A nurse is collecting data from a newborn.
The nurse should recognize that which of the following images demonstrates a positive Babinski reflex?
Image showing toes fanning out when the sole is stroked.
Image showing the newborn grasping a finger when the palm is touched.
Image showing the newborn turning the head when the cheek is stroked.
Image showing the newborn making stepping movements when held upright.
The Correct Answer is A
Choice A rationale
The image showing toes fanning out when the sole of the foot is stroked demonstrates a positive Babinski reflex. This reflex is normal in newborns and indicates immature nervous system development.
Choice B rationale
The image showing the newborn grasping a finger when the palm is touched demonstrates the palmar grasp reflex, not the Babinski reflex. This reflex is also normal in newborns but is unrelated to the Babinski reflex.
Choice C rationale
The image showing the newborn turning the head when the cheek is stroked demonstrates the rooting reflex, not the Babinski reflex. This reflex helps the newborn locate the breast or bottle for feeding.
Choice D rationale
The image showing the newborn making stepping movements when held upright demonstrates the stepping reflex, not the Babinski reflex. This reflex mimics walking and is normal in newborns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Chemotherapy is typically not required immediately after a molar pregnancy unless there is evidence of persistent gestational trophoblastic disease or cancer. The priority is often to monitor hCG levels and ensure they return to normal before deciding on further treatments.
Choice B rationale
Home palliative services are not typically necessary for recovery from a molar pregnancy. While supportive care is important, palliative services are generally reserved for managing symptoms in more advanced, life-threatening conditions, which is not usually the case for molar pregnancy recovery.
Choice C rationale
Attending a support group can be beneficial for emotional recovery after a molar pregnancy. Support groups offer a community of individuals with similar experiences, providing emotional support, shared experiences, and coping strategies. This psychosocial support is important for the overall recovery process.
Choice D rationale
An amniocentesis is not typically indicated following a molar pregnancy. The primary focus post-treatment is monitoring hCG levels to ensure they return to normal. Amniocentesis is more relevant in evaluating genetic and chromosomal conditions in ongoing pregnancies rather than after a molar pregnancy.
Correct Answer is D
Explanation
Choice A rationale
Hyperemesis gravidarum is usually associated with an increased pulse rate due to dehydration and increased metabolic demands, not a decreased pulse rate.
Choice B rationale
Increased fundal height is not a typical finding in hyperemesis gravidarum. It is more related to conditions like multiple pregnancies or molar pregnancies.
Choice C rationale
Proteinuria is not typically associated with hyperemesis gravidarum. It is more commonly related to conditions like preeclampsia.
Choice D rationale
Poor skin turgor is a common finding in hyperemesis gravidarum due to significant dehydration resulting from persistent vomiting.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.