A nurse is performing an assessment of a newborn's Babinski reﬂex. Which of the following findings should the nurse expect?

Flexion of the forearm.

Downward curl of the toes.

Dorsiﬂexion of the great toe.

Extension of the leg.

Answer and Explanation

The Correct Answer is C

The Babinski reﬂex, also known as the plantar reﬂex, is a normal reﬂex in infants
that occurs when the sole of the foot is stroked from heel to toe.

In response to this stimulus, the big toe moves upward or toward the top surface of the foot and the other toes fan out.

Choice A is not an answer because ﬂexion of the forearm is not a response to stimulation of the foot.
Choice B is not an answer because downward curl of the toes is not a response
to stimulation of the foot.
Choice D is not an answer because extension of the leg is not a response to
stimulation of the foot.

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Correct Answer is B

Explanation

If a prolapsed cord is identiﬁed, the nurse should perform a vaginal examination and ensure the presenting part is pushed upwards to relieve pressure on the cord.

Choice A) is not correct because while it is important to cover the cord with a sterile saline saturated towel if it has prolapsed externally 1, it is not the next action after calling for assistance and notifying the provider.

Choice C) is not correct because administering oxygen via non-rebreather mask at 8 L/min is not mentioned as an immediate intervention for a prolapsed cord .

Choice D) is not correct because initiating an infusion of IV ﬂuids for the client is not mentioned as an immediate intervention for a prolapsed cord .

A. Droplet. B. Protective environment. C. Contact. D. Airborne.

Correct Answer is C

Explanation

A nurse caring for a client who is at 36 weeks of gestation and has methicillin- resistant Staphylococcus aureus (MRSA) should initiate Contact Precautions.

Choice A is incorrect because Droplet Precautions are not necessary for MRSA.
Choice B is incorrect because a Protective Environment is not necessary for MRSA.
Choice D is incorrect because Airborne Precautions are not necessary for MRSA.

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A nurse is performing an assessment of a newborn's Babinski reﬂex. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Explanation

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