A nurse is collecting data from a newborn who was delivered at 40 weeks of gestation. Which of the following is an expected finding when eliciting reflexes from the newborn?
The newborn's legs flex at the knees and hips when pressure is applied to the soles of the newborn's feet.
The newborn turns their head away from the stimulus when their cheek is touched.
The newborn's fingers curl around the nurse's finger when placed in the newborn's palm.
The newborn closes their eyes and keeps them closed when tapped on the forehead.
The Correct Answer is C
A. This describes the stepping reflex, which involves the newborn's legs moving in a stepping motion when the soles of the feet touch a surface, not just flexing at the knees and hips. It is expected but not the most relevant to the of reflex elicitation as stated.
B. The newborn turns toward the stimulus when their cheek is touched, not away. This is known as the rooting reflex, which helps the newborn find the breast or bottle for feeding.
C. The newborn's fingers curling around the nurse's finger is the grasp reflex, a normal and expected finding in newborns. It indicates normal neurological development and reflex activity.
D. The newborn blinking in response to a tap on the forehead is known as the glabellar reflex, but they do not typically keep their eyes closed. It is not a primary reflex assessed in newborns for neurological health.
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Related Questions
Correct Answer is D
Explanation
A. Increasing the frequency of feedings from the affected nipple can worsen soreness. It’s important to address the underlying cause of soreness, which may involve evaluating latch technique or positioning rather than increasing feeding frequency.
B. Vitamin E oil is not recommended for sore nipples as it can cause irritation. Proper care involves managing latch and positioning, and sometimes using a lanolin cream rather than oils or other substances.
C. Washing the nipple with soap and water before each feeding can remove natural oils and lead to further irritation. The nipple should be gently cleaned with water, if necessary, and kept clean without over-washing.
D. Exposing the affected nipple to the air between feedings helps with healing and reduces moisture, which can exacerbate soreness. Allowing the nipple to air-dry can promote healing and reduce discomfort.
Correct Answer is B
Explanation
A. Magnesium sulfate is used to manage preeclampsia or prevent preterm labor, not for treating an ectopic pregnancy. It does not address the issue of an unruptured ectopic pregnancy.
B. Methotrexate is a medication used to treat an unruptured ectopic pregnancy by dissolving the ectopic tissue and allowing it to be reabsorbed by the body. It is a first-line treatment for early, unruptured ectopic pregnancies to prevent complications.
C. Calcium gluconate is used to treat hypocalcemia or to counteract the effects of magnesium sulfate in preeclampsia, not for ectopic pregnancies. It is not relevant to the management of an unruptured ectopic pregnancy.
D. Terbutaline is used to manage preterm labor by relaxing uterine contractions. It does not address the treatment of an ectopic pregnancy and is not indicated for this condition.
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