A nurse is assisting a client with breastfeeding.
Which of the following reflexes will promote the newborn to latch?
Moro.
Stepping.
Rooting.
Babinski.
The Correct Answer is C
Choice A rationale
The Moro reflex is a startle response in newborns and does not assist in promoting latching during breastfeeding.
Choice B rationale
The stepping reflex, also known as the walking reflex, involves a newborn making stepping movements when held upright and does not contribute to latching during breastfeeding.
Choice C rationale
The rooting reflex causes a newborn to turn their head toward a touch on their cheek and begin sucking movements, which is crucial for promoting latching during breastfeeding.
Choice D rationale
The Babinski reflex involves the toes fanning out when the sole of the foot is stroked and is unrelated to latching during breastfeeding. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale
Apgar score assesses the newborn's health at 1 and 5 minutes post-delivery. A score of 8 at 1 minute and 10 at 5 minutes indicates good initial adaptation to extrauterine life.
Choice B rationale
Suctioning the mouth with a bulb syringe helps clear the airway of any meconium, which can be crucial to prevent respiratory complications.
Choice C rationale
Absence of visible meconium in the airway reduces the risk of meconium aspiration syndrome, a serious condition affecting the newborn's respiratory system.
Choice D rationale
Antibiotics are not routinely started after birth for all infants; they are used if there is a high risk or evidence of infection.
Correct Answer is B
Explanation
Choice A rationale
Cephalohematoma is a collection of blood between a newborn's scalp and the skull bone, often caused by birth trauma, but it's not specifically related to small for gestational age (SGA) assessment.
Choice B rationale
Hypoglycemia is a common concern in SGA newborns because they have less stored glucose and glycogen, making blood glucose level monitoring critical.
Choice C rationale
Necrotizing enterocolitis is a serious condition in premature newborns involving inflammation and damage to the intestines, but it is not specific to SGA newborns.
Choice D rationale
Immature reflexes are assessed in newborns, but hypoglycemia takes priority in SGA newborns due to their higher risk of low blood sugar.
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