastia commonly occurs during late puberty: Gynecomastia, the development of breast tissue in males, typically occurs during mid-puberty and may persist into late puberty but is not exclusive to that period.
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