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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Areola and papilla separate from the contour of the breast: This is a normal finding in breast development and indicates Tanner stage 4 or higher, which is typical for adolescent girls. It does not necessarily indicate a developmental delay.
B. Absence of first menstrual perioD. Menarche, the first menstrual period, typically occurs between the ages of 9 and 15 in girls. Absence of menarche by the age of 15 or within 3 years after the onset of breast development (thelarche) may indicate a developmental delay or underlying medical condition that should be evaluated by a healthcare provider.
C. Developed breast tissuE. Breast development, indicated by palpable breast tissue, is a normal part of female puberty and typically occurs before menarche. Developed breast tissue alone does not necessarily indicate a developmental delay.
D. Mature distribution and coarseness of pubic hair: Pubic hair development is also a part of female puberty and occurs before or around the time of menarche. While the distribution and coarseness of pubic hair can provide information about pubertal development, the absence of menarche is a more reliable indicator of a potential developmental delay.
Correct Answer is D
Explanation
A. Set of building blocks: While building blocks can be engaging toys for children, they may not effectively address the emotional needs of a child experiencing distress or separation anxiety. Building blocks are more suitable for activities that promote creativity and fine motor skills.
B. Toy hammer and pounding boarD. Toys that involve physical activity, such as a toy hammer and pounding board, may not be appropriate for a child experiencing emotional distress. These toys may require energy and concentration that the child may not be able to focus on during a tantrum.
C. Picture book about hospitals: While a picture book about hospitals may help familiarize the child with the hospital environment, it may not provide immediate comfort during a tantrum. This type of resource may be more beneficial for preparing the child for medical procedures or explaining what to expect during hospitalization.
D. Stuffed animal: Providing a stuffed animal can offer comfort and reassurance to a child experiencing stress or separation anxiety. A soft and cuddly toy like a stuffed animal can serve as a transitional object, providing emotional support and security when the parent is not present. Children often form attachments to stuffed animals, which can help them cope with unfamiliar or challenging situations.
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