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. "Activity will increase the respiratory rate": While activity can indeed affect respiratory rate, counting for a full minute allows for a more accurate assessment of the newborn's baseline respiratory rate, regardless of activity level.

B. "The rate and rhythm of breath are irregular in newborns": This statement reflects an understanding of why a complete minute is necessary for counting the respiratory rate in newborns. Newborns often have irregular breathing patterns, so counting for a full minute helps ensure an accurate assessment of their respiratory rate.

C. "Newborns are abdominal breathers": While newborns primarily use their diaphragm to

breathe (abdominal breathing), this fact alone does not explain why the respiratory rate should be counted for a full minute.

D. "Newborns do not expand their lungs fully with each respiration": While newborns may not fully expand their lungs with each breath, this factor is not the primary reason for counting the respiratory rate for a full minute.

A. Change the routine of the preschooler often to stimulate initiative. B. Do not set limits on the preschooler's behavior as this results in low self-esteem. C. As a parent, decide how and with whom the child will play. D. Reward the child for initiative in order to build self-esteem.

Correct Answer is D

Explanation

A. Change the routine of the preschooler often to stimulate initiativE. While providing variety and new experiences is important for stimulating a child's curiosity and creativity, abruptly changing routines too often can disrupt the child's sense of security and stability. Consistency in routines helps preschoolers feel secure and understand expectations.

B. Do not set limits on the preschooler's behavior as this results in low self-esteem: Setting appropriate limits and boundaries is essential for preschoolers to develop a sense of security and learn socially acceptable behavior. However, overly strict or rigid limits can stifle initiative and creativity. It's important for parents to strike a balance between setting limits and allowing for exploration and initiative.

C. As a parent, decide how and with whom the child will play: Encouraging preschoolers to

make their own choices about play activities and playmates fosters independence and initiative. Parents should provide opportunities for free play and exploration within safe boundaries,

allowing the child to make decisions and learn from their experiences.

D. Reward the child for initiative in order to build self-esteem: Positive reinforcement for initiative-taking behavior encourages preschoolers to explore their environment, try new

activities, and develop confidence in their abilities. By praising and acknowledging their efforts, parents can help build their child's self-esteem and motivation to take on new challenges.

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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 an assistive personnel to measure a newborn's respiratory rate. Which of the following statements indicates an understanding of why the respiratory rate should be counted for a complete minute?

Correct Answer is B

Explanation

The nurse is explaining to parents that the preschooler's developmental task is focused on the development of initiative rather than guilt. What is a priority intervention the nurse might recommend for parents of preschoolers to stimulate initiative?

Correct Answer is D

Explanation

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