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 their abdomen and observe the movement of their extremities.

Stroke the newborn’s cheek toward their mouth.

Stroke upward on the lateral aspect of the newborn’s foot.

Place the newborn on a flat surface and clap hands loudly.

Answer and Explanation

The Correct Answer is D

Place the newborn on a flat surface and clap hands loudly.

This action will elicit the Moro reflex, also known as the startle reflex, which is a normal, involuntary reaction that newborns and infants have when they’re startled. In response to the sound, the baby will throw back his or her head, extend out his or her arms and legs, cry, then pull the arms and legs back in.

Choice A is wrong because placing the newborn on their abdomen and observing the movement of their extremities will not trigger the Moro reflex.

This position may elicit other reflexes such as the crawling reflex or the tonic neck reflex.

Choice B is wrong because stroking the newborn’s cheek toward their mouth will not trigger the Moro reflex. This action will elicit the rooting reflex, which helps the baby find the breast or bottle to start feeding.

Choice C is wrong because stroking upward on the lateral aspect of the newborn’s foot will not trigger the Moro reflex. This action will elicit the Babinski reflex, which causes the big toe to extend upward and the other toes to fan out.

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Correct Answer is C

Explanation

Blood glucose 130 mg/dL.

This is because the normal range of blood glucose for pregnant women is 70 - 110 mg/dL .

A blood glucose level of 130 mg/dL indicates gestational diabetes, which can have adverse effects on the mother and the fetus.

The nurse should report this finding to the provider and initiate interventions such as dietary counseling, glucose monitoring, and insulin therapy if needed.

Choice A is wrong because WBC 7,000/mm³ is within the normal range for pregnant women, which is 4,500 to 10,000 cells/mcL .

A low WBC count would indicate an increased risk of infection, while a high WBC count would indicate inflammation or infection.

Choice B is wrong because hemoglobin 13 g/dL is within the normal range for pregnant women, which is 11 to 14 g/dL .

A low hemoglobin level would indicate anemia, while a high hemoglobin level would indicate dehydration or polycythemia.

Choice D is wrong because RBC 5.8 million/mm³ is within the normal range for pregnant women, which is 4.2 to 5.9 million/mm³ .

A low RBC count would indicate anemia or hemorrhage, while a high RBC count would indicate dehydration or polycythemia.

A. Pregnancy. B. Immunosuppression. C. Allergy to gelatin. D. Moderate illness with fever.

Correct Answer is C

Explanation

The correct answer is choice C. Allergy to gelatin is a contraindication for the inactivated influenza vaccine because gelatin is one of the ingredients in the vaccine. People with severe, life-threatening allergies to any ingredient in a flu vaccine (other than egg proteins) should not get that vaccine.

Choice A is wrong because pregnancy is not a contraindication for the inactivated influenza vaccine. In fact, pregnant people are recommended to get a flu shot because they are at higher risk of developing serious flu complications.

Choice B is wrong because immunosuppression is not a contraindication for the inactivated influenza vaccine. People with weakened immune systems can get a flu shot, but they should avoid the nasal spray flu vaccine which contains live viruses.

Choice D is wrong because moderate illness with fever is not a contraindication for the inactivated influenza vaccine. People who are moderately ill can still get a flu shot, but they should wait until they recover if they have a severe illness.

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A nurse is checking a newborn’s Moro reflex. Which of the following actions should the nurse take to elicit this reflex?

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A nurse is checking a newborn’s Moro reflex.
Which of the following actions should the nurse take to elicit this reflex?