A nurse in the newborn nursery is collecting data about a newborn's Moro reﬂex. Which of the following actions should the nurse take to elicit this reﬂex?

Turn the newborn's head quickly to one side while they are sleeping.

Place a finger in the newborn's palm.

Clap hands after laying the newborn on a ﬂat surface.

Hold the newborn upright with one foot touching the crib surface.

Answer and Explanation

The Correct Answer is C

To elicit the Moro reﬂex, the nurse should clap hands after laying the newborn on a ﬂat surface. The Moro reﬂex, also known as the startle reﬂex, is an involuntary motor response that infants develop shortly after birth. Loud noises and sudden movements can trigger a baby’s Moro reﬂex.

Option a is incorrect because turning the newborn's head quickly to one side while they are sleeping may not elicit the Moro reﬂex.

Option b is incorrect because placing a finger in the newborn's palm may elicit the grasp reﬂex, not the Moro reﬂex.

Option d is incorrect because holding the newborn upright with one foot touching the crib surface may not elicit the Moro reﬂex.

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Correct Answer is B

Explanation

A nurse collecting data for a client following electroconvulsive therapy should expect that the client may experience confusion as an adverse eﬀect. Confusion is a common side eﬀect of electroconvulsive therapy and can last for minutes to hours after treatment.

The other options are not typical adverse eﬀects of electroconvulsive therapy.

a) Vomitingis not a typical adverse eﬀect of electroconvulsive therapy.

c) Incontinenceis not a typical adverse eﬀect of electroconvulsive therapy.

d) Tinnitusis not a typical adverse eﬀect of electroconvulsive therapy.

A. Decreased blood pressure B. Pale yellow urine C. Periorbital edema D. Increased urination

Correct Answer is C

Explanation

c. Periorbital edema.

Explanation: Acute glomerulonephritis is an inﬂammatory condition aﬀecting the glomeruli of the kidneys. It is commonly characterized by periorbital edema, which is swelling around the eyes. This occurs due to ﬂuid retention and impaired kidney function. Other common manifestations of acute glomerulonephritis include hypertension (increased blood pressure), dark or tea-colored urine (hematuria), decreased urine output, and signs of ﬂuid overload such as edema in the hands, feet, and face.

Option a, decreased blood pressure, is not typically seen in acute glomerulonephritis. Instead, hypertension is a common finding due to ﬂuid retention and increased blood volume.

Option b, pale yellow urine, is not expected in acute glomerulonephritis. Instead, urine may appear dark or

tea-colored due to the presence of blood (hematuria).

Option d, increased urination, is not a characteristic finding in acute glomerulonephritis. Instead, there is often a decrease in urine output or oliguria.

It is important to note that individual presentations may vary, and the nurse should consider the complete clinical picture and the child's specific symptoms when assessing for acute glomerulonephritis.

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A nurse in the newborn nursery is collecting data about a newborn's Moro reﬂex. Which of the following actions should the nurse take to elicit this reﬂex?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data for a client following electroconvulsive therapy. Which of the following adverse eﬀects should the nurse expect?

Correct Answer is B

Explanation

A nurse is collecting data from a child who has acute glomerulonephritis. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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