A nurse is caring for a newborn and assessing newborn reflexes.

To elicit the Moro reflex, what action should the nurse take?

Turn the newborn’s head quickly to one side.

Perform a sharp hand clap near the infant.

Place a finger at the base of the newborn’s toes.

Hold the newborn vertically allowing one foot to touch the table surface.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Turning the newborn’s head quickly to one side does not elicit the Moro reflex. This action can elicit the tonic neck reflex, also known as the “fencing” reflex.
Choice B rationale
Performing a sharp hand clap near the infant can elicit the Moro reflex. This reflex is a response to a sudden loss of support and involves three distinct components: spreading out the arms (abduction), unspreading the arms (adduction), and usually crying.
Choice C rationale
Placing a finger at the base of the newborn’s toes elicits the Babinski reflex, not the Moro reflex.
Choice D rationale
Holding the newborn vertically allowing one foot to touch the table surface does not elicit the Moro reflex. This action can elicit the stepping or walking reflex.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale

Hypomagnesemia is not typically a primary concern for newborns of mothers with diabetes mellitus. While it can occur in newborns, it is not directly related to macrosomia or maternal diabetes.
Choice B rationale
Hypocalcemia can occur in newborns, especially preterm infants, infants of diabetic mothers, and those with perinatal asphyxia. However, it is not the primary concern in this scenario.
Choice C rationale
Hyperbilirubinemia can occur in newborns for a variety of reasons, including prematurity, blood group incompatibility, and other factors. While infants of diabetic mothers may have an increased risk of jaundice, it is not the primary concern in this scenario.
Choice D rationale
Hypoglycemia is the correct answer. Infants of diabetic mothers are at risk for hypoglycemia after birth. During pregnancy, the fetus produces extra insulin in response to the mother’s high blood glucose levels. After birth, the newborn continues to produce extra insulin for a short time until it adjusts to normal glucose-insulin balance. This can lead to hypoglycemia, which is a primary concern and requires immediate attention.

A. Massage the client’s back. B. Administer prescribed analgesic medication. C. Turn the client onto her left side. D. Encourage the client to rest between contractions.

Correct Answer is A

Explanation

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, what action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus. The nurse should recognize which of the following complications as the priority focus of care?

Correct Answer is D

Explanation

A nurse is caring for a client who is in labor. Which of the following nursing actions reflects application of the gate control theory of pain?

Correct Answer is A

Explanation

A nurse is admitting a patient who is at 30 weeks of gestation and is in preterm labor.The patient has a new prescription for betamethasone and asks the nurse about the purpose of this medication. Which explanation should the nurse provide?

A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor. Which of the following is the priority nursing action?

A nurse is caring for a client who is in the first stage of labor and is using pattern-paced breathing. Which of the following actions should the nurse take if the client’s fingers are tingling?

A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right. Based on these findings, which of the following actions should the nurse take?

A nurse is caring for a client who is experiencing a decrease in the fetal heart rate. Which of the following actions should the nurse take?

A nurse in a prenatal clinic is caring for a client whose blood pressure is 80/40 mm Hg. The client’s last menstrual period was on May 4, 2023. What would be the estimated due date for the client?

A nurse in a provider’s office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. Which of the following is the most common risk factor for abruption?

A nurse is caring for a newborn and assessing newborn reflexes.

To elicit the Moro reflex, what action should the nurse take?