A nurse is collecting data from a newborn who was delivered at 40 weeks of gestation. Which of the following is an expected finding when eliciting reflexes from the newborn?

The newborn's legs flex at the knees and hips when pressure is applied to the soles of the newborn's feet.

The newborn turns their head away from the stimulus when their cheek is touched.

The newborn's fingers curl around the nurse's finger when placed in the newborn's palm.

The newborn closes their eyes and keeps them closed when tapped on the forehead.

Answer and Explanation

The Correct Answer is C

A. This describes the stepping reflex, which involves the newborn's legs moving in a stepping motion when the soles of the feet touch a surface, not just flexing at the knees and hips. It is expected but not the most relevant to the of reflex elicitation as stated.
B. The newborn turns toward the stimulus when their cheek is touched, not away. This is known as the rooting reflex, which helps the newborn find the breast or bottle for feeding.
C. The newborn's fingers curling around the nurse's finger is the grasp reflex, a normal and expected finding in newborns. It indicates normal neurological development and reflex activity.
D. The newborn blinking in response to a tap on the forehead is known as the glabellar reflex, but they do not typically keep their eyes closed. It is not a primary reflex assessed in newborns for neurological health.

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Correct Answer is D

Explanation

A. "I will need to start chemotherapy immediately." is incorrect. Chemotherapy is not always immediately necessary. Treatment depends on follow-up tests and the presence of persistent or malignant disease.
B. "I will need home palliative services after I am discharged from the hospital." is incorrect. Most clients recovering from a molar pregnancy do not require home palliative services unless there are specific complications.
C. "I will need an amniocentesis within 1 month." is incorrect. Amniocentesis is not required for clients recovering from a molar pregnancy.
D. "I will need to attend a support group when I get home." is correct. Support groups are helpful for emotional support and recovery after a molar pregnancy.

A. Carrots B. Chicken breast C. Feta cheese D. Apples

Correct Answer is B

Explanation

A. Carrots are not a significant source of iron. They are rich in vitamins and fiber but do not contribute substantially to iron needs.
B. Chicken breast is a good source of heme iron, which is more readily absorbed by the body compared to non-heme iron found in plant foods. It helps meet the increased iron requirements during pregnancy.
C. Feta cheese is not a significant source of iron. It provides calcium and protein but does not contribute substantially to iron intake.
D. Apples are not a significant source of iron. While they are nutritious, they do not help meet the increased iron requirements during pregnancy.

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A nurse is collecting data from a newborn who was delivered at 40 weeks of gestation. Which of the following is an expected finding when eliciting reflexes from the newborn?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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