A nurse is collecting data from a 9-month-old infant.
Which of the following findings requires a nursing intervention?
Positive Moro reflex.
Negative Doll's eye reflex.
Positive Babinski reflex.
Negative Crawl reflex.
The Correct Answer is A
The correct answer is a. Positive Moro reflex.
Choice A reason:
Positive Moro reflex: This reflex should disappear by 6 months of age. Its presence at 9 months indicates potential neurological issues.
Choice B reason:
Negative Doll’s eye reflex: This reflex, indicating brainstem function, should be positive in infants. A negative result suggests severe brainstem dysfunction
Choice C reason:
Positive Babinski reflex: This reflex is normal up to 2 years of age. It indicates normal neurological development in infants.
Choice D reason:
Negative Crawl reflex: Crawling typically develops between 6-10 months. A negative crawl reflex at 9 months could indicate developmental delays
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Anorexia nervosa is an eating disorder characterized by abnormally low body weight, an intense fear of gaining weight, and a distorted perception of weight.
People with anorexia place a high value on controlling their weight and shape, using extreme efforts that tend to significantly interfere with their lives.
Choice B, Lack of motivation, don’t like to do things perfectly, is not correct because it is not a characteristic of anorexia.
Choice C, Would rather watch TV all day than exercise, is not correct because it is not a characteristic of anorexia.
Choice D Only affects females is not correct because anorexia can affect both males and females.
Correct Answer is D
Explanation
During the first trimester of pregnancy, many women experience increased urination.
The amount of blood in your body increases during pregnancy, causing your kidneys to process extra fluid that ends up in your bladder.
Choice A, Supine hypotension, is incorrect because it refers to a condition that can occur later in pregnancy when a woman lies on her back and the weight of the uterus compresses major blood vessels.
Choice B, Heartburn, is incorrect because it is more commonly experienced later in pregnancy.
Choice C, Constipation, is incorrect because it is more commonly experienced later in pregnancy.
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