A nurse is checking a newborn's Moro reflex. Which of the following actions should the nurse take to elicit this reflex?
Place the newborn on a flat surface and clap hands loudly.
Stroke the newborn's cheek toward their mouth.
Stroke upward on the lateral aspect of the newborn's foot.
Place the newborn on their abdomen and observe the movement of their extremities.
The Correct Answer is A
A. Place the newborn on a flat surface and clap hands loudly:
A sudden loud noise or movement causes the newborn to extend and abduct arms, then adduct them – the Moro (startle) reflex.
B. Stroke the newborn's cheek toward their mouth:
This tests the rooting reflex, not the Moro reflex.
C. Stroke upward on the lateral aspect of the newborn's foot:
This elicits the Babinski reflex, not Moro.
D. Place the newborn on their abdomen and observe the movement of their extremities:
This would assess gross motor tone or posture, not the Moro reflex.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Examine your testicles after a warm shower.":
Warmth relaxes the scrotal sac, making it easier to palpate the testicles and detect abnormalities such as lumps or swelling.
B. "Palpate both testicles firmly with your fingertips.":
Testicles should be palpated gently, not firmly, to avoid discomfort and ensure accurate detection of changes.
C. "Apply a cool compress to the scrotum prior to examination.":
Cold causes scrotal contraction, making the exam more difficult.
D. "Perform the self-examination every 3 months.":
The recommended frequency is monthly, not every 3 months.
Correct Answer is A
Explanation
A. "You won't be able to input any data until you reset your password.":
Sharing passwords violates HIPAA and hospital policy. The nurse must reset their own password to maintain system security and accountability.
B. "You can use my password on another terminal, but just this one time.":
Sharing login credentials is a HIPAA violation and compromises data integrity.
C. "If you'd like to give me the data, I can enter it for you.":
Entering data under someone else’s credentials is inaccurate and illegal documentation.
D. "The charge nurse can log on for you and watch you input the data.":
Each nurse must use individual login credentials. Even supervision doesn't justify credential sharing.
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