A nurse is evaluating an infant’s neuromuscular development by testing different reflexes.

The nurse strokes the outer edge of the sole of the infant’s foot up toward the toes and observes that the infant’s toes fan upward and out.

The nurse documents this as:

A nurse is performing a routine assessment on a newborn.

The nurse gently drops the head of the newborn while supporting the body and observes symmetric abduction and extension of the arms followed by flexion and adduction of the arms.

This finding indicates a positive response for which of the following reflexes?

A nurse is evaluating an infant’s neuromuscular development by testing different reflexes.

The nurse strokes the outer edge of the sole of the infant’s foot up toward the toes and observes that the infant’s toes fan upward and out.

The nurse documents this as:

A nurse is caring for a 2-month-old infant who has a positive Moro reflex.

Which of the following actions should the nurse take to elicit this reflex? (Select all that apply.)

A nurse is performing a neurological assessment on a newborn.

Which of the following reflexes should disappear by 8 months of age? (Select all that apply.)

A nurse is observing an infant who is lying on his back.

The nurse notices that when the infant’s head is turned to the right, his right arm and leg extend, while his left arm and leg flex.

The nurse recognizes this as which of the following reflexes?

A nurse is evaluating a client who has a suspected stroke.

The nurse asks the client to stick out his tongue and observes that it deviates to the left side.

Which of the following cranial nerves is most likely affected?

A nurse is teaching a group of new parents about infant reflexes.

Which of the following statements should the nurse include in the teaching? (Select all that apply.)

A nurse is performing a neurological examination on a client who has a history of multiple sclerosis.

The nurse notices that the client has difficulty walking and maintaining balance.

Which of the following tests should the nurse use to assess the client’s coordination?

A nurse is performing a routine check-up on a 2-month-old infant.

The nurse gently drops the infant from one hand to the other and observes that the infant’s arms and legs symmetrically extend, then abduct while fingers spread to form a C-shape.

The nurse identifies this as:

A nurse is teaching a group of parents about infant reflexes.

Which of the following statements by a parent indicates an understanding of the teaching?