A new mother shows the nurse that her baby grasps her finger when she touches the baby's palm. How might the nurse respond to this information?

"This is a primitive reflex known as the palmar grasp."

"This is a protective reflex known as rooting."

"This is a primitive reflex known as the plantar grasp."

"This is a protective reflex known as the Moro reflex."

Answer and Explanation

The Correct Answer is A

A. "This is a primitive reflex known as the palmar grasp.": The palmar grasp reflex is a primitive reflex observed in newborns where they automatically grasp onto objects (or fingers) that touch

their palms. This reflex typically disappears by around 6 months of age.

B. "This is a protective reflex known as rooting.": Rooting is a reflex where newborns turn their head and open their mouth in response to cheek or mouth stimulation, facilitating breastfeeding. It is not related to grasping objects with the hands.

C. "This is a primitive reflex known as the plantar grasp.": The plantar grasp reflex is similar to the palmar grasp but occurs when pressure is applied to the sole of the foot. It is unrelated to grasping objects with the hands.

D. "This is a protective reflex known as the Moro reflex.": The Moro reflex, also known as the startle reflex, involves the newborn's arms and legs extending and then flexing in response to a sudden movement or loud noise. It is not related to grasping objects with the hands.

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Correct Answer is B

Explanation

A. "You should leave the room while the tantrum is happening.": Leaving the room during a

toddler's tantrum may not be the most effective strategy, as it may reinforce the behavior or make the child feel abandoned. It is generally recommended to stay nearby and provide support and guidance during tantrums.

B. "Temper tantrums are the toddler's attempt to gain control of a situation.": Temper tantrums are often a normal part of toddler development and can occur when toddlers feel frustrated, overwhelmed, or unable to express their needs effectively. Understanding that tantrums are a way for toddlers to assert some control over their environment can help parents respond appropriately.

C. "Temper tantrums are a type of learning disability.": Temper tantrums are not indicative of a learning disability. While they can be challenging for parents to manage, they are typically considered a normal phase of development and are not associated with cognitive impairments.

D. "You should get a psychological consult for the temper tantrums.": Seeking psychological consultation for temper tantrums may be unnecessary unless there are other concerning behaviors or developmental delays present. Tantrums are typically addressed through behavior

management techniques and parent education rather than psychological intervention.

A. A child who is brought to the emergency room with labored breathing B. A child who is a new client in a pediatric office C. A child who is a routine client and presents with signs of a sinus infection D. A child whose condition is improving

Correct Answer is A

Explanation

A. A child who is brought to the emergency room with labored breathing: Labored breathing can indicate a serious respiratory problem that requires immediate assessment and intervention.

Conducting a comprehensive health history is crucial to gather information about the child's medical history, current symptoms, and any potential underlying conditions that could be contributing to the breathing difficulty.

B. A child who is a new client in a pediatric officE. While it is important to obtain a comprehensive health history for new clients in a pediatric office, it may not require immediate attention unless the child presents with acute symptoms or concerns.

C. A child who is a routine client and presents with signs of a sinus infection: While a child presenting with signs of a sinus infection may require a comprehensive health history to guide treatment, it may not necessitate immediate attention unless the symptoms are severe or accompanied by complications.

D. A child whose condition is improving: If a child's condition is improving, conducting a comprehensive health history may not be immediately necessary unless there are lingering concerns or new symptoms that arise during follow-up visits.

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A new mother shows the nurse that her baby grasps her finger when she touches the baby's palm. How might the nurse respond to this information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the parents of a toddler about temper tantrums. Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

For which children would the nurse conduct an immediate comprehensive health history?

Correct Answer is A

Explanation

A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

The nurse is assessing the motor skills of a 5-year-old girl. Which finding would cause the nurse to be concerned?

A nurse is caring for a 2-year-old child who is hospitalized and throws a tantrum when his parent leaves. Which of the following toys should the nurse provide to alleviate the child's stress?

A nurse is teaching a parent of a 6-month-old infant about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?

A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. Which of the following foods should the nurse recommend?

The nurse is performing a physical assessment of a 10-year-old boy. The nurse notes that during last year's check-up, the child weighed 80 lb. According to average growth for this age group, what would be his expected current weight?

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