A nurse is assisting a client with breastfeeding her newborn.
The nurse should explain that which of the following reflexes will initiate sucking?
Rooting.
Moro.
Stepping.
Babinski.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
This test will screen for ABO incompatibility. This statement is inaccurate. Maternal serum alpha-fetoprotein (MSAFP) determination is not used to screen for ABO incompatibility. ABO incompatibility is a different concern that involves the mother's and baby's blood types, and it is not assessed through MSAFP testing.
Choice B rationale:
This test will screen for fetal maturity. MSAFP determination does not assess fetal maturity. The purpose of this test is to screen for specific congenital abnormalities, such as neural tube defects and chromosomal abnormalities, not to determine fetal maturity.
Choice C rationale:
This test will screen for neural tube defects. This is the correct choice. Maternal serum alpha-fetoprotein (MSAFP) determination is primarily used to screen for neural tube defects in the developing fetus. It measures the level of alpha-fetoprotein in the mother's blood, and elevated levels can indicate a higher risk of neural tube defects.
Choice D rationale:
This test will screen for gestational diabetes. MSAFP testing is not used to screen for gestational diabetes. Gestational diabetes is typically screened for through glucose tolerance tests or other specific tests designed to diagnose diabetes during pregnancy.
Correct Answer is B
Explanation
Choice A rationale:
Maternal/newborn blood group incompatibility can lead to jaundice in newborns, but it typically occurs within the first 24 hours of life. In this scenario, the baby is delivered 12 hours ago, and the yellowing of the skin is described as "slight.”. Physiologic jaundice, which occurs in the majority of newborns, typically appears on the second or third day after birth, so this choice is less likely.
Choice B rationale:
Physiologic jaundice is the most likely cause of the slight yellowing of the newborn's skin. It typically appears on the second or third day after birth and is related to the immature liver's inability to efficiently process bilirubin. Physiologic jaundice is a common and self-limiting condition that does not usually require treatment.
Choice C rationale:
Maternal cocaine abuse can lead to various neonatal complications, but it is not typically associated with jaundice. The yellowing of the skin in this scenario is more likely related to another cause.
Choice D rationale:
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