Which reflex, if found in a 4-month-old infant, would cause the nurse to be concerned?
Step
Plantar grasp
Neck righting
Babinski
The Correct Answer is A
A. The step reflex is an expected primitive reflex in infants, disappearing around 2 months of age.Therefore, if ounf in a 4 month old baby, the nurse should be concerned.
B. The plantar grasp reflex should be present in infants and typically disappears by 9 to 12 months of age.
C. Neck righting reflex is a normal response in infants, allowing them to orient their heads in relation to their body movements.
D. The Babinski reflex is typically present in infants but should disappear by around 12 months of age. If it persists beyond this age, it could indicate neurological concerns and warrant further evaluation. therefore, the reflex is normal in a 44 month old baby
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. While establishing trust is important in caregiving, it might not be the primary focus in health promotion teaching for toddlers.
B. Managing tantrums is valuable information for parents of toddlers to help them understand and address challenging behavior effectively.
C. Dental care is crucial in toddlers to promote good oral hygiene and prevent dental issues.
D. Encouraging cooperative play helps toddlers develop social skills and interact positively with others.
E. The need for increased caloric intake is not typically a significant focus in health promotion teaching for toddlers unless specific dietary concerns are present.
Correct Answer is B
Explanation
A. Offering the client an antiemetic doesn't address the issue of refusal of treatment.
B. In this situation, the nurse should notify the provider of the conflict between the client's refusal of treatment and the parent's insistence, allowing for further assessment and intervention.
C. Administering a sedative to calm the client is not appropriate without further assessment and consent.
D. Initiating an IV per the parent's request doesn't address the ethical and legal complexities involved in a competent minor's refusal of treatment.
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