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A nurse is assisting a client with breastfeeding her newborn.
The nurse should explain that which of the following reflexes will initiate sucking?

A.

Rooting.

B.

Moro.

C.

Stepping.

D.

Babinski.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

The rooting reflex is the newborn's natural response to touch around their mouth, particularly the cheek. When the cheek is touched, the infant will turn their head in that direction and open their mouth, initiating the sucking reflex. This reflex helps the newborn find the breast or bottle for feeding.

Choice B rationale:

The Moro reflex is not associated with the initiation of sucking. The Moro reflex is a startle reflex that involves extending and retracting the arms and legs when a newborn feels a sudden loss of support or experiences a loud noise.

Choice C rationale:

The stepping reflex is not related to the initiation of sucking. The stepping reflex is an automatic response that occurs when you hold a newborn upright with their feet touching a surface, causing them to make stepping movements.

Choice D rationale:

The Babinski reflex involves the extension and fanning out of the toes when the sole of the foot is stroked. It is not associated with the initiation of sucking.


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Related Questions

Correct Answer is A

Explanation

Choice A rationale:

The purpose of administering vitamin K to a newborn is to prevent bleeding. Vitamin K plays a crucial role in blood clotting. Newborns often have lower levels of vitamin K, which can make them more susceptible to bleeding disorders, such as hemorrhagic disease of the newborn (HDN). HDN can lead to serious bleeding complications, including intracranial hemorrhage, which can be life-threatening.

Choice B rationale:

Hyperbilirubinemia is not the primary purpose of administering vitamin K. While vitamin K can indirectly help in preventing jaundice (hyperbilirubinemia) by reducing the risk of bleeding that may lead to hemolysis, it is not the primary aim of vitamin K administration.

Choice C rationale:

Potassium deficiency (hypokalemia) is not a primary concern related to vitamin K administration. Vitamin K is specifically administered to prevent bleeding disorders and not to address potassium levels.

Choice D rationale:

Infection is not related to the administration of vitamin K. Vitamin K is not used to prevent or treat infections in newborns; its primary role is in blood clotting.

Correct Answer is B

Explanation

To calculate the estimated date of delivery (EDD) using Naegele’s rule, the nurse would:

  1. Add one year to the year of the last menstrual period (LMP).
  2. Subtract three months from the month of the LMP.
  3. Add seven days to the day of the LMP.

Given the first day of the client’s last menstrual period was April 4, 2023:

  1. Adding one year: April 4, 2024
  2. Subtracting three months: January 4, 2024
  3. Adding seven days: January 11, 2024

So, the nurse should tell the client that her estimated date of delivery (EDD) isJanuary 11, 2024.

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